Facilitated Enroller
2 months ago
Job DescriptionJOB DESCRIPTIONJob SummaryThe Marketplace Facilitated Enroller (MFE) is responsible for identifying prospective members that do not have health insurance and assisting with the enrollment process ultimately making it easier for them to connect to the care they need. The MFE conducts interviews and screens potentially eligible recipients for enrollment into Government Programs such as Medicaid/Medicaid Managed Care, Child Health Plus and Essential Plan. Additionally, the MFE will assist in enrollment into Qualified Health Plans. The MFE must offer all plans and all products. MFEs assist families with their applications, provides assistance with completing the application, gathers the necessary documentation, and assists in selection of the appropriate health plan. The Enroller provides information on managed care programs and how to access care. The MFE is responsible for processing paperwork completely and accurately, including follow up visit documentation and other necessary reports. The MFE is also responsible for assisting current members with recertification with their plan. MFEs must source, develop and maintain professional, congenial relationships with local community agencies as well as county and state agency personnel who refer potentially eligible recipients.KNOWLEDGE/SKILLS/ABILITIES Responsible for achieving monthly, quarterly, and annual enrollment goals and growth targets, as established by management. Interview, screen and assist potentially eligible recipients with the enrollment process into Medicaid/Medicaid Managed Care, Child Health Plus the Essential Plan and Qualified Health Plans for Molina and other plans who operate in our service area Meet with consumers at various sites throughout the communities Provide education and support to individuals who are navigating a complex system by assisting consumers with the application process, explaining requirements and necessary documentation Identify and educate potential members on all aspects of the plan including answering questions regarding plan's features and benefits and walking client through the required disclosures Educate members on their options to make premium payments, including due dates Assist clients with choosing a plan and primary care physician Submit all completed applications, adhering to submission deadline dates as imposed by NYSOH and Molina enrollment guidelines and requirements Responsible for identifying and assisting current members who are due to re-certify their healthcare coverage by completing the annual recertification application including adding on additional eligible family members Respond to inquiries from prospective members and members within the marketing guidelines Must adhere to all NYSOH rules and regulations as applicable for MFE functions Outreach Projects Participate in events and community outreach projects to other agencies as assigned by Management for a minimum of 8 hours per week Establish and maintain good working relationships with external business partners such as hospital and provider organizations, city agencies and community-based organizations where enrollment activities are conducted Develop and strengthen relations to generate new opportunities Attend external meetings as required Attend community health fairs and events as required Occasional weekend or evening availability for special events.JOB QUALIFICATIONSRequired EducationHS DiplomaRequired Experience Minimum one year of experience working with State and Federal Health Insurance programs and populations Demonstrated organizational skills, time management skills and ability to work independently Ability to meet deadlines Excellent written and oral communication skills; strong presentation skills Basic computer skills including Microsoft Word and Excel Strong interpersonal skills A positive attitude with ability to adapt to change Must have reliable transportation and a valid NYS drivers' license with no restrictions Knowledge of Managed Care insurance plans Ability to work with a diverse population, including different ethnicities, cultural backgrounds, and/or underserved communities Ability to work a flexible schedule, including nights and weekendsRequired License, Certification, AssociationSuccessful completion of the NYSOH required training, certification and recertificationPreferred EducationAA/AS - Associates degreePreferred ExperiencePrevious experience as a Marketplace Facilitated Enroller •Bilingual - Spanish & EnglishTo 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.
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Group Facilitation Specialist
2 weeks ago
Long Beach, California, United States SBT Full timeJob SummarySBT is seeking a skilled Group Facilitation Specialist to lead therapeutic group sessions for individuals enrolled in our Partial Hospitalization Program (PHP) and Intensive Outpatient Program (IOP) for substance abuse treatment.Key Responsibilities:Facilitate group therapy sessions focused on substance use recovery, coping strategies, relapse...
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Enrollment Manager
2 weeks ago
Huntington Beach, California, United States VERDA HEALTHCARE, INC. Full timeJob DescriptionVerda Healthcare, Inc. is seeking a highly skilled Enrollment Manager to join our team. As a key member of our operations team, you will be responsible for managing enrollment activities to facilitate and enhance our company's operational and financial goals.Key Responsibilities:Manage enrollment applications, ensure compliance with CMS...
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Enrollment Coordinator
1 month ago
Lake Worth Beach, United States EdisonLearning Full timeJob DetailsJob Location NorthStar Academy Palm Beach Middle - Palm Springs, FL Position Type Full Time Education Level 4 Year Degree Travel Percentage Up to 25% Job Shift Day Job Category Admin - Clerical Job SummaryNorthStar Academies Palm Beach Middle School in West Palm Beach, FL is seeking a FT Enrollment Coordinator!About EdisonLearning and NorthStar...
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Verizon 5G Enrollment Specialist
2 months ago
Redondo Beach, California, United States HRO Inc Full timeVerizon Customer Enrollment RepresentativeHRO Inc is in search of a committed and client-oriented professional to spearhead our Sales Division for a leading client, focusing on the rollout of Verizon 5G Home services. In the role of Verizon Customer Enrollment Representative, you will interact with homeowners to present innovative products, manage order...
