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GP / Healthscreener at HCA Healthcare UK
Glasgow, Scotland, United Kingdom - Full Time
Skills Needed
Gmc Registered, Communication, It Skills, Preventative Medicine, Lifestyle Medicine Coaching, Health Screening, Primary Care, Patient Engagement, Medical History Exploration, Examinations, Arranging Investigations, Prescribing, Blood Taking, Smear Tests, Ecgs
Specialization
Candidates must be GMC registered and possess strong communication and IT skills, demonstrating a proactive, patient-first approach with a genuine interest in preventative and lifestyle medicine coaching. Private patient experience is desirable but not essential, and training will be provided for advanced health screening.
Experience Required
Minimum 2 year(s)
Field Care Manager, LTSS (RN) - Local Travel Required at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Registered Nurse, Care Management, Waiver Assessments, Care Coordination, Care Planning, Medical Necessity, Interdisciplinary Care Team, Motivational Interviewing, Case Management, Microsoft Office Suite, Outlook, Excel, Teams, Time Management, Problem Solving, Critical Thinking
Specialization
Candidates must be a Registered Nurse (RN) with an active and unrestricted license, possessing at least two years of healthcare experience, including one year in care management or managed care, and one year working with populations with disabilities or chronic conditions. A valid driver's license, reliable transportation, and proficiency in Microsoft Office Suite are mandatory requirements.
Experience Required
Minimum 2 year(s)
Field Care Manager, LTSS (RN) - Local Travel Required at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Care Management, Care Coordination, Medicaid, Managed Care, Assessment, Care Planning, Motivational Interviewing, Medication Reconciliation, Microsoft Office Suite, Outlook, Excel, Teams, Documentation, Time Management, Problem Solving, Critical Thinking
Specialization
Candidates must be a licensed Registered Nurse (RN) with at least 2 years of healthcare experience, including 1 year in care management. A valid driver's license and the ability to perform local travel for home visits are required.
Experience Required
Minimum 2 year(s)
Medical Secretary at HCA Healthcare UK
, , United Kingdom - Full Time
Skills Needed
Medical Secretarial Experience, Medical Terminology, Typing Skills, Computer Literacy, Communication Skills, Audio Typing, Patient Appointment Management, Record Filing, Confidentiality Maintenance
Specialization
Candidates must possess prior Medical Secretarial experience along with a significant understanding of medical terminology and strong, accurate typing skills. Essential requirements also include general computer literacy and excellent communication abilities.
RN/LPN Part-time Nightshift at Evoraa Healthcare
Kingston, Georgia, United States - Full Time
Skills Needed
Medication Administration, Vital Signs, Medical Assessment, Client Admissions, Client Discharges, Record Keeping, Hipaa Compliance, Confidentiality, Compassionate Interaction, Safety Maintenance, Staff Training, Blood Draws, Tb Testing, Genesight Swabbing
Specialization
Candidates must possess a current, unrestricted LPN or RN license in Georgia and demonstrate the ability to effectively communicate both orally and in writing. A non-judgmental and compassionate approach when working with chemically dependent individuals and those in psychiatric care is required.
Psychiatric Nurse Practitioner Part-time at Evoraa Healthcare
Kingston, Georgia, United States - Full Time
Skills Needed
Board Certified, Compassion, Provider Judgment, Communication Skills, Teamwork, Self Starter, Problem Solver, Behavioral Health Experience, Prescriptive Authority, X Waiver
Specialization
Candidates must possess a Master's Degree in Nursing and be a licensed, board-certified Psychiatric Nurse Practitioner (PMHNP) or an FNP with behavioral health experience from an accredited program. Preferred qualifications include an X-Waiver, and the ability to handle complex patient situations non-judgmentally is essential.
