Full job description
Job Description
Job Summary
Responsible for working with members and providers to assess, facilitate, plan and coordinate the delivery of care across the continuum for members with potential risk for high cost and high utilization. Responsible for leading project initiatives aimed at reducing the cost of care and quality improvement. Oversees the development and implementation of new programs, processes, and practices in response to medical, operational, service, and regulatory initiatives. Identifies utilization management information needs and technologies. Develops and manages the annual operating budget within financial objectives.
Knowledge/Skills/Abilities
- Provides support to the department staff by performing non clinical activities.
- 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 care plan.
- Coordinates required services in accordance with member benefit plan.
- Promotes communication, both internally and externally to enhance effectiveness of case management services..
Job Qualifications
Required Education
Associate's Degree or equivalent combination of education and experience
Required Experience
1-3 years
Preferred Education
Bachelor's Degree or equivalent combination of education and experience
Preferred Experience
3-5 years
#PJHS
#LI-AC1
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $14.76 - $31.97 / HOURLY
- Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Apply Mode:
Online Mode (No Fees required) 100% Free to apply
Who Can Apply in Molina Healthcare:
- All Candidates can apply in Molina Healthcare job Recruitment 2026
- Male Female both can apply in Molina Healthcare career vacancies 2026.
Experience Required:
1 Yr Exp. Holder can apply in Molina Healthcare
Selection Process:
Sr Case Management Processor Selection Process: The Selection will be selected on the basis of the Below Given Details.
- Interview
- Document Verification
Kindly do check the Official Notification and verify your eligibility before applying for the job notification. Notification Link Is Given Below.
Application Fees:
Sr Case Management Processor application fees 100% free for all.
No fees required.
Pay Scale(Salary):
Molina Healthcare company Job Pay Scale: Selected candidates will get salary on the basis of the details given Below.
- Salary will be according to posts, qualification, Experience and jio company rule.
Kindly do check the Official Notification and For more salary details. Notification Link Is Given Below.
Educational Qualification:
Candidates Who Have Passed bachelor degree or its Equivalent From a Recognized Board or University Are Eligible For this recruitment.
kindly check the Official Notification for more qualification details. Notification Link Is Given Below.
Document Required:
Required Documents For This recruitment: Candidate should have this Document Before Apply Online. Candidates Are Suggested To Read the Official Notification Before Applying.
- Document – Qualifications certificate with marksheets.
- ID Proof Like The Adhar Card, PAN Card, Voter ID, Passport (Any one or Required)
- Passport size Photographs
- Signature
How to apply:
- All the eligible candidates can apply for This Job as mentioned below
- Read official notification carefully From the Official Website.
- Read Notification Carefully Before Apply.
- Keep Ready Your All Documents Like Adhar Card, 10th, 12th, Graduate Certificates or Any.
- Fill The Application Form (Link Is Given Below)
- Attach Required Document and Passport Size Photo with Signature.
- Then Submit. Done.
27.jpg)
