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Manager, Care Connections Outreach & Engagement at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Team Leadership, Outreach Initiatives, Dialer Strategies, Performance Management, Member Interactions, Strategy Development, Analytical Skills, Problem Solving, Communication, Scheduling Optimization, Onboarding, Training, Hipaa Compliance, Electronic Medical Record, Adaptability, Bilingual
Specialization
Candidates must possess at least 7 years of administrative support experience in healthcare, including a minimum of 1 year in a management or leadership capacity. Required skills include strong analytical abilities, proficiency in Word and Excel, experience with EMR documentation, and bilingual capability.
Experience Required
Minimum 5 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)
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)
Case Manager at Evoraa Healthcare
Brentwood, Tennessee, United States - Full Time
Skills Needed
Case Management, Client Services Coordination, Psychoeducation, Motivational Enhancement, Patient Screening, Intake, Orientation, Assessment, Service Plan Development, Referral Management, Documentation, Interpersonal Skills, Analytical Skills, Client Service, Joint Commission Standards, Dhs Standards
Specialization
A Bachelor's Degree or equivalent combination of education and experience is required, along with knowledge and experience in case management, particularly within substance abuse, mental health, housing, and community support services. Experience developing rapport with substance-abusing populations is strongly preferred.
Experience Required
Minimum 2 year(s)
Case Manager at Evoraa Healthcare
Madison, Tennessee, United States - Full Time
Skills Needed
Case Management, Patient Screening, Intake And Assessment, Individualized Service Planning, Psychoeducational Instruction, Motivational Enhancement, Crisis Intervention, Resource Coordination, Documentation, Substance Abuse Treatment, Mental Health Support, Interpersonal Skills, Analytical Skills, Customer Service, Regulatory Compliance, Time Management
Specialization
A Bachelor's degree from an accredited institution or an equivalent combination of education and experience is required. Candidates must have professional experience in case management, substance abuse, and mental health support services.
Experience Required
Minimum 2 year(s)
Case Manager at Evoraa Healthcare
Brentwood, Tennessee, United States - Full Time
Skills Needed
Case Management, Substance Abuse Counseling, Patient Screening, Intake Assessment, Individualized Service Planning, Psychoeducational Instruction, Motivational Enhancement, Crisis Intervention, Documentation, Community Resource Coordination, Interpersonal Skills, Analytical Skills, Customer Service, Regulatory Compliance, Time Management
Specialization
A Bachelor's degree from an accredited institution or an equivalent combination of education and experience is required. Candidates must have experience in case management, substance abuse, and mental health support services.
Experience Required
Minimum 2 year(s)
UR Associate at Evoraa Healthcare
Peachtree City, Georgia, United States - Full Time
Skills Needed
Time Management, Communication, Conflict Resolution, Research, Documentation, Insurance Authorization, Asam Criteria, Locus Criteria, Scheduling, Peer Reviews, Data Analysis, Compliance, Emr Documentation, Computer Literacy
Specialization
Candidates must possess a High School Diploma, excellent time management, strong communication, and conflict resolution skills. The role requires strong documentation abilities, a willingness to conduct research, attention to detail, and computer literacy, with previous behavioral health or medical field experience being preferred.
Intern at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Healthcare Business, Communication, Relationship Management, Confidentiality, Hipaa Compliance, Professionalism, Time Management
