Jobs at Molina Healthcare in North Charleston, SC

5 job openings within 25 miles

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Care Review Clinician, Inpatient Review (RN)

Molina Healthcare - North Charleston, SC

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 ...

Assoc Specialist, Corp Credentialing

Molina Healthcare - North Charleston, SC

Job DescriptionJob SummaryMolina's Credentialing function ensures that the Molina Healthcare provider network consists of providers that meet all regulatory and risk management criteria in order to minimize liability to the company and to maximize safety for members.Knowledge/Skills/AbilitiesResponsible for coordinating assigned aspects of enter...

Coordinator, Health Plan Credentialing

Molina Healthcare - North Charleston, SC

Job DescriptionJob SummaryMolina's Credentialing function ensures that the Molina Healthcare provider network consists of providers that meet all regulatory and risk management criteria in order to minimize liability to the company and to maximize safety for members.Knowledge/Skills/AbilitiesResponsible for coordinating assigned provider credent...

Sr Specialist, Quality Interventions/QI Compliance

Molina Healthcare - North Charleston, SC

Job DescriptionJob SummaryMolina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures maintenance of programs for members in accordance with prescribed quality standards; conducts data collection, reporting and monitoring for key performance measurement activities...

Medical Records Collector

Molina Healthcare - North Charleston, SC

Job DescriptionJob SummaryMolina's HEDIS/Quality Improvement Medical Records Collector will work collaboratively in outreaching to providers in order to pursue medical records via phone call, fax, mail, electronic medical record system retrieval and direct onsite pick up, for the HEDIS projects.Knowledge/Skills/Abilities• Under the d...