Jobs at Molina Healthcare - Page 11

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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 ...

RN Case Manager - (2) years of Pediatrics Experience

Molina Healthcare - Doral, FL

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...

Manager, Risk Adjustment

Molina Healthcare - Long Beach, CA

The Manager Risk Adjustment Data Operations is responsible for the timely and accurate collection, flow and processing of data for risk adjustment, including Medicare, MMP and Marketplace. The Manager will establish, monitor, and maintain the processes, IT systems and services that collect and process the data from claims, encounters, electronic medical records, medical record co...

Care Review Clinician, Inpatient Review (BH) Behavioral Health

Molina Healthcare - Troy, MI

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) Behavioral Health Nurse

Molina Healthcare - Troy, MI

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 ...

RN Care Review Clinician, Inpatient Review - Part Time - Remote

Molina Healthcare - Long Beach, CA

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...

Associate Representative, Provider Services

Molina Healthcare - Boise, ID

Job DescriptionJob SummaryResponsible for answering all calls from providers regarding claims issues, eligibility and benefits, and website assistance in a call center setting, and to satisfactorily resolve calls within expected response time standards. May also answer and resolve calls from members.Knowledge/Skills/Abilities• Handl...

RN Transition of Care Coach Patients Visits - Remote

Molina Healthcare - Peoria, IL

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 ...

RN Transition of Care Coach - Patients Visits - Champaign - Remote

Molina Healthcare - Champaign, IL

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 ...

Information Security Compliance Associate

Molina Healthcare - Long Beach, CA

Job Summary Responsible for ensuring Molina compliance with IT industry standards, and legal and regulatory requirements, responding to physical, and cyber security audits, and healthcare and insurance agency exams. The position integrates cyber security and information technology services with healthcare systems development and operations, and enforces sound and su...

Rep, Provider Inquiry R&R

Molina Healthcare - Long Beach, CA

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.

Healthcare (Medicaid knowledge) Project Manager

Molina Healthcare - Syracuse, NY

Job DescriptionNew York Plan Specific: The person who takes this role does not need to be an RN or LPN in the State of New York. This role would be very appealing to a present or past clinician who has orchestrated integrated delivery of care within their healthcare company. It would also be appealing to someone who has been a lead or manager of healthcare...

RN or MSW Case Manager - Patient Visits - Peoria - Remote

Molina Healthcare - Peoria, IL

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 ...

Medical Records Collector

Molina Healthcare - Long Beach, CA

Job DescriptionJob Summary Under the direction of the national and/or regional lead, the Medical Records Collector supports the annual HEDIS audit and other HEDIS like audits, by organizing provider outreach, pursuit, collection and upload of provider medical records into the internal database. Molina's HEDIS/Quality Improvement Medical Records Collect...

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 ...