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Community Outreach, Growth & Engagement Spc (Clark County NV)

Molina Healthcare

Las Vegas, Nevada

16 days

Molina Healthcare of Nevada is seeking a dynamic Community Outreach, Growth & Engagement Specialist in/near the Clark County area.This role will help drive choice membership and retain existing members. This......

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Case Manager, LTSS (RN)

Molina Healthcare

Brazoria, Texas

15 days

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, i...

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Rep, Member Engagement (On Site - Newburgh, NY)

Molina Healthcare

Newburgh, New York

15 days

JOB DESCRIPTIONJob SummaryProvides new and existing members with the best possible service in relation to billing inquiries, service requests, suggestions, and complaints. Resolves member inquiries and complaints fairly a...

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Lead Analyst, Config Info Mgmt - QNXT

Molina Healthcare

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15 days

JOB DESCRIPTIONJob SummaryResponsible for accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operati...

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Supv, IRIS Cons. Svcs - (TMG) (Milwaukee, WI) (Fieldwork/Hybrid) (No Weekends, No Holidays)

Molina Healthcare

Milwaukee, Wisconsin

11 days

JOB DESCRIPTIONJob SummaryTMG by Molina Healthcare is seeking a remote IRIS Consultant Supervisor for Milwaukee County.IRIS Consultant Supervisors provide leadership management and supervision to a team of IRIS Consultant...

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Mgr, HCS Clinical Policy

Molina Healthcare

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11 days

Job DescriptionJob SummaryDevelops clinical policies to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the......

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Sr Project Manager, PMO - Health Plans/IT Implementation - Remote

Molina Healthcare

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16 days

JOB DESCRIPTIONJob SummaryFocuses on process improvement, organizational change management, project management and other processes relative to the business. Project management includes estimating, scheduling, costing, pla...

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Field Case Manager, LTSS (RN)

Molina Healthcare

Duncanville, Texas

10 days

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, i...

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Program Manager (Remote)

Molina Healthcare

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9 days

JOB DESCRIPTIONJob SummaryResponsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. Pla...

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Field Family Nurse Practitioner (East Los Angeles, CA)

Molina Healthcare

East Los Angeles, California

8 days

JOB DESCRIPTIONJob SummaryThe Care Connections Nurse Practitioners focus on screening and preventive primary care services delivered in the home, community, and nursing facility settings. Provides needed care in the envir...

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Case Manager (RN)

Molina Healthcare

Troy, Michigan

8 days

JOB DESCRIPTIONFor this position we are seeking a (RN) Registered Nurse who must live and have a current active unrestricted RN license in the state of MICase Manager RN will......

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Care Review Clinician, Inpatient Review (RN) (Must Reside in NE)

Molina Healthcare

Omaha, Nebraska

8 days

JOB DESCRIPTIONJob Summary Molina 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, ...

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Program Manager- Remote

Molina Healthcare

Louisville, Kentucky

8 days

JOB DESCRIPTIONJob SummaryResponsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. Pla...

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Case Manager, LTSS (RN) - Field travel La Crosse & Monroe Counties, WI

Molina Healthcare

La Crosse, Wisconsin

9 days

JOB DESCRIPTIONFamily Care with My Choice Wisconsin - must reside in WIJob SummaryMolina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinat...

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Case Manager RN - Transition of Care Coach

Molina Healthcare

Virginia Beach, Virginia

9 days

JOB DESCRIPTIONFor this position we are seeking a (RN) Registered Nurse who lives in VIRGINIA and must be licensed for the state of VIRGINIA.Case Manager will work in remote and......

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Community Reinvestment Manager - Remote Must reside in Michigan

Molina Healthcare

Detroit, Michigan

9 days

Job DescriptionJob SummaryEnsures the health plan meets its Community Reinvestment obligations under the Medicaid and HIDE SNP contracts while supporting the needs of the communities served across its footprint. Leads......

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Case Manager, LTSS

Molina Healthcare

Richmond, Texas

10 days

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, i...

