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Field Nurse Practitioner (Tacoma, WA) at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Primary Care, Patient Evaluation, Care Coordination, Chronic Disease Management, Medical Diagnosis, Diagnostic Testing, Electronic Medical Records, Time Management, Problem Solving, Critical Thinking, Verbal Communication, Written Communication, Microsoft Office, Triage, Preventive Care, Patient Assessment
Specialization
Requires at least 1 year of experience as a Nurse Practitioner with an active FNP license, DEA license, and BLS certification. Must hold national certification from AANP or ANCC and possess a valid driver's license for extensive regional travel.
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, Interdisciplinary Team Collaboration, Waiver Enrollment, Medical Necessity Assessment, Time Management, Problem Solving
Specialization
Requires a valid LVN/LPN license and at least 2 years of healthcare experience, including 1 year in LTSS and 1 year in care management. Must possess a valid driver's license and proficiency in Microsoft Office for documentation and reporting.
Experience Required
Minimum 2 year(s)
Nurse Practitioner at Maxmed Healthcare
Honolulu, Hawaii, United States - Full Time
Skills Needed
Patient Assessment, Chronic Disease Management, Preventive Care, Diagnostic Interpretation, Emergency Care, Clinical Counseling, Medical Screening, Therapeutic Planning, Staff Education, Immunizations
Specialization
Requires a Master's degree in Nursing, a current RN license, and NP certification from ANCC, AANP, or a recognized national organization. Candidates must be U.S. citizens with at least one year of professional nursing experience and meet DHA health and security 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, Member Assessment, Care Planning, Ltss, Motivational Interviewing, Medication Reconciliation, Case Coordination, Microsoft Office Suite, Interdisciplinary Care Team Facilitation, Clinical Documentation
Specialization
Requires an active RN license and at least 2 years of healthcare experience, including 1 year in care management and 1 year working with LTSS populations. Must possess a valid driver's license and proficiency in Microsoft Office Suite.
Experience Required
Minimum 2 year(s)
Lead Analyst, Provider and Facility Reimbursement (Remote) at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Provider Reimbursement, Facility Reimbursement, Prospective Payment System (Pps), Microsoft Excel, Sql, Databricks, Data Analysis, Claims Adjudication, Managed Care, Cms Regulations, Value Based Pricing, Capitation, Bundled Payments, Project Management, Stakeholder Communication, Critical Thinking
Specialization
Requires at least 5 years of experience in complex provider reimbursement or claims adjudication within a managed care organization. Candidates must possess advanced Excel skills and the ability to interpret complex state and federal reimbursement policies.
Experience Required
Minimum 5 year(s)
RN Pain Management at Maxmed Healthcare
Honolulu, Hawaii, United States - Full Time
Skills Needed
Pain Management, Patient Care Coordination, Physical Examinations, Health History Taking, Medication Administration, Wound Care, Iv Placement, Blood Drawing, Patient Scheduling, Emergency Response, Patient Education, Clinical Supervision
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.
Care Manager (RN) Remote (Must reside in Arizona) at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Care Management, Case Management, Patient Assessment, Care Coordination, Motivational Interviewing, Medication Reconciliation, Electronic Medical Records, Hipaa Compliance, Time Management, Problem Solving, Critical Thinking, Interdisciplinary Collaboration, Microsoft Office, Patient Outreach, Behavioral Health Support, Clinical Judgment
Specialization
Requires a valid Registered Nurse (RN) license and at least 2 years of experience in healthcare, preferably in care management or behavioral health. Candidates must have a valid driver's license and the ability to travel locally within the service area.
Experience Required
Minimum 2 year(s)
Advanced Practice Provider/Nurse Practitioner at Matter Healthcare
Memphis, Tennessee, United States - Full Time
Skills Needed
Primary Care, Preventive Care, Chronic Disease Management, Patient Panel Management, Telehealth, Ehr Documentation, Care Coordination, Geriatric Care, Value Based Care, Clinical Autonomy, Patient Centered Care, Medical Coding
Specialization
Requires an active Nurse Practitioner or Physician Associate license, board certification, and at least 3 years of clinical experience, preferably with aging populations. Must possess a valid driver's license, BLS certification, and proficiency in EHR documentation.