Experience Required
Minimum 2 year(s)
RN/LPN Full-time Nightshift at Evoraa Healthcare
Kingston, Georgia, United States - Full Time
Skills Needed
Medication Administration, Vital Signs Taking, Medical Assessment, Client Admissions, Client Discharges, Hipaa Compliance, Client Confidentiality, Blood Draws, Tb Testing, Genesight Swabbing, Compassionate Interaction, Record Keeping, Policy Adherence
Specialization
Candidates must possess current, unrestricted licensure as an RN or LPN in Georgia and demonstrate the ability to effectively communicate both orally and in writing. Experience working non-judgmentally with chemically dependent individuals and those in psychiatric care is required, with prior experience in recovery or mental health treatment being a plus.
RN/LPN Part-time Nightshift at Evoraa Healthcare
Brentwood, Tennessee, United States - Full Time
Skills Needed
Medication Administration, Vital Signs, Medical Assessment, Client Admissions, Client Discharges, Observation Recording, Hipaa Compliance, Confidentiality, Compassionate Interaction, Staff Training, Pharmacy Communication, Blood Draws, Tb Testing, Genesight Swabbing
Specialization
Minimum qualifications require current, unrestricted licensure as an RN or LPN in Tennessee, along with the ability to effectively communicate and analyze policies. Candidates must be able to work compassionately with chemically dependent individuals and those in psychiatric care.
Director of Compliance and Quality at Ascend Healthcare
, , - Full Time
Skills Needed
Regulatory Compliance, Risk Management, Quality Improvement, Hrsa, Cms, Hipaa, Fqhc, Audits, Internal Audits, Data Analysis, Performance Metrics, Root Cause Analysis, Uds Reporting, Policy Development, Incident Investigation, Staff Training
Specialization
Required qualifications include a Bachelor's degree in a relevant field (nursing, health administration, public health) and a minimum of four years of experience in healthcare compliance and quality improvement, specifically within an FQHC or similar safety-net organization. Strong understanding of HRSA, CMS, HIPAA, FTCA, and PCMH standards, along with excellent analytical and communication skills, is essential.
Experience Required
Minimum 2 year(s)
Specialist, Appeals & Grievances at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Appeals, Grievances, Claims Processing, Research, Resolution, Regulatory Compliance, Medical Records Review, Communication, Documentation, Time Management, Organizational Skills, Customer Service, Medicaid, Medicare, Coordination Of Benefits, Subrogation
Specialization
Candidates must possess at least two years of managed care experience in a call center, appeals, or claims environment, along with specific experience in health claims processing including COB and subrogation. A strong understanding of Medicaid and Medicare appeals processing and regulatory guidelines is required, complemented by excellent organizational and communication skills.
Experience Required
Minimum 2 year(s)
Care Manager (BH Licensed, Remote in UT) at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Case Management, Behavioral Health Assessments, Care Planning, Telephonic Communication, Interdisciplinary Team Collaboration, Motivational Interviewing, Data Entry, Attention To Detail, Computer Skills, Caseload Management, Discharge Planning Coordination, Clinical Judgment, Substance Abuse Population Support, Ltss Integration
Specialization
Candidates must possess at least two years of healthcare experience, preferably in behavioral health, and hold an active, unrestricted behavioral health clinician license such as LCSW, LPC, or LMFT in the state of practice. Required qualifications also include excellent computer skills, experience with severe mental illness populations, and the ability to travel locally up to 25-40%.
Experience Required
Minimum 2 year(s)
Certified Medical Assistant at Suvida Healthcare
Austin, Texas, United States - Full Time
Skills Needed
Phlebotomy, Venipuncture, Medication Administration, Minor Procedures, Wound Care, Suture Removal, Staple Removal, Diagnostic Testing Assistance, Vitals, Medical History Update, Remote Patient Monitoring Support, Verbal Communication, Organization, Professionalism, Confidentiality, Bedside Manner
Specialization
Candidates must possess a High School Diploma or equivalent and hold a current Certification or Registration with CCMA, CMA, RMA, or NCMA. Required abilities include strong verbal communication, excellent organization, professionalism, and a positive bedside manner, with bilingual skills in English and Spanish being preferred.
