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Field Care Manager, LTSS (RN) - IDD Experience Required - Local Travel at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Care Management, Member Assessment, Care Planning, Case Coordination, Motivational Interviewing, Microsoft Office Suite, Medication Reconciliation, Interdisciplinary Care Team Facilitation, Waiver Enrollment, Clinical Documentation, Patient Advocacy, Time Management
Specialization
Requires a valid RN license and at least 2 years of healthcare experience, including 1 year in care management and 1 year working with persons with disabilities. Must possess a valid driver's license and proficiency in Microsoft Office Suite.
Experience Required
Minimum 2 year(s)
Care Review Clinician - Utilization Review (KY RN license- REMOTE) at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Utilization Review, Clinical Assessment, Prior Authorization, Medical Necessity Verification, Case Management, Critical Thinking, Problem Solving, Written Communication, Verbal Communication, Microsoft Office, Organizational Skills, Time Management
Specialization
Candidates must be a Registered Nurse with an active, unrestricted license and at least 2 years of experience in acute care, inpatient review, or managed care. Proficiency in Microsoft Office and strong critical-thinking skills are required.
Experience Required
Minimum 2 year(s)
BHT Supervisor 2nd Shift at Evoraa Healthcare
Brentwood, Tennessee, United States - Full Time
Skills Needed
Staff Supervision, Client Care, Hipaa Compliance, Microsoft Office, Crisis Management, Scheduling, Interpersonal Communication, Active Listening, Infection Control, Patient Orientation
Specialization
Requires a High School Diploma or GED and 3-5 years of healthcare experience, including at least 2 years of supervisory experience in a medical field. Candidates must be proficient in MS Office and maintain sobriety if applicable.
Experience Required
Minimum 2 year(s)
RN/LPN Part-time Dayshift at Evoraa Healthcare
Brentwood, Tennessee, United States - Full Time
Skills Needed
Registered Nurse, Medication Administration, Vital Signs, Patient Assessment, Client Interaction, Confidentiality, Data Collection, Problem Solving, Compassionate Care, Team Collaboration, Client Admissions, Client Discharges, Training Attendance, Communication, Mental Health Treatment, Recovery Support
Specialization
Candidates must have current unrestricted licensure as a Registered Nurse in GA or TN and an Associate's degree in Registered Nursing. Experience working with chemically dependent individuals and those in psychiatric care is preferred.
Full-time Behavioral Health Technician 1st Shift at Evoraa Healthcare
Madison, Tennessee, United States - Full Time
Skills Needed
De Escalation, Client Supervision, Crisis Management, Electronic Medical Records, Interpersonal Communication, Time Management, Emotional Support, Detail Oriented, Professional Judgment, Patient Monitoring
Specialization
Candidates should ideally be high school graduates or have a GED, with a valid driver's license and a preference for experience in mental health or substance abuse. Strong communication skills and the ability to remain empathetic and non-judgmental are essential.
Senior Analyst, Finance (Financial Reporting & SQL) - REMOTE at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Financial Analysis, Financial Reporting, Forecasting, Budgeting, Sql, Databricks, Microsoft Excel, Microsoft Powerpoint, Variance Analysis, Financial Modeling, Regulatory Reporting, Critical Thinking, Time Management, Collaboration, Communication Skills, Managed Care Finance
Specialization
Requires a bachelor's degree in finance or a related field and at least 3 years of relevant finance experience. Proficiency in Microsoft Office is required, with SQL or Databricks knowledge and managed care experience preferred.
Experience Required
Minimum 2 year(s)
VP, National Quality Data Management & Performance at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Quality Data Management, Hedis Operations, Performance Outcomes Management, Managed Care, Strategic Leadership, Budget Management, Change Management, Data Analysis, Executive Presence, Cross Functional Leadership, Regulatory Compliance, Vendor Management, Clinical Data Acquisition, Risk Adjustment, Stakeholder Management, Microsoft Office
