Jobs at Molina Healthcare in Columbus, OH - Page 2

24 job openings within 25 miles

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Case Manager (RN) Field Nursing Facility Cincinnati Area

Molina Healthcare - Columbus, OH

Job DescriptionOhio Plan Specific: Molina Healthcare of Ohio State Plan requires that this role be covered by a Registered Nurse. The purpose of the role is to visit the Molina Member in the Nursing Facility and sometimes the homes to facilitate Case Management for them. This is a field position in Cincinnati area. Although it is meant to be remote in nature, the first s...

Sr Analyst, Healthcare Analytics

Molina Healthcare - Columbus, OH

Job DescriptionOhio Plan Specific: In the Ohio Plan we have organized our team so that this role will have the following Knowledge/Skills/Abilities: Develop ad-hoc reports using SQL Programming, SQL Server Reporting Services (SSRS), Power BI, Medinsight, an dother analytic/programming tools as needed. Analyze data sets and trends for anonmalies, outliers, trend changes ...

Supervisor Utilization Management Registered Nurse

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 (RN)E Field Nursing Facility Cincinnati Area

Molina Healthcare - Columbus, OH

Job DescriptionOhio Plan Specific: Molina Healthcare of Ohio State Plan requires that this role be covered by a Registered Nurse. The purpose of the role is to visit the Molina Member in the Nursing Facility and sometimes the homes to facilitate Case Management for them. This is a field position in Cincinnati area. Although it is meant to be remote in nature, the first s...

Case Manager (RN) E

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 ...

Care Review Clinician, Inpatient Review (RN)-E

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 ...

Registered Nurse Case Manager

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 Management Processor

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 ...

Senior Managed Care Quality Analyst, Healthcare Analytics

Molina Healthcare - Columbus, OH

Job DescriptionJob 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/Abili...