Coordinator, Intake Support

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.