Specialization
Requires at least 12 years of experience in quality data management and HEDIS operations, including 8 years in managed care and 7 years in leadership. Must possess strong business acumen, executive presence, and a proven ability to lead complex projects in a matrixed environment.
Experience Required
Minimum 10 year(s)
Representative, Support Center III at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Customer Service, Call Center Operations, Insurance Product Knowledge, Data Processing, Hipaa Compliance, Conflict Resolution, Microsoft Office, Member Engagement, Provider Relations, Research And Analysis, Time Management, Verbal Communication, Written Communication, Case Documentation, Escalation Handling, Training And Mentoring
Specialization
Requires at least 2 years of customer service or call center experience in a high-volume environment and a strong understanding of health insurance products. Proficiency in Microsoft Office and the ability to maintain HIPAA confidentiality are essential.
Experience Required
Minimum 2 year(s)
RN/LPN Full-time Dayshift at Evoraa Healthcare
, Georgia, United States - Full Time
Skills Needed
Medication Administration, Vital Signs Monitoring, Patient Assessment, Client Admissions, Patient Discharge, Hipaa Compliance, Blood Draws, Tb Testing, Psychiatric Care, Chemical Dependency Treatment, Patient Observation, Clinical Documentation
Specialization
Candidates must hold a current unrestricted RN or LPN license in Georgia. Ability to work compassionately with individuals in psychiatric care and those with chemical dependencies is required.
RN Operating Room at Maxmed Healthcare
Honolulu, Hawaii, United States - Full Time
Skills Needed
Perioperative Nursing, Surgical Nursing, Circulating Role, Scrubbing, Aseptic Technique, Patient Care Coordination, Physical Examinations, Wound Care, Medication Administration, Sterile Technique, Equipment Maintenance, Patient Education, Emergency Response, Surgical Planning, Health History Assessment, Clinical Compliance
Specialization
Requires an Associate's Degree in Nursing from an accredited institution and a current, unrestricted RN license. Candidates must have at least one year of RN experience within the last two years and a current BLS certification.
Cook at Evoraa Healthcare
Brentwood, Tennessee, United States - Full Time
Skills Needed
Meal Preparation, Food Safety, Inventory Management, Sanitization, Nutrition Compliance, Kitchen Cleaning, Portion Control
Specialization
Candidates should preferably have a high school diploma and must possess a Food Handler Certificate. Additional requirements include a clean criminal record regarding felonies and substance abuse, and knowledge of Board of Health guidelines.
Cook Full-time at Evoraa Healthcare
Kingston, Georgia, United States - Full Time
Skills Needed
Meal Preparation, Food Safety, Inventory Management, Sanitization, Nutrition Compliance, Kitchen Cleaning, Portion Control
Specialization
Candidates should preferably have a high school diploma and must hold a Food Handler Certificate. Additional requirements include a clean criminal record regarding felonies and substance abuse, and knowledge of Board of Health guidelines.
RN/LPN Full-time Dayshift at Evoraa Healthcare
Madison, Tennessee, United States - Full Time
Skills Needed
Medication Administration, Vital Signs Monitoring, Patient Assessment, Client Admissions, Patient Discharge, Hipaa Compliance, Blood Draws, Tb Testing, Psychiatric Care, Chemical Dependency Treatment, Patient Observation, Clinical Documentation
Specialization
Candidates must hold a current unrestricted RN or LPN license in Tennessee. Ability to work compassionately with individuals in psychiatric care or chemical dependency is required.
Sr Analyst, Medical Economics – Remote (SQL, PMPM Analysis & Cost Trend Str at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Sql, Pmpm Analysis, Medical Economics, Predictive Modeling, Power Bi, Tableau, Excel, Financial Modeling, Healthcare Analytics, Data Mining, Cost Trend Strategy, Roi Analysis, Claims Analysis, Managed Care Concepts, Risk Adjustment, Value Based Risk Arrangements