Experience Required
Minimum 2 year(s)
Facilities Compliance Associate at MEDRVA Healthcare
Richmond, Virginia, United States - Full Time
Skills Needed
Regulatory Compliance, Facilities Management, Osha Standards, Preventive Maintenance, Environmental Health & Safety, Vendor Management, Emergency Preparedness, Documentation, Cms Compliance, Aaahc Standards, Life Safety, Infection Prevention, Analytical Skills, Problem Solving, Microsoft Office Suite, Communication Skills
Specialization
A high school diploma is required, though an associate degree in Healthcare Administration or a related field is preferred. Candidates should ideally have at least 2 years of experience in healthcare facilities, compliance, or safety operations.
Experience Required
Minimum 2 year(s)
Sr Quality Improvement/HEDIS Spec, Health Plan Interventions (Remote In Ohi at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Quality Improvement, Hedis, Qi Science, Power Bi, Medicare Stars, Lean, Six Sigma, Data Analysis, Ncqa, Population Health, Health Equity, Business Writing, Project Management, Clinical Quality, Change Management, Member Interventions
Specialization
Requires at least 3 years of healthcare experience and 2 years in health plan quality member interventions within a managed care setting. Proficiency in data analysis, HEDIS, and NCQA is essential, with a preference for CPHQ or CHCA certifications.
Experience Required
Minimum 2 year(s)
Case Manager at Evoraa Healthcare
, Georgia, United States - Full Time
Skills Needed
Case Management, Patient Screening, Intake Assessment, Individualized Service Planning, Psychoeducational Instruction, Motivational Enhancement, Crisis Intervention, Resource Linking, Interpersonal Skills, Analytical Skills, Customer Service, Joint Commission Standards, Dhs Standards, Record Management, Referral Coordination, Patient Advocacy
Specialization
A Bachelor's degree or equivalent experience is required, along with professional experience in case management and substance abuse or mental health services. Candidates should be detail-oriented and possess in-depth knowledge of Joint Commission and DHS standards.
Experience Required
Minimum 2 year(s)
Case Manager at Evoraa Healthcare
Brentwood, Tennessee, United States - Full Time
Skills Needed
Case Management, Patient Screening, Intake Assessment, Individualized Service Planning, Psychoeducational Instruction, Motivational Enhancement, Crisis Intervention, Resource Linking, Clinical Documentation, Interpersonal Skills, Analytical Skills, Customer Service, Joint Commission Standards, Dhs Standards, Regulatory Compliance, Patient Coordination
Specialization
A Bachelor's degree or equivalent experience is required, along with proven experience in case management and substance abuse or mental health services. Candidates should be detail-oriented and possess strong knowledge of Joint Commission and DHS standards.
Experience Required
Minimum 2 year(s)
Senior Staff Nurse Pre Assessment at HCA Healthcare UK
Poznan, Greater Poland Voivodeship, Poland - Full Time
Skills Needed
Clinical Assessment, Patient Care Planning, Medical History Taking, Patient Observations, Medication Advice, Staff Supervision, Multidisciplinary Collaboration, Decision Making, Organisational Skills, Communication Skills
Specialization
Requires a Registered Nurse with a valid NMC registration and experience in a pre-assessment or outpatient setting. Candidates must possess strong clinical decision-making skills and experience supervising junior staff.
Experience Required
Minimum 5 year(s)
Licensed Primary Therapist LCSW, LMFT, LPC, or LPC-MHSP at Evoraa Healthcare
Brentwood, Tennessee, United States - Full Time
Skills Needed
Individual Therapy, Group Therapy, Family Therapy, Crisis Intervention, Psychosocial Assessments, Treatment Planning, Cbt, Dbt, Act, Family Systems, Addiction Counseling, Mental Health Diagnosis, Clinical Documentation, Kipu Emr, Microsoft Office, Cpr/First Aid
Specialization
Candidates must hold a Master's degree in counseling, social work, or psychology and possess an unrestricted license (LCSW, LMFT, LPC, or LPC-MHSP) in Tennessee. Experience with addictions, mental health diagnoses, and various counseling interventions like CBT and DBT is required.
