CMA Full-time
Molina Healthcare

Medical Assistant, Care Connections (Long Barn, CA)

$20.25 - $33.42 / hour
JOB DESCRIPTION Job Summary

Provides medical assistant support for Care Connections team. Responsible for contacting members following appointments/services rendered to ensure member understanding and navigation of the health care system, and coordination support for follow-up care. Also provides assistance for other administrative clinical support tasks. Contributes to overarching strategy to provide quality and cost-effective member care.

 

Essential Job Duties

• Coordinates care between members and providers after appointment/service delivery to support member navigation of the health care system, needs related to follow-up care and highest quality care/desired member health outcomes.
• Communicates with Care Connections providers to clarify orders/requests and assists with escalation of issues to appropriate team(s) when unable to resolve independently.
• Supports processing and follow-up for care management assignment and primary care provider referrals for high-risk members.
• Escalates member issues related to prior authorizations for medications and durable medical equipment.
• Communicates lab results and other exam findings with members and primary care providers.
• Communicates with nurse practitioners on member health issues to ensure timely follow-up and response.
• Supports care coordination and intervention by sending electronic messages/faxes to primary care providers.
• Closes gaps in health care by preparing member lab result letters and coordinates follow-up on lab results.
• Fulfills nurse practitioner supply orders and maintains adequate nursing supply inventory.
• Performs administrative tasks such as telephone and email response, documentation follow-up and updates to member records.
• Facilitates follow-up calls to members to ensure positive member experience/outcomes and ensure needs are met.
• Assists with special projects under the direction of clinical leadership.

 

Required Qualifications

• At least 1 year of health care experience preferably in a family practice, home health, primary care, palliative care or hospice setting, or equivalent combination of relevant education and experience.
• Graduate of an accredited medical assistant (MA) program.
• Demonstrated understanding of patient care, medical terminology, coding procedures, reference tools and appropriate clinical pharmacology for medical assistant practice scope.
• Excellent customer service skills.
• Ability to work independently or as part of a team.
• Ability and desire to meet or exceed Care Connections clinical integration and departmental metrics and conjunctively provide excellent customer service.
• Strong attention to detail, ability to multi-task, prioritize, meet deadlines and demonstrate follow-through.
• Utilizes critical-thinking skills to identify issues, problem-solve and demonstrate initiative.
• Empathy for senior, disabled, income challenged and vulnerable populations.
• Ability to build positive working relationships with peers and effectively manage conflict.
• Strong verbal and written communication skills.
• Microsoft Office suite/applicable software program(s) proficiency, and ability to learn new programs.
• Ability to lift up to 50 lbs.

 

Preferred Qualifications

• Certified Medical Assistant (CMA).
• Experience working with an electronic medical record system (EMR), preferably Epic.
• Experience with underserved populations facing socioeconomic barriers to health care.
• Bilingual in Spanish, Korean, Mandarin, Cantonese or Vietnamese.

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $20.25 - $33.42 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Share this job

Share to FB Share to LinkedIn Share to Twitter

Related Jobs

Molina Healthcare

Care Management Processor (Remote)

$17 - $34.88 / hour
JOB DESCRIPTION Provides non-clinical administrative support to the care management function, and contributes to interdisciplinary team efforts supporting provision of integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties • Facilitates administrative support including case assignment, member screening and scheduling, correspondence processing, data entry and telephone and clerical support for team facilitating care management related services for members. • Facilitates initial review of assigned case levels and assists in case management assignment to care managers. • Reviews data to identify principle member needs and works under the direction of the care manager to implement care plan. • Schedules member visits with care managers as needed. • Screens members according to Molina policies and processes and assists care management staff during process of identifying appropriate member services. • Coordinates required member services in accordance with member benefit plan. • Promotes communication both internally and externally to enhance effectiveness of care management services. • Processes member and provider correspondence. Required Qualifications At least 1 year of experience in an administrative support role in health care, or equivalent combination of relevant education and experience. Strong attention to detail. Problem-solving skills. Working knowledge of Microsoft Office (Outlook, Word, Excel) or other comparable software. Time-management and organizational skills. Strong verbal and written communication skills. Microsoft Office suite/applicable software program(s) proficiency. Excellent customer service skills. Preferred Qualifications • Certified Medical Assistant (CMA). To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $17 - $34.88 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Molina Healthcare