Specialization
Requires a bachelor's degree in a quantitative field and at least 3 years of experience in healthcare analytics or medical economics. Proficiency in SQL, data visualization tools, and a deep understanding of Medicaid/Medicare reimbursement principles are essential.
Experience Required
Minimum 2 year(s)
Credentialing Specialist at Evoraa Healthcare
Peachtree City, Georgia, United States - Full Time
Skills Needed
Provider Enrollment, Medical Coding, Cpt, Icd 10, Behavioral Health Credentialing, Crm Management, Insurance Communication, Regulatory Compliance
Specialization
Candidates must have a minimum of 5 years of experience in provider credentialing and the behavioral health field. Working knowledge of medical coding, specifically CPT and ICD-10, is required.
Experience Required
Minimum 5 year(s)
Remote Care Review Clinician (RN/LPN)- NY License required at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Clinical Review, Utilization Management, Prior Authorization, Medical Necessity Assessment, Case Management, Clinical Guidelines Analysis, Problem Solving, Critical Thinking, Written Communication, Verbal Communication, Microsoft Office
Specialization
Requires at least 2 years of healthcare experience in acute care, inpatient review, or managed care, along with an active and unrestricted clinical license in the state of practice. Proficiency in Microsoft Office and strong organizational skills are essential.
Experience Required
Minimum 2 year(s)
Field Care Manager, LTSS (LVN) - Local Travel Required at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Care Management, Member Assessments, Care Planning, Case Coordination, Motivational Interviewing, Microsoft Office Suite, Clinical Documentation, Waiver Enrollment, Interdisciplinary Care Team Collaboration, Patient Advocacy, Time Management, Problem Solving, Critical Thinking, Verbal Communication, Written Communication, Resource Coordination
Specialization
Requires a valid LVN or LPN license and at least 2 years of healthcare experience, including care management and LTSS. Must possess a valid driver's license and proficiency in Microsoft Office Suite.
Experience Required
Minimum 2 year(s)
Full-time 2nd Shift Behavioral Health Technician at Evoraa Healthcare
Kingston, Georgia, United States - Full Time
Skills Needed
Client Supervision, De Escalation, Crisis Management, Electronic Medical Records, Interpersonal Communication, Time Management, Emotional Support, Patient Monitoring, Detail Oriented, Professional Judgment
Specialization
A high school diploma or GED is preferred, along with a valid state driver's license. Experience in mental health or substance abuse settings is preferred.
Charge Nurse RN at Evoraa Healthcare
Brentwood, Tennessee, United States - Full Time
Skills Needed
Clinical Assessment, Critical Thinking, Crisis Management, Behavioral Health Knowledge, Substance Use Disorders Knowledge, Effective Communication, Interpersonal Skills, Organizational Skills, Time Management, Collaboration, Patient Care, Documentation, Regulatory Compliance, Infection Control, Emergency Response, Training And Education
Specialization
Candidates must be a Registered Nurse (RN) with a valid license and have 3-5 years of experience in nursing, preferably in addiction medicine or behavioral health. Basic Life Support (BLS) and Crisis Prevention Intervention (CPI) training are required, with Advanced Cardiac Life Support (ACLS) preferred.
Experience Required
Minimum 5 year(s)
Urologist | $700K+ Potential | Robotics | 1:4 Call | Northwest Indiana at Healthcare United
Logansport, Indiana, United States - Full Time
Skills Needed
Robotic Surgery, Laparoscopic Surgery, Cystoscopy, Ureteroscopy, Prostate Biopsy, Robotic Prostatectomy, Clinical Care, Patient Outcome Optimization, Communication Skills
Specialization
Candidates must be Board-Eligible or Board-Certified in Urology. Robotic and laparoscopic experience is preferred.
Experience Required
Minimum 5 year(s)
Field Care Manager, LTSS (RN) - IDD Experience Required - Local Travel at Molina Healthcare
Long Beach, California, United States -
Full Time

