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Field Care Manager, LTSS (RN) - Local Travel Required at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Registered Nurse (Rn), Care Management, Managed Care, Waiver Assessments, Care Planning, Interdisciplinary Care Team (Ict), Motivational Interviewing, Microsoft Office Suite, Outlook, Excel, Teams, Time Management, Problem Solving, Critical Thinking, Communication Skills
Specialization
Candidates must be a Registered Nurse (RN) with an active and unrestricted license, possessing at least two years of healthcare experience, including one year in care management or managed care, and one year working with populations with disabilities or chronic conditions. A valid driver's license, reliable transportation, and proficiency in Microsoft Office Suite are mandatory.
Experience Required
Minimum 2 year(s)
Market CFO, CA Health Plan – Remote at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Financial Analysis, Strategy Development, Leadership, Profitability Initiatives, Rate Advocacy, Risk Adjustment, Provider Agreements, Medical Expense Management, Staffing Models, Budgeting, Forecasting, Data Analytics, Reporting Standardization, Stakeholder Collaboration, Critical Thinking, Time Management
Specialization
Candidates must possess at least 12 years of progressive finance or analytical experience, including 5 years in managed care/Medicaid and 3 years in programming/database/financial analysis, along with 7 years of management experience and a Bachelor's degree in finance or accounting. Strong skills in relationship building, decision-making, executive-level presentation, and advanced Excel proficiency are required.
Experience Required
Minimum 10 year(s)
Representative, Dialer Administration at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Dialer Administration, Predictive Dialer, Data Analytics, Statistical Analysis, Training, Reporting, Telephony Design, Campaign Management, Performance Monitoring, Problem Identification, Collaboration, Documentation, Outbound Calls, Contact Center Experience, User Support, Campaign Strategy
Specialization
An Associate's Degree or equivalent experience is required, along with 1-3 years of outbound dialer and contact center experience. Preferred qualifications include a Bachelor's Degree and 3-5 years of relevant experience.
Experience Required
Minimum 2 year(s)
GP / Healthscreener at HCA Healthcare UK
London, England, United Kingdom - Full Time
Skills Needed
Gmc Registered, Communication Skills, It Skills, Preventative Medicine, Lifestyle Medicine, Coaching, Blood Taking, Smear Tests, Ecgs, Primary Care, Health Screening, Patient Engagement, Medical Examinations, Prescribing, Behaviour Change
Specialization
Candidates must be GMC registered and possess strong communication and IT skills, along with a proactive, patient-first approach focused on preventative and lifestyle medicine. Prior private patient experience is desirable but not mandatory, and training will be provided for advanced health screening procedures.
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)
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.
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)
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)
Medical Director, Behavioral Health at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Medical Oversight, Behavioral Health, Chemical Dependency, Utilization Management, Care Management, Clinical Leadership, Medical Necessity Reviews, Policy Development, Cost Reduction, Quality Compliance, Psychiatric Diagnoses, Peer Reviews, Appeals, Recruitment, Practice Guidelines, Critical Thinking
Specialization
Candidates must possess a Doctor of Medicine (MD) or Doctor of Osteopathy (DO) degree, be Board Certified in Psychiatry, and have at least three years of relevant experience, including two years in psychiatry/behavioral health practice. Essential qualifications include strong organizational, communication, decision-making skills, and working knowledge of relevant national and state regulatory requirements.
Experience Required
Minimum 5 year(s)
Sleep Sales Representative at VieMed Healthcare
Columbia, Missouri, United States - Full Time
Skills Needed
Sales Territory Planning, Consultative Selling, Strategic Selling, Educational Presentations, Account Management, Sales Documentation, Territory Management, Relationship Building, Communication, Goal Achievement, Organization, Prioritizing, Problem Solving, Lead Generation, Follow Up, Follow Through
Specialization