Experience Required
Minimum 2 year(s)
Primary Therapist at Evoraa Healthcare
Brentwood, Tennessee, United States - Full Time
Skills Needed
Individual Therapy, Group Therapy, Family Therapy, Crisis Intervention, Psychosocial Assessments, Treatment Planning, Cbt, Dbt, Act, Family Systems, Relapse Prevention, Clinical Documentation, Kipu Emr, Microsoft Office, Cpr/First Aid
Specialization
A Master's degree in counseling, social work, or psychology is required, along with experience in addictions and mental health. Candidates must be proficient in various counseling interventions like CBT and DBT and possess strong communication skills.
Experience Required
Minimum 2 year(s)
Payments Specialist at Evoraa Healthcare
Peachtree City, Georgia, United States - Full Time
Skills Needed
Medical Billing, Payment Posting, Revenue Cycle Management, Insurance Reimbursement, Claim Processing, Ehr Systems, Microsoft Office, Data Accuracy, Critical Thinking, Problem Solving, Hipaa Compliance, Financial Reconciliation
Specialization
Candidates should have 1-3 years of experience in medical billing or healthcare revenue cycle management, preferably in behavioral health. Proficiency with EHR systems, billing platforms, and a strong attention to detail are required.
Experience Required
Minimum 2 year(s)
Field Patient Care Specialist (Louisville, KY) at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Clinical Care, Phlebotomy, Patient Education, Vital Signs Collection, Hipaa Compliance, Electronic Health Records, Infection Control, Cpr, Patient Assessment, Cultural Competence, Medical Documentation, Care Coordination
Specialization
Requires an active license as an MA, CNA, LVN/LPN, or Phlebotomist, along with a valid driver's license and CPR certification. Candidates must possess strong interpersonal skills and the ability to work independently in various home environments.
Experience Required
Minimum 2 year(s)
Field Patient Care Specialist (Riverside, CA) at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Clinical Care, Phlebotomy, Patient Education, Vital Signs Collection, Electronic Health Records, Hipaa Compliance, Infection Control, Cpr, Cultural Competence, Patient Assessment, Medical Documentation, Care Coordination
Specialization
Requires an active license as an MA, CNA, LVN/LPN, or Phlebotomist, along with a valid driver's license and CPR certification. Candidates must be proficient in clinical safety and comfortable using technology for mobile documentation.
Experience Required
Minimum 2 year(s)
Specialist, Appeals & Grievances at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Claims Processing, Appeals And Grievances, Medicare And Medicaid Regulations, Customer Service, Medical Record Review, Coordination Of Benefits, Subrogation, Microsoft Office, Time Management, Written Communication, Verbal Communication, Root Cause Analysis, Managed Care, Regulatory Compliance, Claims Adjustment, Provider Relations
Specialization
Requires at least 2 years of managed care experience in claims or appeals, specifically with Medicare and Medicaid guidelines. Proficiency in health claims processing and strong communication skills are essential.
Experience Required
Minimum 2 year(s)
Pharmacy Tech, Prior Auth CPhT or PTCB (Remote) at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Prior Authorization, Pharmacy Claims, Managed Care, Medical Necessity Review, Hipaa Compliance, Microsoft Excel, Written Communication, Verbal Communication, Pharmacy Benefit Management, Retail Pharmacy Experience
Specialization
Requires at least 2 years of pharmacy technician experience and a CPhT certification or state license. Candidates must be proficient in Microsoft Office and capable of navigating multiple computer systems simultaneously.