Senior Medical Director (IPA- Based in CA) at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Leadership, Medical Necessity, Utilization Management, Quality Management, Prior Authorization, Inpatient Concurrent Review, Discharge Planning, Care Management, Data Analysis, Policy Development, Peer Review, Regulatory Compliance, Strategic Decision Making, Consensus Building, Financial Acumen, Evidence Based Clinical Criteria
Specialization
Candidates must possess an MD or DO degree with active, unrestricted licensure and Board Certification, along with a minimum of 8 years of relevant experience including clinical practice and 2 years as a medical director in managed care supporting utilization/quality management. A minimum of 3 years of management/leadership experience is also required.
Experience Required
Minimum 5 year(s)
Senior Specialist, Appeals & Grievances at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Appeals, Grievances, Claims Processing, Research, Medical Records Review, Regulatory Compliance, Customer Service, Time Management, Verbal Communication, Written Communication, Coordination Of Benefits, Subrogation, Eligibility Criteria, Medicaid, Medicare, Microsoft Office
Specialization
Candidates must possess at least three years of managed care experience in claims, appeals, or a call center environment, including specific experience with Medicaid and Medicare claims denials and appeals processing. Strong organizational, time management, and communication skills are essential for handling simultaneous tasks and preparing accurate correspondence.
Experience Required
Minimum 2 year(s)
RN Transition of Care Coach Field Care in Plymouth, Essex, Norfolk, Suffolk at Molina Healthcare
Waltham, Massachusetts, United States - Full Time
Skills Needed
Registered Nurse Licensure, Care Transition, Case Management, Hospital Discharge Planning, Managed Care Plan, Communication, Documentation, Emr Skills, Cultural Competence, Time Management, Work Independently, Motivational Interviewing, Critical Thinking, Problem Solving, Community Resources, Microsoft Office
Specialization
Candidates must be a Registered Nurse (RN) with an active and unrestricted license, possessing at least two years of healthcare experience, including one year in hospital discharge planning, care management, or a behavioral health setting. Required qualifications also include a valid driver's license, reliable transportation, and proficiency with EMR systems and community resources.
Experience Required
Minimum 2 year(s)
Cook Part-time at Evoraa Healthcare
Kingston, Georgia, United States - Full Time
Skills Needed
Meal Preparation, Food Safety, Nutrition, Portion Control, Inventory Management, Sanitation, Client Interaction, Compliance, Cooking, Cleaning, Documentation, Teamwork, Time Management, Ethics, Self Help Program, Food Handler Certification
Specialization
A high school diploma or GED is preferred, along with a Food Handler Certificate. Candidates must have no felonies in the last five years and must demonstrate continuous sobriety if recovering from substance abuse.
Senior Analyst, Provider Configuration (Remote) at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Provider Configuration, Data Maintenance, Data Synchronization, Data Validation, Contracting, Network Management, Credentialing, Data Auditing, Sop Development, Brd Development, Configuration Standards, Process Improvement, Claims Payment System Upgrades, Test Plan Execution, Critical Thinking, Time Management
Specialization
Candidates must possess at least four years of healthcare experience, preferably in a provider services setting, along with strong critical-thinking and organizational skills to manage simultaneous tasks effectively. Proficiency in the Microsoft Office suite, especially Excel, is required, alongside effective verbal and written communication abilities.
Experience Required
Minimum 2 year(s)
RN/LPN Part-time Dayshift at Evoraa Healthcare
Kingston, Georgia, United States - Full Time
Skills Needed
Administering Medication, Taking Vitals, Medical Assessment, Client Admissions, Client Discharges, Hipaa Compliance, Client Confidentiality, Compassionate Interaction, Data Collection, Problem Definition, Effective Communication, Working With Chemically Dependent Individuals, Working With Psychiatric Care Patients
Specialization
Minimum qualifications require current, unrestricted licensure as an RN or LPN in Georgia, along with the ability to effectively communicate and interpret policies. Candidates must be able to work compassionately with chemically dependent individuals and those in psychiatric care.