Start Date

Immediate

Expiry Date

17 Sep, 26

Salary

51.49

Posted On

19 Jun, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Care Management, Member Assessment, Care Planning, Case Coordination, Motivational Interviewing, Microsoft Office Suite, Medication Reconciliation, Interdisciplinary Care Team Facilitation, Waiver Enrollment, Clinical Documentation, Patient Advocacy, Time Management

Industry

Hospitals and Health Care

Description
JOB DESCRIPTION Opportunity for a Texas licensed RN to join Molina to work with our IDD members in the Houston service delivery area.  Our Care Managers conduct face-to-face meetings with the members in their homes, completing assessments needed to determine the types of services we need to provide. Preference will be given to those candidates with previous experience working with the IDD population within a Managed Care Organization (MCO). Mileage is reimbursed as part of our benefits package. Hours are Monday – Friday, 8 AM – 5 PM CST.  Solid experience with Microsoft Office Suite is necessary, especially with Outlook, Excel, and Teams as well as being confident in moving between different programs to complete the necessary forms and documentation.   Job Summary Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities.  Collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need potential.   Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care.   Essential Job Duties • Completes comprehensive member assessments within regulated timelines, including in-person home visits as required. • Facilitates comprehensive waiver enrollment and disenrollment processes. • Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other appropriate health care professionals and member support network to address the member needs and goals. • Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly. • Promotes integration of services for members including behavioral health care and long-term services and supports (LTSS) and home and community resources to enhance continuity of care. • Assesses for medical necessity and authorizes all appropriate waiver services. • Evaluates covered benefits and advises appropriately regarding funding sources. • Facilitates interdisciplinary care team (ICT) meetings for approval or denial of services and informal ICT collaboration. • Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts. • Assesses for barriers to care and provides care coordination and assistance to members to address psycho/social, financial, and medical obstacles concerns. • Identifies critical incidents and develops prevention plans to assure member health and welfare. • May provide consultation, resources and recommendations to peers as needed. • Care manager RNs may be assigned complex member cases and medication regimens. • Care manager RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be required (based upon state/contractual requirements).   Required Qualifications • At least 2 years of experience in health care, including at least 1 year experience in care management, managed care, and/or experience in a medical or behavioral health setting, and at least 1 year of experience working with persons with disabilities, chronic conditions, substance abuse disorders, and long-term services and supports (LTSS), or equivalent combination of relevant education and experience. • Registered Nurse (RN). License must be active and unrestricted in state of practice. • In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements). • Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law. • Ability to operate proactively and demonstrate detail-oriented work. • Demonstrated knowledge of community resources. • Ability to work within a variety of settings and adjust style as needed - working with diverse populations and various personalities and personal situations. • Ability to work independently, with minimal supervision and demonstrate self-motivation. • Responsiveness in all forms of communication, and ability to remain calm in high-pressure situations. • Ability to develop and maintain professional relationships. • Time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change. • Problem-solving skills. • Strong verbal and written communication skills. • Microsoft Office suite/applicable software program(s) proficiency. • In some states, must have at least one year of experience working directly with individuals with substance use disorders.   Preferred Qualifications • Certified Case Manager (CCM). • Experience working with populations that receive waiver services.   To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Responsibilities
Conducts face-to-face member assessments and develops integrated care plans for individuals with intellectual and developmental disabilities. Coordinates with multidisciplinary teams to ensure quality, cost-effective care and monitors progress toward member outcomes.
Field Care Manager, LTSS (RN) - IDD Experience Required - Local Travel at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Care Management, Member Assessment, Care Planning, Case Coordination, Motivational Interviewing, Microsoft Office Suite, Medication Reconciliation, Interdisciplinary Care Team Facilitation, Waiver Enrollment, Clinical Documentation, Patient Advocacy, Time Management
Specialization
Requires a valid RN license and at least 2 years of healthcare experience, including 1 year in care management and 1 year working with persons with disabilities. Must possess a valid driver's license and proficiency in Microsoft Office Suite.
Experience Required
Minimum 2 year(s)
Care Review Clinician - Utilization Review (KY RN license- REMOTE) at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Utilization Review, Clinical Assessment, Prior Authorization, Medical Necessity Verification, Case Management, Critical Thinking, Problem Solving, Written Communication, Verbal Communication, Microsoft Office, Organizational Skills, Time Management