Candidates must be resourceful problem solvers with established relationships with Sleep Specialists within the territory and must provide three informal letters of recommendation from a physician or provider. A minimum of two years of full-life medical sales experience, including lead generation and follow-up, is required, along with a valid driver's license and reliable transportation.
Experience Required
Minimum 2 year(s)
Senior Accountant - REMOTE at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Journal Entries, General Accepted Accounting Principles, Statutory Reporting, Financial Data Analysis, Budgeting, Forecasting, Financial Statement Reporting, Auditing Support, Balance Sheet Reconciliation, Bank Reconciliation, Statutory Accounting Principles, Control Processes, Critical Thinking, Problem Solving, Analytical Skills, Microsoft Office Suite
Specialization
Candidates must possess at least three years of accounting experience or an equivalent combination of education and experience, along with a Bachelor's degree in accounting or business. Required competencies include strong analytical, critical-thinking, and problem-solving skills, proficiency in Microsoft Excel (VLOOKUPs, pivot tables), and the ability to manage multiple tasks effectively.
Experience Required
Minimum 2 year(s)
Cook Part-time at Evoraa Healthcare
Kingston, Georgia, United States - Full Time
Skills Needed
Meal Preparation, Food Safety, Portion Control, Inventory Management, Cleaning, Documentation, Client Ethics
Specialization
A High School Diploma or GED is preferred, and candidates must possess a Food Handler Certificate, adhering to all Board of Health requirements and state guidelines. Applicants must not have felonies within the last five years or substance abuse convictions, and recovering individuals require one year of continuous sobriety and program participation.
RN/LPN PRN Nights/Days at Evoraa Healthcare
Brentwood, Tennessee, United States - Full Time
Skills Needed
Medication Administration, Vital Signs Monitoring, Patient Assessment, Nursing Documentation, Hipaa Compliance, Phlebotomy, Tb Testing, Psychiatric Care, Chemical Dependency Support, Patient Intake, Crisis Intervention, Interdisciplinary Communication
Specialization
Candidates must hold a current, unrestricted RN or LPN license in Tennessee. The role requires the ability to work effectively with individuals in psychiatric or chemical dependency treatment and strong communication skills.
Telephonic Care Manager, LTSS (RN) - TX ONLY - Disease Management at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Care Management, Disease Management, Case Management, Registered Nurse, Microsoft Office Suite, Outlook, Excel, Teams, Motivational Interviewing, Medication Reconciliation, Care Coordination, Documentation, Time Management, Critical Thinking, Problem Solving, Communication
Specialization
Candidates must be a Texas-licensed Registered Nurse with at least two years of healthcare experience, including one year in care management or managed care. Proficiency in Microsoft Office and the ability to manage complex cases while multitasking in a fast-paced environment are essential.
Experience Required
Minimum 2 year(s)
Medical Director, Behavioral Health at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Medical Oversight, Behavioral Health, Chemical Dependency, Utilization Management, Care Management, Clinical Leadership, Medical Necessity Reviews, Policy Development, Cost Reduction, Quality Compliance, Psychiatric Diagnoses, Peer Reviews, Appeals, Recruitment, Practice Guidelines, Critical Thinking
Specialization
Candidates must possess a Doctor of Medicine (MD) or Doctor of Osteopathy (DO) degree, be Board Certified in Psychiatry, and have at least three years of relevant experience, including two years in psychiatry/behavioral health practice. Essential qualifications include strong organizational, communication, decision-making skills, and working knowledge of relevant national and state regulatory requirements.
Experience Required
Minimum 5 year(s)
Care Review Clinician (RN- CA License) at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Clinical Review, Utilization Management, Prior Authorization, Medical Necessity Verification, Care Coordination, Critical Thinking, Problem Solving, Organizational Skills, Written Communication, Verbal Communication, Microsoft Office, Clinical Assessment, Regulatory Compliance, Evidence Based Clinical Guidelines
Specialization
Candidates must be a Registered Nurse (RN) with an active, unrestricted license in the state of practice. A minimum of 2 years of experience in hospital acute care, inpatient review, or managed care is required.
Experience Required
Minimum 2 year(s)
Field Care Manager, LTSS (RN) - Local Travel Required at Molina Healthcare
Long Beach, California, United States -
Full Time