Specialization
Candidates must be currently enrolled students or alumni, ranging from freshman to first-year master's level. Applicants are required to maintain confidentiality, comply with HIPAA regulations, and demonstrate the ability to build effective professional relationships.
Housekeeper - Full-time at Evoraa Healthcare
Madison, Tennessee, United States - Full Time
Skills Needed
Cleaning, Sanitizing, Housekeeping Duties, Inventory Monitoring, Equipment Storage, Laundry Management, Confidentiality, Client Relations, Hipaa Compliance
Specialization
This is an entry-level position, though a high school diploma or equivalent is preferred. One year of professional cleaning experience is also preferred, along with the ability to maintain strict confidentiality regarding sensitive information.
Assoc Program Manager (Provider Credentialling, Sanctions & Exclusions) Rem at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Program Management, Vendor Management, Software Management, Credentialing, Sanctions, Exclusions, Project Planning, Budgeting, Process Improvement, Requirements Gathering, Documentation
Specialization
The role requires an Associate's Degree or equivalent experience, with a preferred Bachelor's Degree. Candidates need 1-3 years of required experience, preferably 3-5 years, focusing primarily on project/program management rather than deep functional expertise.
Experience Required
Minimum 2 year(s)
Product Manager (DME, non-software) at BioTAB Healthcare
St. Louis, Missouri, United States - Full Time
Skills Needed
Agile Leadership, Scrum, Kanban, Product Vision, Roadmap Development, Release Planning, User Stories, Project Coordination, Quality Control, Technical Oversight, Cross Functional Collaboration, Regulatory Compliance, Iso 13485, Analytical Skills, Time Management, Hipaa Adherence
Specialization
Candidates need excellent communication skills and deep practical application of Agile frameworks like Scrum or Kanban, proven by leading ceremonies. A minimum of two years of experience in a Product Owner, Scrum Master, or Agile Project role within the healthcare, medical device, or DME industry is required, along with basic engineering understanding.
Experience Required
Minimum 2 year(s)
Representative, Support Center III - Remote (Bilingual Preferred) at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Customer Service, Call Center Operations, Problem Resolution, Data Processing, Time Management, Communication Skills, Hipaa Compliance, Microsoft Office, Salesforce, Crm, Managed Care, Insurance Knowledge, Medicaid, Medicare, Marketplace, Conflict Resolution
Specialization
Requires at least 2 years of customer service, call center, or sales experience in a high-volume environment. Candidates must have an understanding of insurance products like Medicaid and Medicare and possess strong data processing and communication skills.
Experience Required
Minimum 2 year(s)
Provider Credentialing and HR Manager at Maxmed Healthcare
San Antonio, Texas, United States - Full Time
Skills Needed
Credentialing, Privileging, Human Resources, Primary Source Verification, Healthcare Administration, Onboarding, Employee Relations, Compliance, Hris, Timekeeping, Performance Management, Data Management, Reporting, Microsoft Office 365, Background Checks
Specialization
Candidates must possess a bachelor's degree in a relevant field and at least 3-5 years of experience in healthcare credentialing. Additionally, 3+ years of HR generalist experience and familiarity with federal healthcare or Defense Health Agency environments 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.
Behavioral Health Technician 3rd Shift Full-time at Evoraa Healthcare
Brentwood, Tennessee, United States - Full Time
Skills Needed
Behavioral Health Support, Client Supervision, De Escalation, Safety Monitoring, Documentation, Electronic Medical Records, Interpersonal Skills, Time Management, Multi Tasking, Communication Skills, Crisis Management, Patient Care, Record Keeping, Professional Judgment, Privacy Compliance