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Case Manager, LTSS (RN)

Molina Healthcare

Weslaco, Texas

10 days

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, i...

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Field Case Manager, LTSS (RN)

Molina Healthcare

Dallas, Texas

10 days

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, i...

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Analyst, SIU (Remote)

Molina Healthcare

Louisville, Kentucky

7 days

Job Description Job Summary The FWA Analyst, SIU works with health plans and operations departments to assess, oversee, and recommend business practices to ensure adherence to and compliance with State......

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Program Manager - Payment Integrity (COB)

Molina Healthcare

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7 days

JOB DESCRIPTIONJob SummaryResponsible for leading a team in planning and executing business programs, focusing on process improvement, organizational change, and program management. The ideal candidate will collaborate wi...

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Program Manager (Remote)

Molina Healthcare

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9 days

JOB DESCRIPTIONJob SummaryResponsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. Pla...

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Sr Investigator, SIU (Remote)

Molina Healthcare

Louisville, Kentucky

7 days

Job DescriptionJob SummaryThe SIU Senior Investigator position is primarily responsible for supporting the day to day operations and initiatives of the Special Investigations Unit (SIU). Knowledge/Skills/Abilities Respond...

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Field Case Manager, LTSS RN - Houston, TX (Fluent in Spanish)

Molina Healthcare

Houston, Texas

7 days

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, i...

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Rep, Member Engagement (Remote - NY candidates preferred)

Molina Healthcare

New York, New York

7 days

JOB DESCRIPTIONJob SummaryProvides new and existing members with the best possible service in relation to billing inquiries, service requests, suggestions, and complaints. Resolves member inquiries and complaints fairly a...

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Field Nurse Practitioner (Racine, WI)

Molina Healthcare

Racine, Wisconsin

4 days

JOB DESCRIPTIONJob SummaryThe Care Connections Nurse Practitioners focus on screening and preventive primary care services delivered in the home, community, and nursing facility settings. Provides needed care in the envir...

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Family Nurse Practitioner (Auburn, CA)

Molina Healthcare

Auburn, California

3 days

JOB DESCRIPTIONJob SummaryThe Care Connections Nurse Practitioners focus on screening and preventive primary care services delivered in the home, community, and nursing facility settings. Provides needed care in the envir...

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Case Manager, LTSS - Field travel in Rock County, WI

Molina Healthcare

Janesville, Wisconsin

3 days

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, i...

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Field Family Nurse Practitioner (Vacaville, CA)

Molina Healthcare

Vacaville, California

3 days

JOB DESCRIPTIONJob SummaryThe Care Connections Nurse Practitioners focus on screening and preventive primary care services delivered in the home, community, and nursing facility settings. Provides needed care in the envir...

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Registered Nurse Case Manager LTSS Remote in NY NJ or CT

Molina Healthcare

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3 days

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, i...

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Field Family Nurse Practitioner (Martinez, CA)

Molina Healthcare

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3 days

JOB DESCRIPTIONJob SummaryThe Care Connections Nurse Practitioners focus on screening and preventive primary care services delivered in the home, community, and nursing facility settings. Provides needed care in the envir...

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Case Manager, LTSS (RN) - Field travel in Douglas County, WI

Molina Healthcare

Superior, Wisconsin

3 days

JOB DESCRIPTIONFamily Care with My Choice WisconsinJob SummaryMolina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated deli...

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Case Manager LPN - Medicaid Population

Molina Healthcare

Richmond, Virginia

3 days

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, i...

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Case Manager (BH RN) (Must Reside in Ohio)

Molina Healthcare

Cincinnati, Ohio

3 days

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, i...

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Case Manager (RN) Care Transitions: California

Molina Healthcare

Los Angeles, California

7 days

We are looking for a RN Care Transitions Case Manager who must reside in CALIFORNIA and be able to drive within one of the following county locations: Los Angeles County,......

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Sr Analyst, Data (Remote)

Molina Healthcare

Bowling Green, Kentucky

7 days

JOB DESCRIPTIONJob SummaryDesigns and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gai...