Manager, Network Programs (New York Health Plan - EST HOURS) at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Network Programs Management, Provider Negotiations, Claim Resolution, Cost Containment, Operational Efficiency, Regulatory Compliance, Risk Mitigation, Quality Audits, Data Analysis, Process Improvement, Team Leadership, Out Of Network Claims, Independent Dispute Resolution, Performance Metrics, Contract Management
Specialization
Candidates must possess at least five years of contract-related experience in healthcare, including managed care or insurance entities, with a minimum of three years specifically in provider contract negotiations across various provider types. Additionally, at least one year of management or leadership experience is required.
Experience Required
Minimum 5 year(s)
Group Facilitator - PT Weekends at Evoraa Healthcare
Brentwood, Tennessee, United States - Full Time
Skills Needed
Group Therapy, Crisis Intervention, Psychoeducation, Experiential Learning, Clinical Documentation, Microsoft Office, Kipu Electronic Medical Record System, Cpr, First Aid, Addiction Counseling, Mental Health Support
Specialization
Candidates must hold a bachelor's degree in Psychology, Social Work, or Human Services. Proficiency in Microsoft Office and current CPR/First Aid certification are required.
GP / Healthscreener at HCA Healthcare UK
Glasgow, Scotland, United Kingdom -
Full Time

Start Date

Immediate

Expiry Date

23 May, 26

Salary

10400.0

Posted On

22 Feb, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

GMC Registered, Communication, IT Skills, Preventative Medicine, Lifestyle Medicine Coaching, Health Screening, Primary Care, Patient Engagement, Medical History Exploration, Examinations, Arranging Investigations, Prescribing, Blood Taking, Smear Tests, ECGs

Industry

Hospitals and Health Care

Description
Role: GP/Health Screener Town: Glasgow Central Full time / Part Time: Minimum 4+ sessions per week Permanent: Salaried Shift times: Monday to Friday only Salary: £9,800 to £10,400 per session + up to £1,200 health-screening allowance We're looking for talented GP's to join our team onsite at HCA UK Primary Care Glasgow. We are the UK's largest private patient GP employer and these current vacancies are due to another exciting period of expansion, The majority of our patients come through to us from our corporate clients; corporate sector professionals who are prioritising their health and who value a comprehensive, personalised approach. If you have a passion for "prevention rather than cure" and lifestyle medicine, this could be the role for you! As a General Practitioner / Health Screener at HCA UK Primary Care, you'll provide Comprehensive primary care for an adult population who actively invest in their health; engaging with patients, exploring their medical history, addressing concerns and performing examinations. You'll also arrange investigations, provide guidance, prescribe, discuss medical options, treatments, and deliver expert advice. With our advanced health screenings, you will have time to have those important lifestyle and coaching conversations and use extended appointment times to explore patients’ goals, support behaviour change, and develop actionable health plans. You will also be expected to perform procedures such as taking bloods, smear tests and ECG's. At HCA UK, you’ll have the time to care, the tools to succeed, and the flexibility to enjoy life outside of work with structured pre-booked appointments in office hours. Our GP appointments are 15 minutes and our health screens range from 30 minute up to 2 hours depending on the type of screening being undertaken. What you'll bring: GMC registered Strong communication and IT skills. A proactive, patient-first approach with a genuine interest in preventative and lifestyle medicine coaching. Training provided on 'Advanced' Health Screening. Private Patient experience, desirable, but not essential. Why HCA UK? Originally founded over 50 years ago by Dr Thomas Frist, HCA has gone on to become one of the world’s leading healthcare providers. In the UK, we’re one of the largest providers of privately funded healthcare and have invested over £500 million in the latest treatments, technology, techniques, medication and facilities. Being part of a large multisite, established healthcare group we can offer you unrivalled opportunities for career progression through internal and external