Jobs at Molina Healthcare in Columbus, OH

42 job openings within 25 miles

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Care Review Processor-Utilization Management

Molina Healthcare - Columbus, OH

Job DescriptionJob 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 desir...

Case Manager, Long Term Services & Support

Molina Healthcare - Columbus, OH

Job DescriptionJob 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 desir...

Case Manager (RN)

Molina Healthcare - Columbus, OH

Job DescriptionJob 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 desir...

Supv.Healthcare Services Operations Support-UM

Molina Healthcare - Columbus, OH

Job DescriptionJob 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 desir...

RN/SW-Case Manager Maternal Child-BH

Molina Healthcare - Columbus, OH

Job DescriptionOhio State Plan Specific: This role is part of a larger Ohio Behavioral Health Redesign that was announced in Ohio. The Managed Care portion of that Contract rolls out in July and we want to hire ahead of time and get candidates onboarded to be ready for this population. We are building our teams now. This role in particular is part of the Medicaid Care Management...

Supervisor - Utilization Review (PA) (RN)

Molina Healthcare - Columbus, OH

Job DescriptionOhio Plan Specific: This role is part of our Utilization Management team. You would be supervising a team of Seasoned Nurses who are responsible for the Prior Authorization and evaluation of medical needs for our members. This role would be great for an experienced Nurse from the Medical Surg background. Job SummaryMolina Healthcare Ser...

Case Manager-BH Coordinated Services Program (3)

Molina Healthcare - Columbus, OH

Job DescriptionJob 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 desir...

Case Manager (RN or SW) Behavioral Health Initiative

Molina Healthcare - Columbus, OH

Job DescriptionThis role will be a part of the new Behavioral Health Initiative. The State of Ohio Department of Medicaid has expanded the services that can be provided to our members. While not all of the case load will be Behavioral Health, this new expansion will allow us to manage their care. We are excited to help people become healthier in their lives. Job Summary

RN or SW Case Manager-New Behavioral Health Initiative (17)

Molina Healthcare - Columbus, OH

Job DescriptionOhio Plan Specific: We are pleased to continue to offer Behavioral Health Services to our members. This role is part of a new State of Ohio Behavioral Health Carve in to Medicaid. We are excited to build this team with highly qualified individuals who can really make a difference in the lives of Ohioans. Active and unrestricted RN or SW, LPC license. Unfortunately...

Housing Specialist-New Behavioral Health Initiative

Molina Healthcare - Columbus, OH

Job DescriptionJob 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 desir...

Clinical Supervisor - Utilization Review (RN)

Molina Healthcare - Columbus, OH

Job DescriptionOhio Plan Specific: This role is part of our Utilization Management team. You would be supervising a team of Seasoned Nurses who are responsible for the Prior Authorization and evaluation of medical needs for our members. This role would be great for an experienced Nurse from the Medical Surg background. Job SummaryMolina Healthcare Ser...

Analyst, Healthcare Analytics

Molina Healthcare - Columbus, OH

Job Description Job SummaryPerforms research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings.Knowledge/Skills/Abil...

Sr. Healthcare Analyst (Medicaid Encounters)

Molina Healthcare - Columbus, OH

Job Description Job SummaryPerforms research and analysis of medical, pharmacy and dental encounters. Evaluates, writes, and presents analyses and makes recommendations based on relevant findings.Knowledge/Skills/Abilities• Ensure beginning-to-end encounter process is compliant with federal and state requirements; provide and imple...

Case Manager RN or LSW New Behavioral Health Initiative

Molina Healthcare - Columbus, OH

Job DescriptionJob 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 desir...

Specialist, Facilities

Molina Healthcare - Columbus, OH

Job DescriptionJob SummaryMolina's Facilities function is responsible for the efficient planning, design, integration and operation of the different elements that make up a work environment. Depending on location, this includes: day-to-day facility operations management and administrative services (e.g., mailroom, reception, relocation/move support, maintenance/re...