Specialization
Candidates should have a high school diploma or GED, with experience in substance abuse or mental health settings preferred. A valid state driver's license with no major violations in the past five years is required.
Verification Specialist at Evoraa Healthcare
Peachtree City, Georgia, United States - Full Time
Skills Needed
Benefit Verification, Data Entry, Customer Service, Behavioral Health, Microsoft Office Suite, Outlook, Insurance Portals, Tracking Software, Time Management, Multitasking, Communication Skills, Interpersonal Skills, Organization, Workflow Management
Specialization
Candidates must have at least a high school diploma or equivalent and strong interpersonal skills. Proficiency in Microsoft Office and the ability to manage insurance policy information are essential for this role.
Care Review Clinician (RN) at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Clinical Review, Utilization Management, Prior Authorization, Medical Necessity Verification, Clinical Guidelines, Care Coordination, Regulatory Compliance, Critical Thinking, Problem Solving, Organizational Skills, Communication Skills, Microsoft Office, Inpatient Review, Managed Care, Acute Care
Specialization
Candidates must be a Registered Nurse (RN) with an active, unrestricted license and at least 2 years of relevant clinical experience. Proficiency in Microsoft Office and strong organizational and critical-thinking skills are required.
Experience Required
Minimum 2 year(s)
Field Nurse Practitioner (Chehalis, WA) at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Primary Care, Care Coordination, Comprehensive Evaluations, Chronic Disease Management, Acute Care, Medical Diagnosis, Diagnostic Testing, Medical Plan Of Care, Post Discharge Coordination, On Call Coverage, Community Outreach, Cross State Licensing, Medical Records Documentation, Emr Proficiency, Time Management, Problem Solving
Specialization
Candidates must possess at least 1 year of experience as a Nurse Practitioner, hold active and unrestricted national certification (AANP or ANCC), and maintain current state licensure as an FNP with an active DEA prescriber license. A valid driver's license, reliable transportation, and the ability to work independently are also mandatory requirements.
Pharmacy Technician at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Pharmacy Technician, Prior Authorization, Formulary, Hipaa Compliance, Communication, Data Entry, Problem Solving, Policy Interpretation, Microsoft Office, Excel
Specialization
Candidates must possess at least two years of pharmacy technician experience or equivalent education, along with being a Certified Pharmacy Technician (CPhT) or holding a state pharmacy technician license if required. Essential abilities include maintaining confidentiality under HIPAA, strong communication skills, and proficiency with Microsoft Office Suite.
Experience Required
Minimum 2 year(s)
BHT Supervisor at Evoraa Healthcare
Brentwood, Tennessee, United States - Full Time
Skills Needed
Supervision, Client Well Being, Intake Procedures, Scheduling, Client Support, Safety Monitoring, Infection Control, Staff Meetings, Training Coordination, Client Confidentiality, Hipaa Compliance, Professional Ethics, Safety Reporting, Quality Client Care, Lab Requisitions, Computer Literate
Specialization
Candidates must possess a High School Diploma or GED, with vocational training preferred, and must have prior supervisory experience, either as a BHT Supervisor or two years in the medical field, alongside 3-5 years of healthcare client care experience. Additional requirements include computer proficiency, excellent communication skills, and, for recovering individuals, one year of continuous sobriety.
Experience Required
Minimum 2 year(s)
Manager, Care Connections Outreach & Engagement at Molina Healthcare
Long Beach, California, United States -
Full Time