Start Date

Immediate

Expiry Date

20 May, 26

Salary

0.0

Posted On

19 Feb, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Registered Nurse (RN), Care Management, Managed Care, Waiver Assessments, Care Planning, Interdisciplinary Care Team (ICT), Motivational Interviewing, Microsoft Office Suite, Outlook, Excel, Teams, Time-Management, Problem-Solving, Critical-Thinking, Communication Skills

Industry

Hospitals and Health Care

Description
JOB DESCRIPTION Opportunity for TX RN to join Molina as a Care Manager working with our Medicare members in the Hidalgo service delivery area. Responsibilities include completing face-to-face waiver assessments with our Medicare members there. Preference will be given to those with this type of experience having worked for an MCO organization like Molina, and who live within a 30 minute radius around the community. Hours are Monday – Friday, 8 AM – 5 PM CST and mileage is reimbursed as part of our benefit package. 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 specific activities and 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 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. • 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. • Excellent time-management and prioritization skills, and 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. • 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
The Care Manager will provide support for long-term services and supports (LTSS) care management/coordination, collaborating with multidisciplinary teams to ensure integrated delivery of care across the continuum for high-need Medicare members. Essential duties include completing comprehensive member assessments, facilitating waiver enrollment, developing care plans, and authorizing appropriate waiver services.
Field Care Manager, LTSS (RN) - Local Travel Required at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Registered Nurse (Rn), Care Management, Managed Care, Waiver Assessments, Care Planning, Interdisciplinary Care Team (Ict), Motivational Interviewing, Microsoft Office Suite, Outlook, Excel, Teams, Time Management, Problem Solving, Critical Thinking, Communication Skills
Specialization
Candidates must be a Registered Nurse (RN) with an active and unrestricted license, possessing at least two years of healthcare experience, including one year in care management or managed care, and one year working with populations with disabilities or chronic conditions. A valid driver's license, reliable transportation, and proficiency in Microsoft Office Suite are mandatory.
Experience Required
Minimum 2 year(s)
Market CFO, CA Health Plan – Remote at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Financial Analysis, Strategy Development, Leadership, Profitability Initiatives, Rate Advocacy, Risk Adjustment, Provider Agreements, Medical Expense Management, Staffing Models, Budgeting, Forecasting, Data Analytics, Reporting Standardization, Stakeholder Collaboration, Critical Thinking, Time Management
Specialization
Candidates must possess at least 12 years of progressive finance or analytical experience, including 5 years in managed care/Medicaid and 3 years in programming/database/financial analysis, along with 7 years of management experience and a Bachelor's degree in finance or accounting. Strong skills in relationship building, decision-making, executive-level presentation, and advanced Excel proficiency are required.
Experience Required
Minimum 10 year(s)
Representative, Dialer Administration at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Dialer Administration, Predictive Dialer, Data Analytics, Statistical Analysis, Training, Reporting, Telephony Design, Campaign Management, Performance Monitoring, Problem Identification, Collaboration, Documentation, Outbound Calls, Contact Center Experience, User Support, Campaign Strategy
Specialization
An Associate's Degree or equivalent experience is required, along with 1-3 years of outbound dialer and contact center experience. Preferred qualifications include a Bachelor's Degree and 3-5 years of relevant experience.
Experience Required
Minimum 2 year(s)
GP / Healthscreener at HCA Healthcare UK
London, England, United Kingdom - Full Time
Skills Needed
Gmc Registered, Communication Skills, It Skills, Preventative Medicine, Lifestyle Medicine, Coaching, Blood Taking, Smear Tests, Ecgs, Primary Care, Health Screening, Patient Engagement, Medical Examinations, Prescribing, Behaviour Change
Specialization
Candidates must be GMC registered and possess strong communication and IT skills, along with a proactive, patient-first approach focused on preventative and lifestyle medicine. Prior private patient experience is desirable but not mandatory, and training will be provided for advanced health screening procedures.
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)
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.
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)
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)
Medical Director, Behavioral Health at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Medical Oversight, Behavioral Health, Chemical Dependency, Utilization Management, Care Management, Clinical Leadership, Medical Necessity Reviews, Policy Development, Cost Reduction, Quality Compliance, Psychiatric Diagnoses, Peer Reviews, Appeals, Recruitment, Practice Guidelines, Critical Thinking
Specialization
