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Case Management Processor
Remote, WA US
Posted: 05/30/2025
2025-05-30
2025-07-20
Job Number: 46224962
Job Description
We have a great client that is looking for a Case Management Processor!
- This is a contract role for 6 months with the potential to convert to direct hire.
- Must live in the state of Washington.
- Remote opportunity.
- Monday through Friday, 8am to 5pm, PST.
- Pay rate is $26.58
- Will require dual monitors and a docking station.
- Outbound calls to Medicaid members to identify medical/BH/Social Determinants of health needs followed by referral/assignment to appropriate team
- Provides support to the Case Management staff performing non-clinical activities and supporting the management of the department.
- Responsible for initial review and triage of Case Management tasks.
- Reviews data to identify principle member needs and works under the direction of the Case Manager to implement a care plan.
- Screens members using Molina policies and processes assisting clinical Case Management staff as they identify appropriate medical services
- Coordinates required services in accordance with member benefit plan.
- Promotes communication, both internally and externally, to enhance effectiveness of case management services (e.g., health care providers and health care team members).
- Run reports to assist in coordination of case management needs.
- Provides support services to case management team members by answering telephone calls, taking messages and researching information.
- Maintains accurate and complete documentation of required information that meets risk management, regulatory, and accreditation requirements
- Working knowledge of medical terminology and abbreviations
- PC experience in Windows environment and accurate data entry at 40 WPM minimum.
- High School Diploma or G.E.D.
- 2+ years’ experience as a medical assistant, office assistant or other healthcare service administrative support role.