Coordinator, Intake Support
Molina Healthcare · United States
Job Description
Job Summary
Provides support for member intake and care portal activities. Responsible for member intake and care coordination portal operations/utilization. Supports the care-centered home and fully integrated/accountable system of care, and contributes to overarching strategy to improve and provide quality and cost-effective member care.
Essential Job Duties
- Provides daily monitoring and management of the intake support center/care coordination portal.
- Ensures that internal/external key stakeholders and members have access to pertinent care coordination portal information.
- Ensures that member inquiries and concerns are addressed timely with appropriate triage to assigned department(s).
- Represents as point of contact to external care coordination entities (CCEs), care management entities (CMEs) and individual members and other key providers and stakeholders as needed.
- Facilitates member referrals as needed.
- Attends training specific to care coordination portal use and access.
- Assists with monitoring required reporting requirements to ensure that members needs are addressed timely and appropriately.
- Supports the care-centered home and fully integrated/accountable system of care through population health management, and related processes, programs and services.
- Assists in planning, organization, and design/development of program components by coordinating work efforts across internal or external partners and stakeholders to execute against program requirements.
- Monitors program/project metrics and ongoing process improvements.
- Builds partnerships and relationships with community-based organizations and providers.
- Identifies and reports operational issues and needs to appropriate leadership.
- May conduct training, project scheduling, and reporting as required.
- Local travel may be required (based upon state/contractual requirements).
REQUIRED QUALIFICATIONS:
- At least 2 years of experience in care management, utilization management, behavioral health, and/or a managed care setting, or equivalent combination of relevant education and experience.
- Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN)). Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.
- Customer service and interpersonal skills.
- Attention to detail and organizational skills.
- Home office with high-speed internet connectivity.
- Effective verbal and written communication skills.
- Microsoft Office suite/applicable software program(s) proficiency.
PREFERRED QUALIFICATIONS:
- Project or program coordination experience.
- Quality improvement 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.