courses, as well as working conditions that prioritise both your mental and physical wellbeing. We believe that by caring for our employees, we empower them to provide exceptional care for our patients. That’s why we offer a host of flexible benefits that reflect the invaluable contribution they make every day. As a GP / Health Screener you’ll be eligible for: 25 days holiday each year (plus bank holidays) increasing with service, with option to buy or sell leave to suit you Private Healthcare Insurance for treatment at our leading hospitals Private pension contribution which increases with length of service Season Ticket Loan and Cycle to Work scheme Group Life Assurance from day one Critical illness cover Enhanced Maternity and Paternity pay Corporate staff discount for all facilities including Maternity packages at The Portland Comprehensive range of flexible health, protection and lifestyle benefits to suit you Discounts with over 800 major retailers Culture and values At HCA UK we believe exceptional care starts with our people. We celebrate the unique perspectives and different experiences each of us bring as we know that when you feel seen, heard and supported you can be at your best for our patients, and each other. Our mission is simple, above all else we’re committed to the care and improvement of human life, a clear statement that extends to both our patients and colleagues. To achieve this, we live and breathe four core values: Unique and Individual: We recognise and value everyone as unique and individual Kindness and compassion: We treat people with kindness and compassion Honesty, integrity and fairness: - We act with absolute honesty, integrity and fairness Loyalty, respect and dignity: We trust and treat one another as valued members of the HCA UK family with loyalty, respect and dignity #LI-AM2 Life with us means taking pride in your team and delivering the highest quality care. We’ll support your ongoing learning in an environment that features advanced equipment and practices, one of the best colleague-to-patient ratios in the UK and varied, interesting work. As part of HCA Healthcare US, the world’s largest healthcare company, we can also promise that you’ll learn from experts in every department and that your opportunities will be endless. With us, you’ll be empowered to achieve more in your career, and more for our patients. Visit our careers page for more information. HCA Healthcare: Over 50 years of creating a healthier tomorrow
Responsibilities
The General Practitioner/Health Screener will provide comprehensive primary care for adults who invest in their health, engaging with them to explore history, address concerns, and perform examinations. Responsibilities also include arranging investigations, prescribing, discussing treatment options, and delivering expert advice, alongside performing procedures like taking bloods, smear tests, and ECGs.
GP / Healthscreener at HCA Healthcare UK
Glasgow, Scotland, United Kingdom - Full Time
Skills Needed
Gmc Registered, Communication, It Skills, Preventative Medicine, Lifestyle Medicine Coaching, Health Screening, Primary Care, Patient Engagement, Medical History Exploration, Examinations, Arranging Investigations, Prescribing, Blood Taking, Smear Tests, Ecgs
Specialization
Candidates must be GMC registered and possess strong communication and IT skills, demonstrating a proactive, patient-first approach with a genuine interest in preventative and lifestyle medicine coaching. Private patient experience is desirable but not essential, and training will be provided for advanced health screening.
Experience Required
Minimum 2 year(s)
Field Care Manager, LTSS (RN) - Local Travel Required at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Registered Nurse, Care Management, Waiver Assessments, Care Coordination, Care Planning, Medical Necessity, Interdisciplinary Care Team, Motivational Interviewing, Case Management, Microsoft Office Suite, Outlook, Excel, Teams, Time Management, Problem Solving, Critical Thinking
Specialization
Candidates must be a Registered Nurse (RN) with an active and unrestricted license, possessing at least two years of healthcare experience, including one year in care management or managed care, and one year working with populations with disabilities or chronic conditions. A valid driver's license, reliable transportation, and proficiency in Microsoft Office Suite are mandatory requirements.
