Job Details

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: $21.16 - $34.88 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.