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Case Manager (RN) - High Risk OB

Molina Healthcare

Troy, Michigan

7 days

JOB DESCRIPTIONFor this position we are seeking a (RN) Registered Nurse who must live and have a current active unrestricted RN license in the state of MICase Manager RN will......

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Registered Nurse Case Manager Complex Pediatric Care Remote

Molina Healthcare

, New York

7 days

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, i...

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AVP, Medicare Call Center Operations (REMOTE)

Molina Healthcare

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7 days

Job DescriptionJob OverviewThe Associate Vice President of Call Center Operations plays a critical role in managing and optimizing call center operations, with a focus on supporting Medicare-related services. As an......

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Field Case Manager (non-RN) - Peoria and Woodford Counties - Illinois

Molina Healthcare

Peoria, Illinois

2 days

JOB DESCRIPTIONOpportunity for a degreed, experienced Case Manager to join Molina as a Field Case Manager. Candidates with Waiver Population will be given priority. Responsibilities for this role includes conducting......

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Case Manager, LTSS (RN) - Field travel in Winnebago County, WI

Molina Healthcare

Oshkosh, Wisconsin

2 days

JOB DESCRIPTIONPartnership with My Choice WisconsinJob SummaryMolina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated deli...

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Care Review Clinician, Inpatient Review (RN)

Molina Healthcare

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2 days

For this position we are seeking a (RN) Registered Nurse with previous experience in Acute Care, Concurrent Review/Utilization Review / Utilization Management and knowledge of Interqual / MCG guidelines. COMPACT......

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Encounters Specialist (Medicare/Medicaid/Commercial)

Molina Healthcare

Louisville, Kentucky

2 days

Job DescriptionJob SummaryThe Analyst, Encounters is responsible for monitoring inbound and outbound encounters processes and ensuring timely, accurate, and complete encounter submissions for low- to moderate-complexity m...

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Sr. Analyst, HRIS (Oracle HCM Cloud / Oracle Time & Labor) - REMOTE

Molina Healthcare

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2 days

JOB DESCRIPTIONJob SummaryThe Senior HRIS Analyst is responsible for technical operations of Oracle HCM Cloud system including data analysis and reporting, system administration, and project management. This role helps pr...

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Social & Health Equity Navigator

Molina Healthcare

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16 days

Job Description Job SummaryThe Social and Health Equity Navigator will assist members in addressing social conditions that impact health outcomes, assist with the development of a process to collect, analyze,......

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Medical Director (Must be licensed in MI)

Molina Healthcare

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2 days

JOB DESCRIPTIONJob SummaryResponsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of policies and procedures that guide and support the p...

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Telephonic Case Manager (RN) PACIFIC HOURS 8AM to 5PM

Molina Healthcare

Dallas, Texas

2 days

Opportunity for a Telephonic RN to join our Marketplace Team performing telephonic Case Management. 100% remote. Schedule is M F, 8AM -5PM PST, and flexibility with schedule is necessary, as......

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Account Rep, Medicare-Riverside/San Bernadino-CA-Bilingual (Spanish)

Molina Healthcare

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2 days

JOB DESCRIPTIONJob SummaryResponsible for increasing membership through direct sales and marketing of Molina Medicare products to dual eligible, Medicare-Medicaid recipients within approved market areas to achieve stated ...

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Data Analyst - Remote - CA

Molina Healthcare

Long Beach, California

2 days

***The candidates must reside in CA*****JOB DESCRIPTION Job Summary Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and......

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Field Family Nurse Practitioner (MS Delta)

Molina Healthcare

Jonestown, Mississippi

1 day

JOB DESCRIPTIONJob SummaryThe Care Connections Nurse Practitioners focus on screening and preventive primary care services delivered in the home, community, and nursing facility settings. Provides needed care in the envir...

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Field Family Nurse Practitioner (WA)

Molina Healthcare

Vancouver, Washington

1 day

JOB DESCRIPTIONJob SummaryThe Care Connections Nurse Practitioners focus on screening and preventive primary care services delivered in the home, community, and nursing facility settings. Provides needed care in the envir...