Start Date

Immediate

Expiry Date

29 May, 26

Salary

0.0

Posted On

28 Feb, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Team Leadership, Outreach Initiatives, Dialer Strategies, Performance Management, Member Interactions, Strategy Development, Analytical Skills, Problem-Solving, Communication, Scheduling Optimization, Onboarding, Training, HIPAA Compliance, Electronic Medical Record, Adaptability, Bilingual

Industry

Hospitals and Health Care

Description
Job Description Job Summary Leads and manages teams that drive member outreach initiatives and ensure alignment with Care Connection goals.  Oversees the execution of dialer strategies, manages team performance, and ensures high-quality member interactions. Contributes to overarching strategy to provide quality and cost-effective member care.    Job Duties * Develops and executes dialer strategies in coordination with the Senior Leadership Team (SLT) to meet outreach and engagement goals. * Generates and manages hand-dial lists based on business priorities, ensuring timely and accurate completion by outreach and engagement teams. * Ensure all team members adhere to departmental standards, call quality, and documentation requirements. * Monitors and manages team performance, ensuring all team members meet or exceed role-specific metrics. * Optimize scheduling capacity by reviewing team schedules and collaborating with Nurse Practitioner Leadership and the Scheduling Team. * Supports onboarding and training new team members. * Coordinates shift coverage to meet business needs across all hours of operation. * Handles escalation calls and personally schedules member visits for a minimum of 2 hours per week to stay connected to frontline operations. * Fosters positive relationships with coworkers, members, providers, and stakeholders.   Job Qualifications REQUIRED QUALIFICATIONS: * At least 7 years administrative support experience in healthcare, or equivalent combination of relevant experience and education. * At least 1 year management/leadership experience required.  * Strong analytical skills. * Ability to lead teams in a fast-paced, mission-driven environment. * Strong communication, problem-solving, and collaborative interpersonal skills. * Proficient in computer applications, including Word and Excel. * Experience documenting in an electronic medical record system. * Ability to manage multiple priorities and adapt to change. * Ability to adjust style as needed - working with diverse populations and various personalities and personal situations. * Responsive in all forms of communication - remains calm in high-pressure situations. * Bilingual (English and at least 1 additional language as required). * Knowledge of HIPAA compliance and professional documentation standards. PREFERRED QUALIFICATIONS: * Healthcare administrative support leadership in roles such as Medical Office, Patient Services, Medical Receptionist Teams, Front Desk Coordinator Teams, or Medical Appointment Scheduling Teams. * Experience utilizing Epic for member registration, documentation, and provider scheduling. * Experience with SalesForce, QNXT, or CCA systems. * Experience managing auto dialer platforms and outbound member campaigns. * Experience with PowerBi.     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
This role leads and manages teams responsible for driving member outreach initiatives, overseeing dialer strategies, and ensuring alignment with Care Connection goals. The manager is also responsible for contributing to the overarching strategy for quality and cost-effective member care.
Manager, Care Connections Outreach & Engagement at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Team Leadership, Outreach Initiatives, Dialer Strategies, Performance Management, Member Interactions, Strategy Development, Analytical Skills, Problem Solving, Communication, Scheduling Optimization, Onboarding, Training, Hipaa Compliance, Electronic Medical Record, Adaptability, Bilingual
Specialization
Candidates must possess at least 7 years of administrative support experience in healthcare, including a minimum of 1 year in a management or leadership capacity. Required skills include strong analytical abilities, proficiency in Word and Excel, experience with EMR documentation, and bilingual capability.
Experience Required
Minimum 5 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)
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)
Case Manager at Evoraa Healthcare
Brentwood, Tennessee, United States - Full Time
Skills Needed
Case Management, Client Services Coordination, Psychoeducation, Motivational Enhancement, Patient Screening, Intake, Orientation, Assessment, Service Plan Development, Referral Management, Documentation, Interpersonal Skills, Analytical Skills, Client Service, Joint Commission Standards, Dhs Standards
Specialization
A Bachelor's Degree or equivalent combination of education and experience is required, along with knowledge and experience in case management, particularly within substance abuse, mental health, housing, and community support services. Experience developing rapport with substance-abusing populations is strongly preferred.