Candidates must possess a Doctor of Medicine (MD) or Doctor of Osteopathy (DO) degree, be Board Certified in Psychiatry, and have at least three years of relevant experience, including two years in psychiatry/behavioral health practice. Essential qualifications include strong organizational, communication, decision-making skills, and working knowledge of relevant national and state regulatory requirements.
Experience Required
Minimum 5 year(s)
Sleep Sales Representative at VieMed Healthcare
Columbia, Missouri, United States - Full Time
Skills Needed
Sales Territory Planning, Consultative Selling, Strategic Selling, Educational Presentations, Account Management, Sales Documentation, Territory Management, Relationship Building, Communication, Goal Achievement, Organization, Prioritizing, Problem Solving, Lead Generation, Follow Up, Follow Through
Specialization
Candidates must be resourceful problem solvers with established relationships with Sleep Specialists within the territory and must provide three informal letters of recommendation from a physician or provider. A minimum of two years of full-life medical sales experience, including lead generation and follow-up, is required, along with a valid driver's license and reliable transportation.
Experience Required
Minimum 2 year(s)
Senior Accountant - REMOTE at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Journal Entries, General Accepted Accounting Principles, Statutory Reporting, Financial Data Analysis, Budgeting, Forecasting, Financial Statement Reporting, Auditing Support, Balance Sheet Reconciliation, Bank Reconciliation, Statutory Accounting Principles, Control Processes, Critical Thinking, Problem Solving, Analytical Skills, Microsoft Office Suite
Specialization
Candidates must possess at least three years of accounting experience or an equivalent combination of education and experience, along with a Bachelor's degree in accounting or business. Required competencies include strong analytical, critical-thinking, and problem-solving skills, proficiency in Microsoft Excel (VLOOKUPs, pivot tables), and the ability to manage multiple tasks effectively.
Experience Required
Minimum 2 year(s)
Cook Part-time at Evoraa Healthcare
Kingston, Georgia, United States - Full Time
Skills Needed
Meal Preparation, Food Safety, Portion Control, Inventory Management, Cleaning, Documentation, Client Ethics
Specialization
A High School Diploma or GED is preferred, and candidates must possess a Food Handler Certificate, adhering to all Board of Health requirements and state guidelines. Applicants must not have felonies within the last five years or substance abuse convictions, and recovering individuals require one year of continuous sobriety and program participation.
RN/LPN PRN Nights/Days at Evoraa Healthcare
Brentwood, Tennessee, United States - Full Time
Skills Needed
Medication Administration, Vital Signs Monitoring, Patient Assessment, Nursing Documentation, Hipaa Compliance, Phlebotomy, Tb Testing, Psychiatric Care, Chemical Dependency Support, Patient Intake, Crisis Intervention, Interdisciplinary Communication
Specialization
Candidates must hold a current, unrestricted RN or LPN license in Tennessee. The role requires the ability to work effectively with individuals in psychiatric or chemical dependency treatment and strong communication skills.
Telephonic Care Manager, LTSS (RN) - TX ONLY - Disease Management at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Care Management, Disease Management, Case Management, Registered Nurse, Microsoft Office Suite, Outlook, Excel, Teams, Motivational Interviewing, Medication Reconciliation, Care Coordination, Documentation, Time Management, Critical Thinking, Problem Solving, Communication
Specialization
Candidates must be a Texas-licensed Registered Nurse with at least two years of healthcare experience, including one year in care management or managed care. Proficiency in Microsoft Office and the ability to manage complex cases while multitasking in a fast-paced environment are essential.
Experience Required
Minimum 2 year(s)
Medical Director, Behavioral Health at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Medical Oversight, Behavioral Health, Chemical Dependency, Utilization Management, Care Management, Clinical Leadership, Medical Necessity Reviews, Policy Development, Cost Reduction, Quality Compliance, Psychiatric Diagnoses, Peer Reviews, Appeals, Recruitment, Practice Guidelines, Critical Thinking
Specialization
Candidates must possess a Doctor of Medicine (MD) or Doctor of Osteopathy (DO) degree, be Board Certified in Psychiatry, and have at least three years of relevant experience, including two years in psychiatry/behavioral health practice. Essential qualifications include strong organizational, communication, decision-making skills, and working knowledge of relevant national and state regulatory requirements.
Experience Required
Minimum 5 year(s)
Care Review Clinician (RN- CA License) at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Clinical Review, Utilization Management, Prior Authorization, Medical Necessity Verification, Care Coordination, Critical Thinking, Problem Solving, Organizational Skills, Written Communication, Verbal Communication, Microsoft Office, Clinical Assessment, Regulatory Compliance, Evidence Based Clinical Guidelines
Specialization
Candidates must be a Registered Nurse (RN) with an active, unrestricted license in the state of practice. A minimum of 2 years of experience in hospital acute care, inpatient review, or managed care is required.
Experience Required
Minimum 2 year(s)
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