Experience Required
Minimum 2 year(s)
Field Nurse Practitioner (Tacoma, WA) at Molina Healthcare
Long Beach, California, United States -
Full Time

Start Date

Immediate

Expiry Date

21 Sep, 26

Salary

198356.0

Posted On

23 Jun, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Primary Care, Patient Evaluation, Care Coordination, Chronic Disease Management, Medical Diagnosis, Diagnostic Testing, Electronic Medical Records, Time Management, Problem Solving, Critical Thinking, Verbal Communication, Written Communication, Microsoft Office, Triage, Preventive Care, Patient Assessment

Industry

Hospitals and Health Care

Description
JOB DESCRIPTION Job Summary Provides screening, preventive primary care and medical care services to members - primarily in non-clinical settings where members feel most comfortable, including in-home, community and nursing facilities and “pop up” clinics. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care.   Essential Job Duties • Provides general medical care and care coordination to various and/or specific patient member populations – adult, women’s health, pediatric, and geriatric. • Performs comprehensive evaluations including history and physical exams for gaps in care and preventive assessments. • Addresses both chronic and acute primary care complaints, and demonstrates ability to ascertain medical urgency. • Establishes and documents reasonable medical diagnoses. • Seeks specialty consultation as appropriate. • Orders/performs pertinent diagnostic laboratory and radiology testing for the medical diagnosis or presenting symptoms; works within an environment of limited resources and therefore uses diagnostic tests judiciously and appropriately. • Understands when a member's needs are beyond their scope of knowledge and when physician oversight is needed. • Creates and implements a medical plan of care. • Schedules appointments for visits when appropriate. • Provides post-discharge coordination to reduce hospital readmission rates and emergency room utilization. • Performs face-to-face in-person visits in a variety of settings including in-home, skilled nursing facilities, and public locations. • Performs face-to-face visits via alternative modalities based on business need, leadership direction and state regulations. • Orders bulk laboratory orders to target specific member populations. • Performs alternating on-call coverage to triage any urgent lab results and pharmacy inquiries and develops appropriate plans of care. • Participates in community-based “pop up clinics” to build relationships with communities, and address gaps in health care. • Drives up to 120 miles a day on a regular basis to a variety of locations within the assigned region. Drives beyond 120 miles as part of extended mileage may be required on special project days. Special projects may include an overnight hotel stay. • Obtains and maintains cross-state license in other states besides home state based on business need. • Collaborates with fellow nurse practitioners to develop best practices to perform work duties efficiently and effectively. • Actively participates in regional meetings. • May prescribe medications and perform procedures as appropriate. • Performs timely medical records documentation in electronic medical record (EMR) computer system. • On occasion, may be required to walk flights of stairs while carrying up to 50 lbs. of equipment. • Engages in practices constituting the practice of medicine in collaboration with and under the medical direction and supervision of a licensed physician to the degree required by state laws. • Local travel required (based upon state/contractual requirements).   Required Qualifications • At least 1 year of experience as a nurse practitioner, or equivalent combination of relevant education and experience. • Active and unrestricted national certification from one of the following organizations: American Academy of Nurse Practitioners (AANP) or American Nurses Credentialing Center (ANCC). • Current state-issued license to practice as a Family Nurse Practitioner (FNP). License must be active and unrestricted in state of practice. • Prescriber Drug Enforcement Agency (DEA) license with authority to prescribe per state qualifications. License must be active and unrestricted in state of practice. • Current Basic Life Support (BLS) certification. • Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements. • Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations. • Ability to work independently with minimal supervision and demonstrate self-motivation. • Responsive in all forms of communication. • Ability to remain calm in high-pressure situations. • Ability to develop and maintain professional relationships. • Excellent time-management and prioritization skills; ability to focus on multiple projects simultaneously and adapt to change. • Excellent problem-solving and critical-thinking skills. • Strong verbal and written communication skills. • Microsoft Office suite/applicable software program(s) proficiency, and electronic medical record (EMR) experience.   Preferred Qualifications • Experience as a registered nurse or nurse practitioner in a home health, community health or public health setting. • Experience in home health as a licensed clinician, especially in management of chronic conditions. • Experience with underserved populations facing socioeconomic barriers to health care. • Immunization and point of care testing skills. • Bilingual. 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
Provides screening, preventive primary care, and medical services to members in non-clinical settings such as homes and community facilities. Coordinates care plans, performs physical exams, and manages both acute and chronic health complaints to improve member outcomes.