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Field Case Manager, LTSS
2 weeks ago
Long Beach, California, United States Molina Healthcare Full timeJob SummaryMolina Healthcare Services works with members, providers, and multidisciplinary team members to assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. Our team ensures that patients progress toward desired outcomes with...
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Case Manager RN
2 weeks ago
Long Beach, California, United States Molina Healthcare Full timeJob Title: Case Manager RNMolina Healthcare is seeking a skilled Case Manager RN to join our team. As a Case Manager RN, you will play a critical role in supporting our Medicaid Medicare Population with members on Waiver programs.Job SummaryThe Case Manager RN will have a caseload and manage members enrolled in this program. We are looking for Registered...
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Field Case Manager, LTSS Specialist
7 days ago
Long Beach, California, United States Molina Healthcare Full timeJob SummaryMolina Healthcare Services (HCS) is seeking a skilled Case Manager to join our team. As a Case Manager, you will work with members, providers, and multidisciplinary team members to assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need...
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Nurse Case Manager
2 weeks ago
Long Beach, California, United States Molina Healthcare Full timeJob SummaryMolina Healthcare Services (HCS) is seeking a skilled Nurse Case Manager to join our team. As a key member of our interdisciplinary care team, you will work closely with members, providers, and other healthcare professionals to assess, facilitate, plan, and coordinate high-quality care across the continuum.Key Responsibilities:Conduct...
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Case Manager RN
2 weeks ago
Long Beach, California, United States Molina Healthcare Full timeJob SummaryMolina Healthcare Services (HCS) works with members, providers, and multidisciplinary team members to assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential.HCS staff work to ensure that patients progress toward desired...
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Care Coordinator, LTSS
3 weeks ago
Long Beach, California, United States Molina Healthcare Full timeJob SummaryMolina Healthcare Services (HCS) is seeking a skilled Care Coordinator, LTSS to join our team. As a Care Coordinator, you will work with members, providers, and multidisciplinary teams to assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with...
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Field Case Manager, LTSS Specialist
1 week ago
Long Beach, California, United States Molina Healthcare Full timeJob DescriptionMolina Healthcare is seeking an experienced Case Manager to join our Long-Term Services and Supports (LTSS) team. As a Case Manager, you will work with our Medicaid members in the Dallas County service delivery area, conducting face-to-face meetings and assessments to determine the types of services needed. This is a great opportunity to make...
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Field Case Manager LTSS Specialist
3 weeks ago
Long Beach, California, United States Molina Healthcare Full timeJob Title: Field Case Manager LTSSMolina Healthcare Services (HCS) is seeking a skilled Field Case Manager LTSS to join our team. As a Field Case Manager LTSS, you will work with our Medicare Waiver Population to assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum.Key Responsibilities:Completes face-to-face...
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Case Manager, LTSS
1 week ago
Long Beach, California, United States Molina Healthcare Full timeJob SummaryMolina Healthcare Services (HCS) works with members, providers, and multidisciplinary teams to assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential.Key ResponsibilitiesCompletes face-to-face comprehensive assessments of...
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Care Coordinator
2 weeks ago
Long Beach, California, United States Molina Healthcare Full timeJob SummaryMolina Healthcare Services (HCS) is seeking a skilled Care Coordinator to join our team. As a Care Coordinator, you will work with members, providers, and multidisciplinary team members to assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with...
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Care Coordinator, LTSS
2 weeks ago
Long Beach, California, United States Molina Healthcare Full timeJob Title: Case Manager, LTSSMolina Healthcare is seeking a skilled Case Manager to join our team. As a Case Manager, you will work with members, providers, and multidisciplinary teams to assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need...
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Case Manager, LTSS
2 weeks ago
Long Beach, California, United States Molina Healthcare Full timeJob Overview Molina Healthcare Services (HCS) is seeking a skilled Case Manager to join our team. As a Case Manager, you will work with members, providers, and multidisciplinary team members to assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high...
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Case Manager II
5 months ago
Long Beach, United States U.S. VETS Full time $24 - $25Looking for a rewarding position? How would you like to serve those who served?If you are looking for an opportunity to work for a great organization & make a difference, this is the job for you!Come & join our winning team!Position Overview:Benefits include Paid Vacation, Sick Time, Paid Holidays, Medical, Dental, Vision and Company matching 401K.ALL...
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Care Coordinator for High-Need Members
2 weeks ago
Long Beach, California, United States Molina Healthcare Full timeJob SummaryMolina Healthcare Services works with members, providers, and multidisciplinary team members to assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential.Key ResponsibilitiesCompletes face-to-face comprehensive assessments of...
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Care Coordinator, LTSS
2 weeks ago
Long Beach, California, United States Molina Healthcare Full timeJob SummaryMolina Healthcare Services (HCS) works with members, providers, and multidisciplinary team members to assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired...
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RN Case Manager for Medicaid Population
1 week ago
Long Beach, California, United States Molina Healthcare Full timeJob Title: RN Case Manager for Medicaid PopulationJob Summary:Molina Healthcare Services (HCS) works with members, providers, and multidisciplinary team members to assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need...
