Molina Healthcare jobs
Care Manager (RN) (Must Reside in CA)
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...
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...
Rep, Provider Relations HP (LOS ANGELES COUNTY)
Job Description
******Employee must reside in Los Angeles County. Will have up to 60% daytime travel throughout Los Angeles County meeting with Providers.******
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 ...
Analyst, Risk & Quality Reporting (Remote in CA)
JOB DESCRIPTION
JOB SUMMARY:
The Analyst, Risk and Quality Reporting role supports Molinas Risk and Quality Health Plan team. This position designs and develops custom health plan reports to support local interventions, provider outreach, and tracks outcomes of the initiatives. Educates users on how to use reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP.
ESSENTIAL JOB DUTIES:
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...
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...
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, ...
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.
Analyst, Compliance
JOB DESCRIPTION
Job Summary
Molina Healthcare's Compliance team supports compliance operations for all Molina product lines enterprise wide. It is a centralized corporate function supporting compliance activities at individual state health plans.
KNOWLEDGE/SKILLS/ABILITIES
The Compliance Analyst position is primarily responsibility for supporting the day to day operations and initiatives of the Compliance Depar...