Field Nurse Practitioner (Tacoma, WA) at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Primary Care, Patient Evaluation, Care Coordination, Chronic Disease Management, Medical Diagnosis, Diagnostic Testing, Electronic Medical Records, Time Management, Problem Solving, Critical Thinking, Verbal Communication, Written Communication, Microsoft Office, Triage, Preventive Care, Patient Assessment
Specialization
Requires at least 1 year of experience as a Nurse Practitioner with an active FNP license, DEA license, and BLS certification. Must hold national certification from AANP or ANCC and possess a valid driver's license for extensive regional travel.
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, Interdisciplinary Team Collaboration, Waiver Enrollment, Medical Necessity Assessment, Time Management, Problem Solving
Specialization
Requires a valid LVN/LPN license and at least 2 years of healthcare experience, including 1 year in LTSS and 1 year in care management. Must possess a valid driver's license and proficiency in Microsoft Office for documentation and reporting.
Experience Required
Minimum 2 year(s)
Nurse Practitioner at Maxmed Healthcare
Honolulu, Hawaii, United States - Full Time
Skills Needed
Patient Assessment, Chronic Disease Management, Preventive Care, Diagnostic Interpretation, Emergency Care, Clinical Counseling, Medical Screening, Therapeutic Planning, Staff Education, Immunizations
Specialization
Requires a Master's degree in Nursing, a current RN license, and NP certification from ANCC, AANP, or a recognized national organization. Candidates must be U.S. citizens with at least one year of professional nursing experience and meet DHA health and security 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, Member Assessment, Care Planning, Ltss, Motivational Interviewing, Medication Reconciliation, Case Coordination, Microsoft Office Suite, Interdisciplinary Care Team Facilitation, Clinical Documentation
Specialization
Requires an active RN license and at least 2 years of healthcare experience, including 1 year in care management and 1 year working with LTSS populations. Must possess a valid driver's license and proficiency in Microsoft Office Suite.
Experience Required
Minimum 2 year(s)
Lead Analyst, Provider and Facility Reimbursement (Remote) at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Provider Reimbursement, Facility Reimbursement, Prospective Payment System (Pps), Microsoft Excel, Sql, Databricks, Data Analysis, Claims Adjudication, Managed Care, Cms Regulations, Value Based Pricing, Capitation, Bundled Payments, Project Management, Stakeholder Communication, Critical Thinking
Specialization
Requires at least 5 years of experience in complex provider reimbursement or claims adjudication within a managed care organization. Candidates must possess advanced Excel skills and the ability to interpret complex state and federal reimbursement policies.
Experience Required
Minimum 5 year(s)
RN Pain Management at Maxmed Healthcare
Honolulu, Hawaii, United States - Full Time
Skills Needed
Pain Management, Patient Care Coordination, Physical Examinations, Health History Taking, Medication Administration, Wound Care, Iv Placement, Blood Drawing, Patient Scheduling, Emergency Response, Patient Education, Clinical Supervision
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.
Care Manager (RN) Remote (Must reside in Arizona) at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Care Management, Case Management, Patient Assessment, Care Coordination, Motivational Interviewing, Medication Reconciliation, Electronic Medical Records, Hipaa Compliance, Time Management, Problem Solving, Critical Thinking, Interdisciplinary Collaboration, Microsoft Office, Patient Outreach, Behavioral Health Support, Clinical Judgment
Specialization
Requires a valid Registered Nurse (RN) license and at least 2 years of experience in healthcare, preferably in care management or behavioral health. Candidates must have a valid driver's license and the ability to travel locally within the service area.