Specialization
Candidates must be a Registered Nurse with an active, unrestricted license and at least 2 years of experience in acute care, inpatient review, or managed care. Proficiency in Microsoft Office and strong critical-thinking skills are required.
Experience Required
Minimum 2 year(s)
BHT Supervisor 2nd Shift at Evoraa Healthcare
Brentwood, Tennessee, United States - Full Time
Skills Needed
Staff Supervision, Client Care, Hipaa Compliance, Microsoft Office, Crisis Management, Scheduling, Interpersonal Communication, Active Listening, Infection Control, Patient Orientation
Specialization
Requires a High School Diploma or GED and 3-5 years of healthcare experience, including at least 2 years of supervisory experience in a medical field. Candidates must be proficient in MS Office and maintain sobriety if applicable.
Experience Required
Minimum 2 year(s)
RN/LPN Part-time Dayshift at Evoraa Healthcare
Brentwood, Tennessee, United States - Full Time
Skills Needed
Registered Nurse, Medication Administration, Vital Signs, Patient Assessment, Client Interaction, Confidentiality, Data Collection, Problem Solving, Compassionate Care, Team Collaboration, Client Admissions, Client Discharges, Training Attendance, Communication, Mental Health Treatment, Recovery Support
Specialization
Candidates must have current unrestricted licensure as a Registered Nurse in GA or TN and an Associate's degree in Registered Nursing. Experience working with chemically dependent individuals and those in psychiatric care is preferred.
Full-time Behavioral Health Technician 1st Shift at Evoraa Healthcare
Madison, Tennessee, United States - Full Time
Skills Needed
De Escalation, Client Supervision, Crisis Management, Electronic Medical Records, Interpersonal Communication, Time Management, Emotional Support, Detail Oriented, Professional Judgment, Patient Monitoring
Specialization
Candidates should ideally be high school graduates or have a GED, with a valid driver's license and a preference for experience in mental health or substance abuse. Strong communication skills and the ability to remain empathetic and non-judgmental are essential.
Senior Analyst, Finance (Financial Reporting & SQL) - REMOTE at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Financial Analysis, Financial Reporting, Forecasting, Budgeting, Sql, Databricks, Microsoft Excel, Microsoft Powerpoint, Variance Analysis, Financial Modeling, Regulatory Reporting, Critical Thinking, Time Management, Collaboration, Communication Skills, Managed Care Finance
Specialization
Requires a bachelor's degree in finance or a related field and at least 3 years of relevant finance experience. Proficiency in Microsoft Office is required, with SQL or Databricks knowledge and managed care experience preferred.
Experience Required
Minimum 2 year(s)
VP, National Quality Data Management & Performance at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Quality Data Management, Hedis Operations, Performance Outcomes Management, Managed Care, Strategic Leadership, Budget Management, Change Management, Data Analysis, Executive Presence, Cross Functional Leadership, Regulatory Compliance, Vendor Management, Clinical Data Acquisition, Risk Adjustment, Stakeholder Management, Microsoft Office
Specialization
Requires at least 12 years of experience in quality data management and HEDIS operations, including 8 years in managed care and 7 years in leadership. Must possess strong business acumen, executive presence, and a proven ability to lead complex projects in a matrixed environment.
Experience Required
Minimum 10 year(s)
Representative, Support Center III at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Customer Service, Call Center Operations, Insurance Product Knowledge, Data Processing, Hipaa Compliance, Conflict Resolution, Microsoft Office, Member Engagement, Provider Relations, Research And Analysis, Time Management, Verbal Communication, Written Communication, Case Documentation, Escalation Handling, Training And Mentoring
Specialization
Requires at least 2 years of customer service or call center experience in a high-volume environment and a strong understanding of health insurance products. Proficiency in Microsoft Office and the ability to maintain HIPAA confidentiality are essential.
Experience Required
Minimum 2 year(s)
RN/LPN Full-time Dayshift at Evoraa Healthcare
, Georgia, United States - Full Time
Skills Needed
Medication Administration, Vital Signs Monitoring, Patient Assessment, Client Admissions, Patient Discharge, Hipaa Compliance, Blood Draws, Tb Testing, Psychiatric Care, Chemical Dependency Treatment, Patient Observation, Clinical Documentation
Specialization
Candidates must hold a current unrestricted RN or LPN license in Georgia. Ability to work compassionately with individuals in psychiatric care and those with chemical dependencies is required.
RN Operating Room at Maxmed Healthcare
Honolulu, Hawaii, United States - Full Time
Skills Needed
Perioperative Nursing, Surgical Nursing, Circulating Role, Scrubbing, Aseptic Technique, Patient Care Coordination, Physical Examinations, Wound Care, Medication Administration, Sterile Technique, Equipment Maintenance, Patient Education, Emergency Response, Surgical Planning, Health History Assessment, Clinical Compliance
Specialization
Requires an Associate's Degree in Nursing from an accredited institution and a current, unrestricted RN license. Candidates must have at least one year of RN experience within the last two years and a current BLS certification.
Cook at Evoraa Healthcare
Brentwood, Tennessee, United States - Full Time