Experience Required
Minimum 2 year(s)
Case Manager at Evoraa Healthcare
Madison, Tennessee, United States - Full Time
Skills Needed
Case Management, Patient Screening, Intake And Assessment, Individualized Service Planning, Psychoeducational Instruction, Motivational Enhancement, Crisis Intervention, Resource Coordination, Documentation, Substance Abuse Treatment, Mental Health Support, Interpersonal Skills, Analytical Skills, Customer Service, Regulatory Compliance, Time Management
Specialization
A Bachelor's degree from an accredited institution or an equivalent combination of education and experience is required. Candidates must have professional experience in case management, substance abuse, and mental health support services.
Experience Required
Minimum 2 year(s)
Case Manager at Evoraa Healthcare
Brentwood, Tennessee, United States - Full Time
Skills Needed
Case Management, Substance Abuse Counseling, Patient Screening, Intake Assessment, Individualized Service Planning, Psychoeducational Instruction, Motivational Enhancement, Crisis Intervention, Documentation, Community Resource Coordination, Interpersonal Skills, Analytical Skills, Customer Service, Regulatory Compliance, Time Management
Specialization
A Bachelor's degree from an accredited institution or an equivalent combination of education and experience is required. Candidates must have experience in case management, substance abuse, and mental health support services.
Experience Required
Minimum 2 year(s)
UR Associate at Evoraa Healthcare
Peachtree City, Georgia, United States - Full Time
Skills Needed
Time Management, Communication, Conflict Resolution, Research, Documentation, Insurance Authorization, Asam Criteria, Locus Criteria, Scheduling, Peer Reviews, Data Analysis, Compliance, Emr Documentation, Computer Literacy
Specialization
Candidates must possess a High School Diploma, excellent time management, strong communication, and conflict resolution skills. The role requires strong documentation abilities, a willingness to conduct research, attention to detail, and computer literacy, with previous behavioral health or medical field experience being preferred.
Intern at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Healthcare Business, Communication, Relationship Management, Confidentiality, Hipaa Compliance, Professionalism, Time Management
Specialization
Candidates must be currently enrolled students or alumni, ranging from freshman to first-year master's level. Applicants are required to maintain confidentiality, comply with HIPAA regulations, and demonstrate the ability to build effective professional relationships.
Housekeeper - Full-time at Evoraa Healthcare
Madison, Tennessee, United States - Full Time
Skills Needed
Cleaning, Sanitizing, Housekeeping Duties, Inventory Monitoring, Equipment Storage, Laundry Management, Confidentiality, Client Relations, Hipaa Compliance
Specialization
This is an entry-level position, though a high school diploma or equivalent is preferred. One year of professional cleaning experience is also preferred, along with the ability to maintain strict confidentiality regarding sensitive information.
Assoc Program Manager (Provider Credentialling, Sanctions & Exclusions) Rem at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Program Management, Vendor Management, Software Management, Credentialing, Sanctions, Exclusions, Project Planning, Budgeting, Process Improvement, Requirements Gathering, Documentation
Specialization
The role requires an Associate's Degree or equivalent experience, with a preferred Bachelor's Degree. Candidates need 1-3 years of required experience, preferably 3-5 years, focusing primarily on project/program management rather than deep functional expertise.
Experience Required
Minimum 2 year(s)
Product Manager (DME, non-software) at BioTAB Healthcare
St. Louis, Missouri, United States - Full Time
Skills Needed
Agile Leadership, Scrum, Kanban, Product Vision, Roadmap Development, Release Planning, User Stories, Project Coordination, Quality Control, Technical Oversight, Cross Functional Collaboration, Regulatory Compliance, Iso 13485, Analytical Skills, Time Management, Hipaa Adherence
Specialization
Candidates need excellent communication skills and deep practical application of Agile frameworks like Scrum or Kanban, proven by leading ceremonies. A minimum of two years of experience in a Product Owner, Scrum Master, or Agile Project role within the healthcare, medical device, or DME industry is required, along with basic engineering understanding.
Experience Required
Minimum 2 year(s)
Representative, Support Center III - Remote (Bilingual Preferred) at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Customer Service, Call Center Operations, Problem Resolution, Data Processing, Time Management, Communication Skills, Hipaa Compliance, Microsoft Office, Salesforce, Crm, Managed Care, Insurance Knowledge, Medicaid, Medicare, Marketplace, Conflict Resolution
Specialization