Experience Required
Minimum 2 year(s)
Advanced Practice Provider/Nurse Practitioner at Matter Healthcare
Memphis, Tennessee, United States - Full Time
Skills Needed
Primary Care, Preventive Care, Chronic Disease Management, Patient Panel Management, Telehealth, Ehr Documentation, Care Coordination, Geriatric Care, Value Based Care, Clinical Autonomy, Patient Centered Care, Medical Coding
Specialization
Requires an active Nurse Practitioner or Physician Associate license, board certification, and at least 3 years of clinical experience, preferably with aging populations. Must possess a valid driver's license, BLS certification, and proficiency in EHR documentation.
Experience Required
Minimum 2 year(s)
Facilities Compliance Associate at MEDRVA Healthcare
Richmond, Virginia, United States - Full Time
Skills Needed
Regulatory Compliance, Facilities Management, Osha Standards, Preventive Maintenance, Environmental Health & Safety, Vendor Management, Emergency Preparedness, Documentation, Cms Compliance, Aaahc Standards, Life Safety, Infection Prevention, Analytical Skills, Problem Solving, Microsoft Office Suite, Communication Skills
Specialization
A high school diploma is required, though an associate degree in Healthcare Administration or a related field is preferred. Candidates should ideally have at least 2 years of experience in healthcare facilities, compliance, or safety operations.
Experience Required
Minimum 2 year(s)
Sr Quality Improvement/HEDIS Spec, Health Plan Interventions (Remote In Ohi at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Quality Improvement, Hedis, Qi Science, Power Bi, Medicare Stars, Lean, Six Sigma, Data Analysis, Ncqa, Population Health, Health Equity, Business Writing, Project Management, Clinical Quality, Change Management, Member Interventions
Specialization
Requires at least 3 years of healthcare experience and 2 years in health plan quality member interventions within a managed care setting. Proficiency in data analysis, HEDIS, and NCQA is essential, with a preference for CPHQ or CHCA certifications.
Experience Required
Minimum 2 year(s)
Case Manager at Evoraa Healthcare
, Georgia, United States - Full Time
Skills Needed
Case Management, Patient Screening, Intake Assessment, Individualized Service Planning, Psychoeducational Instruction, Motivational Enhancement, Crisis Intervention, Resource Linking, Interpersonal Skills, Analytical Skills, Customer Service, Joint Commission Standards, Dhs Standards, Record Management, Referral Coordination, Patient Advocacy
Specialization
A Bachelor's degree or equivalent experience is required, along with professional experience in case management and substance abuse or mental health services. Candidates should be detail-oriented and possess in-depth knowledge of Joint Commission and DHS standards.
Experience Required
Minimum 2 year(s)
Case Manager at Evoraa Healthcare
Brentwood, Tennessee, United States - Full Time
Skills Needed
Case Management, Patient Screening, Intake Assessment, Individualized Service Planning, Psychoeducational Instruction, Motivational Enhancement, Crisis Intervention, Resource Linking, Clinical Documentation, Interpersonal Skills, Analytical Skills, Customer Service, Joint Commission Standards, Dhs Standards, Regulatory Compliance, Patient Coordination
Specialization
A Bachelor's degree or equivalent experience is required, along with proven experience in case management and substance abuse or mental health services. Candidates should be detail-oriented and possess strong knowledge of Joint Commission and DHS standards.
Experience Required
Minimum 2 year(s)
Senior Staff Nurse Pre Assessment at HCA Healthcare UK
Poznan, Greater Poland Voivodeship, Poland - Full Time
Skills Needed
Clinical Assessment, Patient Care Planning, Medical History Taking, Patient Observations, Medication Advice, Staff Supervision, Multidisciplinary Collaboration, Decision Making, Organisational Skills, Communication Skills
Specialization
Requires a Registered Nurse with a valid NMC registration and experience in a pre-assessment or outpatient setting. Candidates must possess strong clinical decision-making skills and experience supervising junior staff.
