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Remote Case Management Processor Jobs in California

Molina Healthcare

Case Management Processor

Long Beach, CA · On-site +1

$14.90 - $29.06/hr

... case assignment, member screening and scheduling, correspondence processing, data entry and telephone and clerical support for team facilitating care management related services for members. • ...

Acrisure

Workers' Compensation Case Manager

San Jose, CA · On-site +1

$70K - $90K/yr

This position is fully remote; however, candidates must be available to work a regular, consistent ... Strong understanding of workers' compensation processes, case management practices, and return to ...

Kaizen Stackup

Senior Case Manager

Riverside, CA · Remote

We have strong remote and on-site support teams in place, but what we're missing is the leader : a Senior Case Manager who can take total ownership of a case from day one and drive it through a ...

Kaizen Stackup

Senior Case Manager

Norco, CA · Remote

We have strong remote and on-site support teams in place, but what we're missing is the leader : a Senior Case Manager who can take total ownership of a case from day one and drive it through a ...

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Remote Case Management Processor information

What is the difference between Remote Case Management Processor vs Remote Claims Processor?

AspectRemote Case Management ProcessorRemote Claims Processor
CredentialsTypically requires case management certifications or healthcare-related credentialsOften requires insurance or claims processing certifications
Work EnvironmentHealthcare or social services settings, remote or office-basedInsurance companies, healthcare providers, remote or office-based
Industry UsageHealthcare, social services, insuranceInsurance, healthcare, financial services
Job FocusManaging patient or client cases, coordinating servicesProcessing insurance claims, verifying coverage

While both roles involve processing information remotely, the Remote Case Management Processor focuses on managing client cases and coordinating services, often in healthcare or social services. In contrast, the Remote Claims Processor primarily handles insurance claims, verifying coverage and processing payments. Understanding these differences helps job seekers identify the right role based on their credentials and career interests.

What are the most commonly searched types of Case Management Processor jobs in California? The most popular types of Case Management Processor jobs in California are:
What cities in California are hiring for Remote Case Management Processor jobs? Cities in California with the most Remote Case Management Processor job openings:
Remote Case Management Processor jobs near you

Case Management Processor

Molina Healthcare

Long Beach, CA • On-site, Remote

$14.90 - $29.06/hr

Full-time

Re-posted yesterday

Molina Healthcare rating

8.0

Company rating: 8.0 out of 10

Based on 197 frontline employees who took The Breakroom Quiz

163rd of 301 rated insurance

Job description


JOB DESCRIPTION
Job Summary
Must reside in Florida.
Provides non-clinical administrative support to the care management function, and contributes to interdisciplinary team efforts supporting provision of integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
• Facilitates administrative support including case assignment, member screening and scheduling, correspondence processing, data entry and telephone and clerical support for team facilitating care management related services for members.
• Facilitates initial review of assigned case levels and assists in case management assignment to care managers.
• Reviews data to identify principle member needs and works under the direction of the care manager to implement care plan.
• Schedules member visits with care managers as needed.
• Screens members according to Molina policies and processes and assists care management staff during process of identifying appropriate member services.
• Coordinates required member services in accordance with member benefit plan.
• Promotes communication both internally and externally to enhance effectiveness of care management services.
• Processes member and provider correspondence.
Required Qualifications• At least 1 year of experience in an administrative support role in health care, or equivalent combination of relevant education and experience.
• Strong attention to detail.
• Problem-solving skills.
• Working knowledge of Microsoft Office (Outlook, Word, Excel) or other comparable software. • Excellent customer service skills. • Time-management and organizational skills.
• Strong verbal and written communication skills.
• Microsoft Office suite/applicable software program(s) proficiency.
Preferred Qualifications
• Certified Medical Assistant (CMA).
#PJHS3
#LI-AC1
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

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About Molina Healthcare

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Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Long Beach, CA, US

Year founded

1980

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