Care Management Processor

$15.40 - $29.06 / hour
JOB DESCRIPTION Job SummaryProvides non-clinical administrative support to the care management function, and contributes to interdisciplinary team efforts supporting provision of integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties • Facilitates administrative support including case assignment, member screening and scheduling, correspondence processing, data entry and telephone and clerical support for team facilitating care management related services for members. • Facilitates initial review of assigned case levels and assists in case management assignment to care managers. • Reviews data to identify principle member needs and works under the direction of the care manager to implement care plan. • Schedules member visits with care managers as needed. • Screens members according to Molina policies and processes and assists care management staff during process of identifying appropriate member services. • Coordinates required member services in accordance with member benefit plan. • Promotes communication both internally and externally to enhance effectiveness of care management services. • Processes member and provider correspondence. Required Qualifications• At least 1 year of experience in an administrative support role in health care, or equivalent combination of relevant education and experience. • Strong attention to detail. • Problem-solving skills. • Working knowledge of Microsoft Office (Outlook, Word, Excel) or other comparable software. • Excellent customer service skills. • Time-management and organizational skills. • Strong verbal and written communication skills. • Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications • Certified Medical Assistant (CMA). To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $15.4 - $29.06 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Molina Healthcare

Care Management Processor-IL

$16.60 - $30.52 / hour
JOB DESCRIPTION Job SummaryProvides non-clinical administrative support to the care management function, and contributes to interdisciplinary team efforts supporting provision of integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties • Facilitates administrative support including case assignment, member screening and scheduling, correspondence processing, data entry and telephone and clerical support for team facilitating care management related services for members. • Facilitates initial review of assigned case levels and assists in case management assignment to care managers. • Reviews data to identify principle member needs and works under the direction of the care manager to implement care plan. • Schedules member visits with care managers as needed. • Screens members according to Molina policies and processes and assists care management staff during process of identifying appropriate member services. • Coordinates required member services in accordance with member benefit plan. • Promotes communication both internally and externally to enhance effectiveness of care management services. • Processes member and provider correspondence. Required Qualifications• At least 1 year of experience in an administrative support role in health care, or equivalent combination of relevant education and experience. • Strong attention to detail. • Problem-solving skills. • Working knowledge of Microsoft Office (Outlook, Word, Excel) or other comparable software. • Excellent customer service skills. • Time-management and organizational skills. • Strong verbal and written communication skills. • Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications • Certified Medical Assistant (CMA). To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $16.6 - $30.52 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Molina Healthcare

Medical Assistant, Care Connections (Long Beach, CA)

$20.25 - $33.42 / hour
JOB DESCRIPTION Job Summary Provides medical assistant support for Care Connections team. Responsible for contacting members following appointments/services rendered to ensure member understanding and navigation of the health care system, and coordination support for follow-up care. Also provides assistance for other administrative clinical support tasks. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties • Coordinates care between members and providers after appointment/service delivery to support member navigation of the health care system, needs related to follow-up care and highest quality care/desired member health outcomes. • Communicates with Care Connections providers to clarify orders/requests and assists with escalation of issues to appropriate team(s) when unable to resolve independently. • Supports processing and follow-up for care management assignment and primary care provider referrals for high-risk members. • Escalates member issues related to prior authorizations for medications and durable medical equipment. • Communicates lab results and other exam findings with members and primary care providers. • Communicates with nurse practitioners on member health issues to ensure timely follow-up and response. • Supports care coordination and intervention by sending electronic messages/faxes to primary care providers. • Closes gaps in health care by preparing member lab result letters and coordinates follow-up on lab results. • Fulfills nurse practitioner supply orders and maintains adequate nursing supply inventory. • Performs administrative tasks such as telephone and email response, documentation follow-up and updates to member records. • Facilitates follow-up calls to members to ensure positive member experience/outcomes and ensure needs are met. • Assists with special projects under the direction of clinical leadership. Required Qualifications • At least 1 year of health care experience preferably in a family practice, home health, primary care, palliative care or hospice setting, or equivalent combination of relevant education and experience. • Graduate of an accredited medical assistant (MA) program. • Demonstrated understanding of patient care, medical terminology, coding procedures, reference tools and appropriate clinical pharmacology for medical assistant practice scope. • Excellent customer service skills. • Ability to work independently or as part of a team. • Ability and desire to meet or exceed Care Connections clinical integration and departmental metrics and conjunctively provide excellent customer service. • Strong attention to detail, ability to multi-task, prioritize, meet deadlines and demonstrate follow-through. • Utilizes critical-thinking skills to identify issues, problem-solve and demonstrate initiative. • Empathy for senior, disabled, income challenged and vulnerable populations. • Ability to build positive working relationships with peers and effectively manage conflict. • Strong verbal and written communication skills. • Microsoft Office suite/applicable software program(s) proficiency, and ability to learn new programs. • Ability to lift up to 50 lbs. Preferred Qualifications • Certified Medical Assistant (CMA). • Experience working with an electronic medical record system (EMR), preferably Epic. • Experience with underserved populations facing socioeconomic barriers to health care. • Bilingual in Spanish, Korean, Mandarin, Cantonese or Vietnamese. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $20.25 - $33.42 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Molina Healthcare