Requires at least 2 years of customer service, call center, or sales experience in a high-volume environment. Candidates must have an understanding of insurance products like Medicaid and Medicare and possess strong data processing and communication skills.
Experience Required
Minimum 2 year(s)
Provider Credentialing and HR Manager at Maxmed Healthcare
San Antonio, Texas, United States - Full Time
Skills Needed
Credentialing, Privileging, Human Resources, Primary Source Verification, Healthcare Administration, Onboarding, Employee Relations, Compliance, Hris, Timekeeping, Performance Management, Data Management, Reporting, Microsoft Office 365, Background Checks
Specialization
Candidates must possess a bachelor's degree in a relevant field and at least 3-5 years of experience in healthcare credentialing. Additionally, 3+ years of HR generalist experience and familiarity with federal healthcare or Defense Health Agency environments 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.
Behavioral Health Technician 3rd Shift Full-time at Evoraa Healthcare
Brentwood, Tennessee, United States - Full Time
Skills Needed
Behavioral Health Support, Client Supervision, De Escalation, Safety Monitoring, Documentation, Electronic Medical Records, Interpersonal Skills, Time Management, Multi Tasking, Communication Skills, Crisis Management, Patient Care, Record Keeping, Professional Judgment, Privacy Compliance
Specialization
Candidates should have a high school diploma or GED, with experience in substance abuse or mental health settings preferred. A valid state driver's license with no major violations in the past five years is required.
Verification Specialist at Evoraa Healthcare
Peachtree City, Georgia, United States - Full Time
Skills Needed
Benefit Verification, Data Entry, Customer Service, Behavioral Health, Microsoft Office Suite, Outlook, Insurance Portals, Tracking Software, Time Management, Multitasking, Communication Skills, Interpersonal Skills, Organization, Workflow Management
Specialization
Candidates must have at least a high school diploma or equivalent and strong interpersonal skills. Proficiency in Microsoft Office and the ability to manage insurance policy information are essential for this role.
Care Review Clinician (RN) at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Clinical Review, Utilization Management, Prior Authorization, Medical Necessity Verification, Clinical Guidelines, Care Coordination, Regulatory Compliance, Critical Thinking, Problem Solving, Organizational Skills, Communication Skills, Microsoft Office, Inpatient Review, Managed Care, Acute Care
Specialization
Candidates must be a Registered Nurse (RN) with an active, unrestricted license and at least 2 years of relevant clinical experience. Proficiency in Microsoft Office and strong organizational and critical-thinking skills are required.
Experience Required
Minimum 2 year(s)
Field Nurse Practitioner (Chehalis, WA) at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Primary Care, Care Coordination, Comprehensive Evaluations, Chronic Disease Management, Acute Care, Medical Diagnosis, Diagnostic Testing, Medical Plan Of Care, Post Discharge Coordination, On Call Coverage, Community Outreach, Cross State Licensing, Medical Records Documentation, Emr Proficiency, Time Management, Problem Solving
Specialization
Candidates must possess at least 1 year of experience as a Nurse Practitioner, hold active and unrestricted national certification (AANP or ANCC), and maintain current state licensure as an FNP with an active DEA prescriber license. A valid driver's license, reliable transportation, and the ability to work independently are also mandatory requirements.
Pharmacy Technician at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Pharmacy Technician, Prior Authorization, Formulary, Hipaa Compliance, Communication, Data Entry, Problem Solving, Policy Interpretation, Microsoft Office, Excel
Specialization
Candidates must possess at least two years of pharmacy technician experience or equivalent education, along with being a Certified Pharmacy Technician (CPhT) or holding a state pharmacy technician license if required. Essential abilities include maintaining confidentiality under HIPAA, strong communication skills, and proficiency with Microsoft Office Suite.
Experience Required
Minimum 2 year(s)
BHT Supervisor at Evoraa Healthcare
Brentwood, Tennessee, United States - Full Time
Skills Needed
Supervision, Client Well Being, Intake Procedures, Scheduling, Client Support, Safety Monitoring, Infection Control, Staff Meetings, Training Coordination, Client Confidentiality, Hipaa Compliance, Professional Ethics, Safety Reporting, Quality Client Care, Lab Requisitions, Computer Literate
Specialization
Candidates must possess a High School Diploma or GED, with vocational training preferred, and must have prior supervisory experience, either as a BHT Supervisor or two years in the medical field, alongside 3-5 years of healthcare client care experience. Additional requirements include computer proficiency, excellent communication skills, and, for recovering individuals, one year of continuous sobriety.
Experience Required
Minimum 2 year(s)