Experience Required
Minimum 2 year(s)
Field Care Manager, LTSS (RN) - Local Travel Required at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Care Management, Care Coordination, Medicaid, Managed Care, Assessment, Care Planning, Motivational Interviewing, Medication Reconciliation, Microsoft Office Suite, Outlook, Excel, Teams, Documentation, Time Management, Problem Solving, Critical Thinking
Specialization
Candidates must be a licensed Registered Nurse (RN) with at least 2 years of healthcare experience, including 1 year in care management. A valid driver's license and the ability to perform local travel for home visits are required.
Experience Required
Minimum 2 year(s)
Medical Secretary at HCA Healthcare UK
, , United Kingdom - Full Time
Skills Needed
Medical Secretarial Experience, Medical Terminology, Typing Skills, Computer Literacy, Communication Skills, Audio Typing, Patient Appointment Management, Record Filing, Confidentiality Maintenance
Specialization
Candidates must possess prior Medical Secretarial experience along with a significant understanding of medical terminology and strong, accurate typing skills. Essential requirements also include general computer literacy and excellent communication abilities.
RN/LPN Part-time Nightshift at Evoraa Healthcare
Kingston, Georgia, United States - Full Time
Skills Needed
Medication Administration, Vital Signs, Medical Assessment, Client Admissions, Client Discharges, Record Keeping, Hipaa Compliance, Confidentiality, Compassionate Interaction, Safety Maintenance, Staff Training, Blood Draws, Tb Testing, Genesight Swabbing
Specialization
Candidates must possess a current, unrestricted LPN or RN license in Georgia and demonstrate the ability to effectively communicate both orally and in writing. A non-judgmental and compassionate approach when working with chemically dependent individuals and those in psychiatric care is required.
Psychiatric Nurse Practitioner Part-time at Evoraa Healthcare
Kingston, Georgia, United States - Full Time
Skills Needed
Board Certified, Compassion, Provider Judgment, Communication Skills, Teamwork, Self Starter, Problem Solver, Behavioral Health Experience, Prescriptive Authority, X Waiver
Specialization
Candidates must possess a Master's Degree in Nursing and be a licensed, board-certified Psychiatric Nurse Practitioner (PMHNP) or an FNP with behavioral health experience from an accredited program. Preferred qualifications include an X-Waiver, and the ability to handle complex patient situations non-judgmentally is essential.
Experience Required
Minimum 2 year(s)
RN/LPN Full-time Nightshift at Evoraa Healthcare
Kingston, Georgia, United States - Full Time
Skills Needed
Medication Administration, Vital Signs Taking, Medical Assessment, Client Admissions, Client Discharges, Hipaa Compliance, Client Confidentiality, Blood Draws, Tb Testing, Genesight Swabbing, Compassionate Interaction, Record Keeping, Policy Adherence
Specialization
Candidates must possess current, unrestricted licensure as an RN or LPN in Georgia and demonstrate the ability to effectively communicate both orally and in writing. Experience working non-judgmentally with chemically dependent individuals and those in psychiatric care is required, with prior experience in recovery or mental health treatment being a plus.
RN/LPN Part-time Nightshift at Evoraa Healthcare
Brentwood, Tennessee, United States - Full Time
Skills Needed
Medication Administration, Vital Signs, Medical Assessment, Client Admissions, Client Discharges, Observation Recording, Hipaa Compliance, Confidentiality, Compassionate Interaction, Staff Training, Pharmacy Communication, Blood Draws, Tb Testing, Genesight Swabbing
Specialization
Minimum qualifications require current, unrestricted licensure as an RN or LPN in Tennessee, along with the ability to effectively communicate and analyze policies. Candidates must be able to work compassionately with chemically dependent individuals and those in psychiatric care.