Experience Required
Minimum 5 year(s)
Licensed Primary Therapist LCSW, LMFT, LPC, or LPC-MHSP at Evoraa Healthcare
Brentwood, Tennessee, United States - Full Time
Skills Needed
Individual Therapy, Group Therapy, Family Therapy, Crisis Intervention, Psychosocial Assessments, Treatment Planning, Cbt, Dbt, Act, Family Systems, Addiction Counseling, Mental Health Diagnosis, Clinical Documentation, Kipu Emr, Microsoft Office, Cpr/First Aid
Specialization
Candidates must hold a Master's degree in counseling, social work, or psychology and possess an unrestricted license (LCSW, LMFT, LPC, or LPC-MHSP) in Tennessee. Experience with addictions, mental health diagnoses, and various counseling interventions like CBT and DBT is required.
Experience Required
Minimum 2 year(s)
Primary Therapist at Evoraa Healthcare
Brentwood, Tennessee, United States - Full Time
Skills Needed
Individual Therapy, Group Therapy, Family Therapy, Crisis Intervention, Psychosocial Assessments, Treatment Planning, Cbt, Dbt, Act, Family Systems, Relapse Prevention, Clinical Documentation, Kipu Emr, Microsoft Office, Cpr/First Aid
Specialization
A Master's degree in counseling, social work, or psychology is required, along with experience in addictions and mental health. Candidates must be proficient in various counseling interventions like CBT and DBT and possess strong communication skills.
Experience Required
Minimum 2 year(s)
Payments Specialist at Evoraa Healthcare
Peachtree City, Georgia, United States - Full Time
Skills Needed
Medical Billing, Payment Posting, Revenue Cycle Management, Insurance Reimbursement, Claim Processing, Ehr Systems, Microsoft Office, Data Accuracy, Critical Thinking, Problem Solving, Hipaa Compliance, Financial Reconciliation
Specialization
Candidates should have 1-3 years of experience in medical billing or healthcare revenue cycle management, preferably in behavioral health. Proficiency with EHR systems, billing platforms, and a strong attention to detail are required.
Experience Required
Minimum 2 year(s)
Field Patient Care Specialist (Louisville, KY) at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Clinical Care, Phlebotomy, Patient Education, Vital Signs Collection, Hipaa Compliance, Electronic Health Records, Infection Control, Cpr, Patient Assessment, Cultural Competence, Medical Documentation, Care Coordination
Specialization
Requires an active license as an MA, CNA, LVN/LPN, or Phlebotomist, along with a valid driver's license and CPR certification. Candidates must possess strong interpersonal skills and the ability to work independently in various home environments.
Experience Required
Minimum 2 year(s)
Field Patient Care Specialist (Riverside, CA) at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Clinical Care, Phlebotomy, Patient Education, Vital Signs Collection, Electronic Health Records, Hipaa Compliance, Infection Control, Cpr, Cultural Competence, Patient Assessment, Medical Documentation, Care Coordination
Specialization
Requires an active license as an MA, CNA, LVN/LPN, or Phlebotomist, along with a valid driver's license and CPR certification. Candidates must be proficient in clinical safety and comfortable using technology for mobile documentation.
Experience Required
Minimum 2 year(s)
Specialist, Appeals & Grievances at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Claims Processing, Appeals And Grievances, Medicare And Medicaid Regulations, Customer Service, Medical Record Review, Coordination Of Benefits, Subrogation, Microsoft Office, Time Management, Written Communication, Verbal Communication, Root Cause Analysis, Managed Care, Regulatory Compliance, Claims Adjustment, Provider Relations
Specialization
Requires at least 2 years of managed care experience in claims or appeals, specifically with Medicare and Medicaid guidelines. Proficiency in health claims processing and strong communication skills are essential.
Experience Required
Minimum 2 year(s)
Pharmacy Tech, Prior Auth CPhT or PTCB (Remote) at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Prior Authorization, Pharmacy Claims, Managed Care, Medical Necessity Review, Hipaa Compliance, Microsoft Excel, Written Communication, Verbal Communication, Pharmacy Benefit Management, Retail Pharmacy Experience
Specialization
Requires at least 2 years of pharmacy technician experience and a CPhT certification or state license. Candidates must be proficient in Microsoft Office and capable of navigating multiple computer systems simultaneously.
Experience Required
Minimum 2 year(s)