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Social & Health Equity Navigator-Must reside in TX

Molina Healthcare

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1 day

Job Description Job SummaryThe Social and Health Equity Navigator will assist members in addressing social conditions that impact health outcomes, assist with the development of a process to collect, analyze,......

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Field Family Nurse Practitioner (Los Angeles, CA)

Molina Healthcare

Los Angeles, California

1 day

JOB DESCRIPTIONJob SummaryThe Care Connections Nurse Practitioners focus on screening and preventive primary care services delivered in the home, community, and nursing facility settings. Provides needed care in the envir...

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LTSS Support Specialist - Remote must reside in Texas

Molina Healthcare

Mc Allen, Texas

1 day

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, i...

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Program Manager - Texas Direct Payment Program/Medicaid - Remote

Molina Healthcare

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1 day

JOB DESCRIPTIONJob SummaryResponsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. Pla...

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Community Connector (Must Commute in Columbus, OH)

Molina Healthcare

Columbus, Ohio

today

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, i...

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Transition of Care Coach (RN) Remote with field travel in King or Pierce County

Molina Healthcare

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today

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, i...

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Case Manager (RN)

Molina Healthcare

Cincinnati, Ohio

today

JOB DESCRIPTIONFor this position we are seeking a (RN) Registered Nurse residing and licensed in state of Ohio.Case Manager will work in remote and field setting supporting Ohio plan supporting......

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Sr Specialist, Medicare Member Engagement

Molina Healthcare

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today

Job SummaryThe Quality Assurance Call Center Representative is responsible for monitoring and evaluating customer interactions to ensure that call center agents adhere to established quality standards. The role involves a...

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Director, Data Analytics (Customer Experience)

Molina Healthcare

,

today

Job SummaryAs a member of the Customer Experience team, the Director, Data Analytics ensures timely creation of key Executive and Health plan management reports, as well as providing critical analytical......

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Peer Specialist (Must Reside in Texas)

Molina Healthcare

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today

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 im...

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LVN Case Manager, Prior Authorization (CALIFORNIA)

Molina Healthcare

Long Beach, California

1 day

JOB TITLE: CARE REVIEW CLINICIAN PRIOR AUTHORIZATION LPN/ LVNSPECIALIST IN PEDIATRICS CLINICAL UTILIZATION MANAGEMENT REVIEWSThis position supports our AUDIT team and UM processes. Experience with MS Excel is a must.For.....

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Case Manager (RN)

Molina Healthcare

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1 day

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, i...

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Sr Growth & Community Engagement Specialist

Molina Healthcare

Salt Lake City, Utah

today

***Candidates For This Position Must Reside in/near Salt Lake County, Utah ***Are you passionate about serving others? Do you have established relationships within the community?Come join our growingGrowth ...

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Case Manager LCSW or LCISW Remote with Field Travel in Spokane Whitman or Stevens County WA

Molina Healthcare

Spokane, Washington

today

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, i...

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RN Clinician, Inpatient Review Case Manager California

Molina Healthcare

Long Beach, California

today

INPATIENT REVIEW : REGISTERED NURSEFor this position we are seeking a (RN) Registered Nurse with previous experience in Acute Care, Concurrent Review/ Utilization Review / Utilization Management and knowledge of......

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Care Review Clinician, PA (RN) - LTSS

Molina Healthcare

Richmond, Virginia

5 days

JOB DESCRIPTIONFor this position we are seeking a (RN) Registered Nurse who must be licensed for the state they reside in. Strong medical and hospital analytical experience is needed. Excellent......

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Specialist, Quality Interventions/QI Compliance- Remote

Molina Healthcare

Louisville, Kentucky

8 days

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 membe...

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EPSDT Coordinator - Pediatrics

Molina Healthcare

Glen Allen, Virginia

8 days

Job DescriptionEPSDT Coordinator (Early & Periodic Screening, Diagnostic, and Treatment) will be supporting our VA Medicaid Health Plan. - Ideal candidate can be located between Charlottesville to Hampton Roads Virgin...