Director of Compliance and Quality at Ascend Healthcare
, , - Full Time
Skills Needed
Regulatory Compliance, Risk Management, Quality Improvement, Hrsa, Cms, Hipaa, Fqhc, Audits, Internal Audits, Data Analysis, Performance Metrics, Root Cause Analysis, Uds Reporting, Policy Development, Incident Investigation, Staff Training
Specialization
Required qualifications include a Bachelor's degree in a relevant field (nursing, health administration, public health) and a minimum of four years of experience in healthcare compliance and quality improvement, specifically within an FQHC or similar safety-net organization. Strong understanding of HRSA, CMS, HIPAA, FTCA, and PCMH standards, along with excellent analytical and communication skills, is essential.
Experience Required
Minimum 2 year(s)
Specialist, Appeals & Grievances at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Appeals, Grievances, Claims Processing, Research, Resolution, Regulatory Compliance, Medical Records Review, Communication, Documentation, Time Management, Organizational Skills, Customer Service, Medicaid, Medicare, Coordination Of Benefits, Subrogation
Specialization
Candidates must possess at least two years of managed care experience in a call center, appeals, or claims environment, along with specific experience in health claims processing including COB and subrogation. A strong understanding of Medicaid and Medicare appeals processing and regulatory guidelines is required, complemented by excellent organizational and communication skills.
Experience Required
Minimum 2 year(s)
Care Manager (BH Licensed, Remote in UT) at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Case Management, Behavioral Health Assessments, Care Planning, Telephonic Communication, Interdisciplinary Team Collaboration, Motivational Interviewing, Data Entry, Attention To Detail, Computer Skills, Caseload Management, Discharge Planning Coordination, Clinical Judgment, Substance Abuse Population Support, Ltss Integration
Specialization
Candidates must possess at least two years of healthcare experience, preferably in behavioral health, and hold an active, unrestricted behavioral health clinician license such as LCSW, LPC, or LMFT in the state of practice. Required qualifications also include excellent computer skills, experience with severe mental illness populations, and the ability to travel locally up to 25-40%.
Experience Required
Minimum 2 year(s)
Certified Medical Assistant at Suvida Healthcare
Austin, Texas, United States - Full Time
Skills Needed
Phlebotomy, Venipuncture, Medication Administration, Minor Procedures, Wound Care, Suture Removal, Staple Removal, Diagnostic Testing Assistance, Vitals, Medical History Update, Remote Patient Monitoring Support, Verbal Communication, Organization, Professionalism, Confidentiality, Bedside Manner
Specialization
Candidates must possess a High School Diploma or equivalent and hold a current Certification or Registration with CCMA, CMA, RMA, or NCMA. Required abilities include strong verbal communication, excellent organization, professionalism, and a positive bedside manner, with bilingual skills in English and Spanish being preferred.
Senior Medical Director (IPA- Based in CA) at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Leadership, Medical Necessity, Utilization Management, Quality Management, Prior Authorization, Inpatient Concurrent Review, Discharge Planning, Care Management, Data Analysis, Policy Development, Peer Review, Regulatory Compliance, Strategic Decision Making, Consensus Building, Financial Acumen, Evidence Based Clinical Criteria
Specialization
Candidates must possess an MD or DO degree with active, unrestricted licensure and Board Certification, along with a minimum of 8 years of relevant experience including clinical practice and 2 years as a medical director in managed care supporting utilization/quality management. A minimum of 3 years of management/leadership experience is also required.
Experience Required
Minimum 5 year(s)
Senior Specialist, Appeals & Grievances at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Appeals, Grievances, Claims Processing, Research, Medical Records Review, Regulatory Compliance, Customer Service, Time Management, Verbal Communication, Written Communication, Coordination Of Benefits, Subrogation, Eligibility Criteria, Medicaid, Medicare, Microsoft Office
Specialization
Candidates must possess at least three years of managed care experience in claims, appeals, or a call center environment, including specific experience with Medicaid and Medicare claims denials and appeals processing. Strong organizational, time management, and communication skills are essential for handling simultaneous tasks and preparing accurate correspondence.
