Molina Healthcare jobs
UM LVN Delegation Oversight Nurse Remote based in CA
JOB DESCRIPTION
Job Summary
TheDelegation Oversight Nurseis responsible for ensuring that Molina Healthcare's UM delegates are compliant with all applicable State, CMS, and NCQA requirements, as well as Molina Healthcare business needs. In addition, the Delegation Oversight Nurse will assist the Delegation Oversight Manager with additional duties of the team.We are looking for LVN's with at least 4 years of UM experience, ...
UM LVN Delegation Oversight Nurse Remote based in CA
JOB DESCRIPTION
Job Summary
TheDelegation Oversight Nurseis responsible for ensuring that Molina Healthcare's UM delegates are compliant with all applicable State, CMS, and NCQA requirements, as well as Molina Healthcare business needs. In addition, the Delegation Oversight Nurse will assist the Delegation Oversight Manager with additional duties of the team.We are looking for LVN's with at least 4 years of UM experience, ...
Field Family Nurse Practitioner (Los Angeles, CA)
JOB DESCRIPTION
Job Summary
The 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 environment that patients feel most comfortable and are most receptive including home, nursing facilities, and pop up clinic.
The Nurse Practitioner will be required to work primarily in non-clinical settings and provid...
Case Management Processor
JOB DESCRIPTION
Job 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, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effect...
Care Review Clinician, Inpatient Review (RN) California Night Shift
EMERGENCY ROOM ADMISSIONS REVIEW NURSE
3-12 NIGHT SHIFT:7:30PM - 08:30AM PACIFIC HOURS NON EXEMPT, 3 days a week will rotate.
TRAINING SCHEDULE WILL BE Monday thru Friday8:30AM to 5:30PM PACIFIC throughout a 2 - 3 month training and then will move to a 3 day/12 hour shift after training is completed. Training hours are mandatory.
This position supports our California Health Plan. Candidates can live anywhere in t...
Care Review Clinician, Inpatient Review (RN) California Night Shift
***California residents preferred.
EMERGENCY ROOM ADMISSIONS REVIEW NURSE
3-12 NIGHT SHIFT:7:30PM - 08:30AM PACIFIC HOURS NON EXEMPT, 3 days a week will rotate.
TRAINING SCHEDULE WILL BE Monday thru Friday8:30AM to 5:30PM PACIFIC throughout a 2 - 3 month training and then will move to a 3 day/12 hour shift after training is completed. Training hours are mandatory.
Facility Site Review Nurse (Remote)
JOB DESCRIPTION
Job Summary
Molina'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; and provides direction and implementation of NCQA accreditation surveys a...
Provider Relations Representative
***Remote and must live in Los Angeles County***
Job Description
Job Summary
Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Provider Re...
Field Family Nurse Practitioner (Los Angeles, CA)
JOB DESCRIPTION
Job Summary
The 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 environment that patients feel most comfortable and are most receptive including home, nursing facilities, and pop up clinic.
The Nurse Practitioner will be required to work primarily in non-clinical settings and provid...
Analyst, Quality Interventions/QI Compliance (Remote in CA)
JOB DESCRIPTION
Job Summary
Molina'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; and provides direction and implementation of NCQA accreditation surveys a...
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