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Care Connections Rep - (Remote) Must be Bilingual (English/Chinese, Vietnamese or Spanish

Molina Healthcare

, Kentucky

4 days

JOB DESCRIPTIONJob SummaryThe Care Connections Representative primary focus is to conduct outbound calls to Molina members and schedule appointments with our Nurse Practitioners. As part of Molina's benefit package, the.....

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Analyst, Business

Molina Healthcare

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4 days

JOB DESCRIPTIONJob SummaryAnalyzes complex business problems and issues using data from internal and external sources to provide insight to decision-makers. Identifies and interprets trends and patterns in datasets to loc...

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Sr Specialist, Provider Network Admin- Remote CA

Molina Healthcare

Long Beach, California

2 days

JOB DESCRIPTIONCandidate must reside in CA *****Job SummaryProvider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider ...

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Specialist, Provider Network Admin- CA Remote

Molina Healthcare

Long Beach, California

2 days

JOB DESCRIPTIONCandidate must reside in CA. *******Job SummaryProvider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provid...

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Case Manager, LTSS (RN or Social Worker)

Molina Healthcare

Chicago, Illinois

11 days

We are seeking a NURSE OR SOCIAL WORK CASE MANAGER who must live in the state of ILLINOIS. TRAVELwithin SOUTH COOK COUNTY will be required. Excellent computer skills and attention......

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IRIS Consultant - TMG (Milwaukee, West Allis, Greendale, Hales Corners) (Fieldwork/Hybrid) (No Weekends, No Holidays, No After Hours)

Molina Healthcare

Milwaukee, Wisconsin

10 days

JOB DESCRIPTIONJob SummaryDo you want a career where you build lasting relationships with the people you partner with? Do you want to make a difference in the lives of people......

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Care Review Clinician, Inpatient Review (RN) Remote

Molina Healthcare

, New York

10 days

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, i...

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IT Sr. Systems Analyst Compliance & Legal

Molina Healthcare

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16 days

*** The candidate must be able to work PST hours.******The IT Sr. Systems Analyst is responsible for the analysis, design, and implementation of IT Healthcare Compliance & regulatory systems to......

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Field Family Nurse Practitioner (Victorville, CA)

Molina Healthcare

Victorville, California

15 days

JOB DESCRIPTIONJob SummaryThe Care Connections Nurse Practitioners focus on screening and preventive primary care services delivered in the home, community, and nursing facility settings. Provides needed care in the envir...

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Program Manager, Medicare Stars & Quality Improvement (STARS/Medicare) - REMOTE

Molina Healthcare

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15 days

Job DescriptionJob SummaryMolina Medicare Stars Program Manager functions oversees, plans and implements new and existing health care quality improvement initiatives and education programs. Responsible for Medicare Stars ...

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Sr Analyst, Tech Config Info Mgmt - Claims Research/Data Analyst Sr (QNXT/SQL)

Molina Healthcare

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15 days

JOB DESCRIPTIONJob Summary Responsible for accurate and timely production review of issues reported within our claims intake and processing ecosystem (QNXT, Edifecs, etc.). Gains understanding of solution functionality t...

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Specialist, Oversight Config - Claims Audit

Molina Healthcare

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15 days

Job Description Job SummaryResponsible for conducting various audits including, but not limited to; vendor, focal, audit the auditor. Confirm that documentation is clear and concise to ensure accuracy in auditing......

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Provider Contracts Manager

Molina Healthcare

, Utah

9 days

***Remote and must live in Utah***Job DescriptionJob SummaryMolina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to adequacy, financial performance and...

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IRIS Consultant - TMG (Milwaukee, WI) ( Fieldwork/Hybrid) (No Weekends, No Holidays, No After Hours)

Molina Healthcare

Milwaukee, Wisconsin

9 days

JOB DESCRIPTIONJob SummaryDo you want a career where you build lasting relationships with the people you partner with? Do you want to make a difference in the lives of people......