Experience Required
Minimum 2 year(s)
RN Transition of Care Coach Field Care in Plymouth, Essex, Norfolk, Suffolk at Molina Healthcare
Waltham, Massachusetts, United States - Full Time
Skills Needed
Registered Nurse Licensure, Care Transition, Case Management, Hospital Discharge Planning, Managed Care Plan, Communication, Documentation, Emr Skills, Cultural Competence, Time Management, Work Independently, Motivational Interviewing, Critical Thinking, Problem Solving, Community Resources, Microsoft Office
Specialization
Candidates must be a Registered Nurse (RN) with an active and unrestricted license, possessing at least two years of healthcare experience, including one year in hospital discharge planning, care management, or a behavioral health setting. Required qualifications also include a valid driver's license, reliable transportation, and proficiency with EMR systems and community resources.
Experience Required
Minimum 2 year(s)
Cook Part-time at Evoraa Healthcare
Kingston, Georgia, United States - Full Time
Skills Needed
Meal Preparation, Food Safety, Nutrition, Portion Control, Inventory Management, Sanitation, Client Interaction, Compliance, Cooking, Cleaning, Documentation, Teamwork, Time Management, Ethics, Self Help Program, Food Handler Certification
Specialization
A high school diploma or GED is preferred, along with a Food Handler Certificate. Candidates must have no felonies in the last five years and must demonstrate continuous sobriety if recovering from substance abuse.
Senior Analyst, Provider Configuration (Remote) at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Provider Configuration, Data Maintenance, Data Synchronization, Data Validation, Contracting, Network Management, Credentialing, Data Auditing, Sop Development, Brd Development, Configuration Standards, Process Improvement, Claims Payment System Upgrades, Test Plan Execution, Critical Thinking, Time Management
Specialization
Candidates must possess at least four years of healthcare experience, preferably in a provider services setting, along with strong critical-thinking and organizational skills to manage simultaneous tasks effectively. Proficiency in the Microsoft Office suite, especially Excel, is required, alongside effective verbal and written communication abilities.
Experience Required
Minimum 2 year(s)
RN/LPN Part-time Dayshift at Evoraa Healthcare
Kingston, Georgia, United States - Full Time
Skills Needed
Administering Medication, Taking Vitals, Medical Assessment, Client Admissions, Client Discharges, Hipaa Compliance, Client Confidentiality, Compassionate Interaction, Data Collection, Problem Definition, Effective Communication, Working With Chemically Dependent Individuals, Working With Psychiatric Care Patients
Specialization
Minimum qualifications require current, unrestricted licensure as an RN or LPN in Georgia, along with the ability to effectively communicate and interpret policies. Candidates must be able to work compassionately with chemically dependent individuals and those in psychiatric care.
Manager, Network Programs (New York Health Plan - EST HOURS) at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Network Programs Management, Provider Negotiations, Claim Resolution, Cost Containment, Operational Efficiency, Regulatory Compliance, Risk Mitigation, Quality Audits, Data Analysis, Process Improvement, Team Leadership, Out Of Network Claims, Independent Dispute Resolution, Performance Metrics, Contract Management
Specialization
Candidates must possess at least five years of contract-related experience in healthcare, including managed care or insurance entities, with a minimum of three years specifically in provider contract negotiations across various provider types. Additionally, at least one year of management or leadership experience is required.
Experience Required
Minimum 5 year(s)
Group Facilitator - PT Weekends at Evoraa Healthcare
Brentwood, Tennessee, United States - Full Time
Skills Needed
Group Therapy, Crisis Intervention, Psychoeducation, Experiential Learning, Clinical Documentation, Microsoft Office, Kipu Electronic Medical Record System, Cpr, First Aid, Addiction Counseling, Mental Health Support
Specialization
Candidates must hold a bachelor's degree in Psychology, Social Work, or Human Services. Proficiency in Microsoft Office and current CPR/First Aid certification are required.