Skills Needed
Meal Preparation, Food Safety, Inventory Management, Sanitization, Nutrition Compliance, Kitchen Cleaning, Portion Control
Specialization
Candidates should preferably have a high school diploma and must possess a Food Handler Certificate. Additional requirements include a clean criminal record regarding felonies and substance abuse, and knowledge of Board of Health guidelines.
Cook Full-time at Evoraa Healthcare
Kingston, Georgia, United States - Full Time
Skills Needed
Meal Preparation, Food Safety, Inventory Management, Sanitization, Nutrition Compliance, Kitchen Cleaning, Portion Control
Specialization
Candidates should preferably have a high school diploma and must hold a Food Handler Certificate. Additional requirements include a clean criminal record regarding felonies and substance abuse, and knowledge of Board of Health guidelines.
RN/LPN Full-time Dayshift at Evoraa Healthcare
Madison, Tennessee, United States - Full Time
Skills Needed
Medication Administration, Vital Signs Monitoring, Patient Assessment, Client Admissions, Patient Discharge, Hipaa Compliance, Blood Draws, Tb Testing, Psychiatric Care, Chemical Dependency Treatment, Patient Observation, Clinical Documentation
Specialization
Candidates must hold a current unrestricted RN or LPN license in Tennessee. Ability to work compassionately with individuals in psychiatric care or chemical dependency is required.
Sr Analyst, Medical Economics – Remote (SQL, PMPM Analysis & Cost Trend Str at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Sql, Pmpm Analysis, Medical Economics, Predictive Modeling, Power Bi, Tableau, Excel, Financial Modeling, Healthcare Analytics, Data Mining, Cost Trend Strategy, Roi Analysis, Claims Analysis, Managed Care Concepts, Risk Adjustment, Value Based Risk Arrangements
Specialization
Requires a bachelor's degree in a quantitative field and at least 3 years of experience in healthcare analytics or medical economics. Proficiency in SQL, data visualization tools, and a deep understanding of Medicaid/Medicare reimbursement principles are essential.
Experience Required
Minimum 2 year(s)
Credentialing Specialist at Evoraa Healthcare
Peachtree City, Georgia, United States - Full Time
Skills Needed
Provider Enrollment, Medical Coding, Cpt, Icd 10, Behavioral Health Credentialing, Crm Management, Insurance Communication, Regulatory Compliance
Specialization
Candidates must have a minimum of 5 years of experience in provider credentialing and the behavioral health field. Working knowledge of medical coding, specifically CPT and ICD-10, is required.
Experience Required
Minimum 5 year(s)
Remote Care Review Clinician (RN/LPN)- NY License required at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Clinical Review, Utilization Management, Prior Authorization, Medical Necessity Assessment, Case Management, Clinical Guidelines Analysis, Problem Solving, Critical Thinking, Written Communication, Verbal Communication, Microsoft Office
Specialization
Requires at least 2 years of healthcare experience in acute care, inpatient review, or managed care, along with an active and unrestricted clinical license in the state of practice. Proficiency in Microsoft Office and strong organizational skills are essential.
Experience Required
Minimum 2 year(s)
Field Care Manager, LTSS (LVN) - Local Travel Required at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Care Management, Member Assessments, Care Planning, Case Coordination, Motivational Interviewing, Microsoft Office Suite, Clinical Documentation, Waiver Enrollment, Interdisciplinary Care Team Collaboration, Patient Advocacy, Time Management, Problem Solving, Critical Thinking, Verbal Communication, Written Communication, Resource Coordination
Specialization
Requires a valid LVN or LPN license and at least 2 years of healthcare experience, including care management and LTSS. Must possess a valid driver's license and proficiency in Microsoft Office Suite.
Experience Required
Minimum 2 year(s)
Full-time 2nd Shift Behavioral Health Technician at Evoraa Healthcare
Kingston, Georgia, United States - Full Time
Skills Needed
Client Supervision, De Escalation, Crisis Management, Electronic Medical Records, Interpersonal Communication, Time Management, Emotional Support, Patient Monitoring, Detail Oriented, Professional Judgment
Specialization
A high school diploma or GED is preferred, along with a valid state driver's license. Experience in mental health or substance abuse settings is preferred.
Charge Nurse RN at Evoraa Healthcare
Brentwood, Tennessee, United States - Full Time
Skills Needed
Clinical Assessment, Critical Thinking, Crisis Management, Behavioral Health Knowledge, Substance Use Disorders Knowledge, Effective Communication, Interpersonal Skills, Organizational Skills, Time Management, Collaboration, Patient Care, Documentation, Regulatory Compliance, Infection Control, Emergency Response, Training And Education
Specialization
Candidates must be a Registered Nurse (RN) with a valid license and have 3-5 years of experience in nursing, preferably in addiction medicine or behavioral health. Basic Life Support (BLS) and Crisis Prevention Intervention (CPI) training are required, with Advanced Cardiac Life Support (ACLS) preferred.
Experience Required
Minimum 5 year(s)
Urologist | $700K+ Potential | Robotics | 1:4 Call | Northwest Indiana at Healthcare United
Logansport, Indiana, United States - Full Time
Skills Needed
Robotic Surgery, Laparoscopic Surgery, Cystoscopy, Ureteroscopy, Prostate Biopsy, Robotic Prostatectomy, Clinical Care, Patient Outcome Optimization, Communication Skills
Specialization
Candidates must be Board-Eligible or Board-Certified in Urology. Robotic and laparoscopic experience is preferred.
Experience Required
Minimum 5 year(s)