Data Quality/Data Management - Albuquerque, NM, United States - Molina Healthcare

Description

HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.

Provides telephone, clerical, and data entry support for the Case Management team.
Responsible for initial review of assigned case levels to assist in Case Management assignment.

Reviews data to identify principal member needs and works under the direction of the Case Manager to implement care plan.

Screens members using Molina policies and processes, assisting clinical Case Management staff as they identify appropriate medical services.
Promotes communication, both internally and externally to enhance effectiveness of case management services.
1-3 years' experience in an administrative support role in healthcare.
3+ years' experience in an administrative support role in healthcare, Medical Assistant preferred.

06 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.