Jobs at Molina Healthcare - Page 11

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Displaying results 151 - 165 of 391

Care Review Clinician, Inpatient Review (RN) - Tues-Sat

Molina Healthcare - Irving, TX

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...

Care Review Processor Medicaid BH Team

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...

Nurse Practitioner, Field (Dona Ana County, NM)

Molina Healthcare - Albuquerque, NM

Job DescriptionJob Summary Care Connections, a division of Molina Healthcare, seeks Nurse Practitioners to join its growing team which will contribute to the company mission to bring quality health care to the underserved. The Care Connections NPs focus on screening, preventive and quality primary care services delivered in the home, community and nursing facility...

Administrative Assistant to Regional Operations

Molina Healthcare - Columbus, OH

Job DescriptionThis role will be supporting the Regional Operations Team as they management the Operational aspects of Molina Healthcare Ohio. The team includes Provider Inquiry Communications and Quality and is a vital part of our Plan. Strong organizational skills and capacity for great teamwork is essential. Job SummaryProvides administrative level support to m...

Community Connector - Charleston/Horry County

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 toward desir...

Enterprise Director, Healthcare Quality

Molina Healthcare - Troy, MI

Job DescriptionJob SummaryEnterprise Director, Quality is responsible for setting the direction and overseeing Molina's national and/or regional quality operations and activities. Key activities include: serving as the subject matter expert in assigned functional area; leading national and/or regional operations and management of staff; collaborating with national...

Analyst, Test

Molina Healthcare - Boise, ID

Job DescriptionJob SummaryResponsible for developing high level test scenarios and test casesKnowledge/Skills/Abilities• Interactively takes direction from Manager• Create test plans along with regression test plans for system upgrades, process improvements and regulatory requirement implementations• Reports weekly on assignment progress...

Case Manager, LTSS

Molina Healthcare - El Paso, TX

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...

Supervisor, Care Management

Molina Healthcare - San Antonio, TX

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...

Transition of Care Coach (RN)

Molina Healthcare - Jackson, MS

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...

Transition of Care Coach (RN)

Molina Healthcare - Jackson, MS

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...

Assoc Rep, Provider Inquiry Research & Resolution

Molina Healthcare - Columbus, OH

Job DescriptionJob SummaryMolina Health Plan Operations jobs are responsible for the development and administration of our State health plan's operational departments, programs and services, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations.Provide...

Associate Analyst, Provider Configuration

Molina Healthcare - Columbus, OH

Molina Healthcare was founded in 1980 as a single community clinic in Long Beach, California. The goal was to create a future where everyone receives quality healthcare, and it is because of the dedication of our employees that we have been able to further this mission. Today, Molina Healthcare is a Fortune 300 company and has grown to over 20 states and territories, servicing nearly five milli...

Medical Director, Behavioral Health- Part-Time

Molina Healthcare - Bothell, WA

Job DescriptionJob SummaryMolina's Behavioral Health function provides leadership and guidance for utilization management and case management programs for mental health and chemical dependency services and assists with implementing integrated Behavioral Health care management programs.Knowledge/Skills/AbilitiesProvides Psychiatric leadership for...

Analyst, Dental

Molina Healthcare - Baton Rouge, LA

Job DescriptionJob SummaryInvestigates and resolves cases involving aberrant dental practices. Reviews claims using records and system reports to determine proper documentation, utilization and appropriateness of services and to identify possible fraud and abuse.Knowledge/Skills/Abilities• Performs post payment analysis of claims and records.