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Field Nurse Practitioner - Coeur D Alene, ID

Molina Healthcare

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9 days

JOB DESCRIPTIONJob SummaryThe Care Connections Nurse Practitioners focus on screening and preventive primary care services delivered in the home, community, and nursing facility settings. Provides needed care in the envir...

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Community Connector - Remote with Field Travel in Onondaga County

Molina Healthcare

Syracuse, New York

9 days

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, i...

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Pharmacy Technician

Molina Healthcare

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9 days

JOB DESCRIPTIONJob SummaryMolina Pharmacy Services/Management staff work to ensure that Molina members have access to all medically necessary prescription drugs and those drugs are used in a cost-effective, safe manner......

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Analyst, Business

Molina Healthcare

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9 days

JOB DESCRIPTIONJob SummaryAnalyzes complex business problems and issues using data from internal and external sources to provide insight to decision-makers. Identifies and interprets trends and patterns in datasets to loc...

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Transition of Care Coach LPN, LICSW, LSWAIC, LMHC, LMHCA Remote with Field Travel in Pierce/Thurston WA

Molina Healthcare

Tacoma, Washington

14 days

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, ...

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Transition of Care Coach LPN LMSW or LCSW Remote with field travel in King/ Snohomish counties

Molina Healthcare

Seattle, Washington

14 days

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, ...

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UM Care Review Clinician PA MLTC RN Remote in New York

Molina Healthcare

, New York

7 days

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, i...

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Project Manager, PMO (Must have Managed Care experience)

Molina Healthcare

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7 days

JOB DESCRIPTIONJob SummaryFocuses on process improvement, organizational change management, project management and other processes relative to the business. Project management includes estimating, scheduling, costing, pla...

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Field Case Manager, LTSS (RN)

Molina Healthcare

Dallas, Texas

9 days

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, i...

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Field Family Nurse Practitioner (Santa Clara, CA)

Molina Healthcare

Santa Clara, California

3 days

JOB DESCRIPTIONJob SummaryThe Care Connections Nurse Practitioners focus on screening and preventive primary care services delivered in the home, community, and nursing facility settings. Provides needed care in the envir...

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Field Family Nurse Practitioner (Los Angeles, CA)

Molina Healthcare

Los Angeles, California

3 days

JOB DESCRIPTIONJob SummaryThe Care Connections Nurse Practitioners focus on screening and preventive primary care services delivered in the home, community, and nursing facility settings. Provides needed care in the envir...

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Field Family Nurse Practitioner (Modesto, CA)

Molina Healthcare

Modesto, California

3 days

JOB DESCRIPTIONJob SummaryThe Care Connections Nurse Practitioners focus on screening and preventive primary care services delivered in the home, community, and nursing facility settings. Provides needed care in the envir...

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Registered Nurse Case Manager Remote with Field Travel in Worcester MA

Molina Healthcare

Worcester, Massachusetts

3 days

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, i...

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Home Health Care Coordinator (RN) Remote with Field Travel in King County

Molina Healthcare

Bothell, Washington

3 days

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,...

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IRIS Consultant - TMG (Viroqua, WI, Richland Center, WI, Prairie du Chien, WI) (Fieldwork/Hybrid) (No Weekends, No Holidays, No After Hours)

Molina Healthcare

Viroqua, Wisconsin

2 days

JOB DESCRIPTIONJob SummaryDo you want a career where you build lasting relationships with the people you partner with? Do you want to make a difference in the lives of people......

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Eligibility Screener - TMG (Dane County, WI) (Fieldwork/Hybrid) (No Weekends, No Holidays, No After Hours)

Molina Healthcare

Madison, Wisconsin

2 days

Job DescriptionJob SummaryTMG is on the lookout for our next great Eligibility Screener! If you love doing meaningful work that helps others live their best lives, we want to hear......

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Care Review Clinician, Inpatient Review (RN) Compact Licensure Required, REMOTE

Molina Healthcare

,

2 days

For this position we are seeking a (RN) Registered Nurse with previous experience in Acute Care, Concurrent Review/Utilization Review / Utilization Management and knowledge of Interqual / MCG guidelines. COMPACT......

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