RN Transition of Care Coach Field Care in Plymouth, Essex, Norfolk, Suffolk or Middlesex MA

$30.37 - $59.21 / hour
JOB DESCRIPTION Job Summary The Transition of Care Coach (RN) provides support for care transition activities. Facilitates transitional care processes and coordination for member discharge from hospital admission to all other settings. Strives to ensure that best possible services are available to members at time of hospital discharge, and focuses on goal to reduce member readmissions. Contributes to overarching strategy to provide quality and cost-effective member care. This position will support our Moline One Care plan. Molina One Care is a community-based health care organization with national operations support delivering government funded health plans for members who reside in Massachusetts. We are looking for candidates with a MA RN licensure and prior work history with a managed care plan or case management experience, preferably transition of care. Hospital experience required. Strong communication, documentation, and EMR skills. Cultural competence, time management, and the ability to work independently. Bilingual candidates are encouraged to apply to support our diverse communities! Work Hours: Monday - Friday 8:00am - 5:00pm EST Remote position with field travel in Plymouth, Essex, Norfolk, Suffolk or Middlesex county MA Essential Job Duties • Follows member throughout a 30 day program that starts at hospital admission and continues oversight through transitions from acute setting to all other settings, including nursing facility placement/private home, with the goal of reduced readmissions. • Ensures safe and appropriate transitions by collaborating with the hospital discharge planner, as well as collaborating with hospitalists, outpatient providers, facility staff, and family/support network. • Ensures member transitions to setting with adequate caregiving and functional support, as well as medical and medication oversight support. • Works with participating ancillary providers, public agencies or other service providers to make sure necessary services and equipment are in place for safe transition. • Conducts face-to-face visits of all members while in the hospital and, home visits high-risk members post-discharge as needed. • Coordinates care and reassesses member needs using the Coleman Care Transition model post-discharge. • Educates and supports member focusing on seven primary areas (Transition of Care Pillars): medication management, use of personal health record, follow-up care, signs and symptoms of worsening condition, nutrition, functional needs and or home and community-based services, and advance directives. • Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts. • Assesses for barriers to care, provides care coordination and assistance to member to address concerns. • Facilitates interdisciplinary care team meetings (ICT) and collaboration. • Provides consultation, recommendations and education as appropriate to non-behavioral health care managers. • 40-50% local travel may be required (based upon state/contractual requirements). Required Qualifications • At least 2 years experience in health care, with at least 1 year of experience in hospital discharge planning, care management or behavioral health setting, or equivalent combination of relevant education and experience. • Registered Nurse (RN). License must be active and unrestricted in state of practice. • Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law. • Knowledge of or experience using the Care Transitions Intervention (CTI) or similar model. • Background in discharge planning and/or home health. • Demonstrated knowledge of community resources. • Proactive and detail-oriented. • Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations. • Ability to work independently, with minimal supervision and demonstrate self-motivation. • Responsive in all forms of communication, and ability to remain calm in high-pressure situations. • Ability to develop and maintain professional relationships. • Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change. • Excellent problem-solving, and critical-thinking skills. • Excellent verbal and written communication skills. • Microsoft Office suite/other applicable software program(s) proficiency. Preferred Qualifications • Transitions of care sub-specialty certification and/or Certified Case Manager (CCM). • Hospital discharge planning or home health experience. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V #PJHPO2 Pay Range: $30.37 - $59.21 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.