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Alternate Project Manager - Healthcare - RN, PA or NP at Valor Health Care
Brunswick, Georgia, United States - Full Time
Skills Needed
Project Management, Healthcare Administration, Clinical Supervision, Contract Management, Quality Assurance, Regulatory Compliance, Microsoft Word, Microsoft Excel, Emergency Management, Staff Supervision, Communication, Reporting, Safety Planning, It Security Planning, Customer Service
Specialization
Candidates must hold a current, unencumbered license as an RN, PA, or NP in the State of Georgia and possess a Bachelor's degree. A minimum of three consecutive years of professional supervisory experience in a clinical setting is required.
Experience Required
Minimum 2 year(s)
Healthcare Documentation Quality Controller (HDQC II) at nimble International
Hyderabad, Telangana, India - Full Time
Skills Needed
Documentation Review, Quality Control, Analytical Skills, Attention To Detail, Medical Terminology, English Grammar, Hipaa Compliance, Error Correction, Clarity, Completeness, Accuracy, Anatomy, Physiology, Data Handling Protocols
Specialization
A minimum of 10 years of experience reviewing documentation across multiple medical specialties is required, along with extensive knowledge of anatomy, physiology, medical terminology, and English grammar. The candidate must also strictly comply with HIPAA standards and all applicable privacy and security regulations.
Experience Required
Minimum 10 year(s)
Field Nurse Practitioner (Farmington, NM) 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 Engagement, Prescribing Medications, Emr Documentation, Collaboration, Time Management, Problem Solving
Specialization
Candidates must possess at least one year of experience as a Nurse Practitioner and hold active, unrestricted national certification (AANP or ANCC) along with a current state-issued FNP license and a DEA license. A valid driver's license, reliable transportation, and BLS certification are also mandatory requirements.
Field Nurse Practitioner (Chehalis, WA) at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Nurse Practitioner, Medical Care, Care Coordination, Chronic Care Management, Acute Care Management, Diagnostic Testing, Medical Diagnosis, Patient Evaluation, Community Health, Time Management, Problem Solving, Communication Skills, Bls Certification, Emr Experience, Independent Work, Team Collaboration
Specialization
Candidates must have at least 1 year of experience as a nurse practitioner and hold an active national certification and state license. Additional qualifications include a DEA license, BLS certification, and the ability to work independently.
Experience Required
Minimum 2 year(s)
RN/LPN Full-time Nightshift at Evoraa Healthcare
, Georgia, United States - Full Time
Skills Needed
Administering Medications, Taking Vitals, Client Assessments, Compassionate Interaction, Client Admissions, Client Discharges, Record Keeping, Communication, Data Collection, Problem Solving, Team Collaboration, Confidentiality, Nursing Admissions, Blood Draws, Tb Testing, Genesight Swabbing
Specialization
Candidates must have a current unrestricted licensure in Georgia and an Associate's degree in Registered Nursing. Experience working with individuals in recovery or mental health treatment is a plus.
Field Nurse Practitioner (Colville, WA) at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Nurse Practitioner, Medical Care, Care Coordination, Chronic Care Management, Acute Care Management, Diagnostic Testing, Medical Diagnosis, Patient Evaluation, Community Health, Communication Skills, Time Management, Problem Solving, Critical Thinking, Bls Certification, Emr Experience, Transportation
Specialization
Candidates must have at least 1 year of experience as a nurse practitioner and hold an active national certification and state-issued license. Additional qualifications include a DEA license, BLS certification, and the ability to work independently in diverse settings.
Experience Required
Minimum 2 year(s)
Field Nurse Practitioner (NYC) 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, In Home Visits, On Call Coverage, Community Clinics, Medical Records Documentation, Prescribing Medications, Collaboration, Time Management
Specialization
Candidates must possess at least one year of experience as a Nurse Practitioner, hold active national certification (AANP or ANCC), and maintain current, unrestricted state licensure as a Family Nurse Practitioner (FNP) along with a DEA license. A valid driver's license, reliable transportation, and the ability to work independently in diverse settings are also mandatory requirements.
Manager, Healthcare Analytics - Databricks/Power BI/SQL - Remote at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Healthcare Analytics, Sql, Power Bi, Databricks, Report Development, Data Analysis, Team Leadership, Mentoring, Coaching, Project Management, Database Development, Regulatory Reporting, Business Logic, Performance Coaching, Financial Analysis, Utilization Patterns
Specialization
A Bachelor's Degree in a relevant field and 10 years of work experience, preferably in a healthcare environment, are required. Additionally, 3 years of management or team leadership experience is necessary.
Experience Required
Minimum 10 year(s)
RN/LPN Full-time Dayshift at Evoraa Healthcare
Brentwood, Tennessee, United States - Full Time
Skills Needed
Administering Medication, Taking Vitals, Medical Assessment, Client Admissions, Client Discharges, Recording Observations, Hipaa Compliance, Client Confidentiality, Blood Draws, Tb Testing, Genesight Swabbing, Compassionate Interaction, Staff Training Attendance
Specialization
Candidates must possess a current, unrestricted RN or LPN license in Tennessee and demonstrate the ability to effectively communicate both orally and in writing. Experience working non-judgmentally with chemically dependent individuals and those in psychiatric care is highly valued.
Transition of Care Coach (RN) - Local Travel Required at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Registered Nurse, Transition Of Care, Case Management, Managed Care, Inpatient Hospital Experience, Behavioral Health, Computer Skills, Attention To Detail, Discharge Planning, Motivational Interviewing, Care Coordination, Time Management, Problem Solving, Critical Thinking, Communication Skills, Microsoft Office
Specialization
Candidates must be a licensed Registered Nurse in Texas residing near the Fort Worth service area, possessing at least two years of healthcare experience, with one year in discharge planning, care management, or a behavioral health setting. A valid driver's license and reliable transportation are required for local travel to designated hospitals.
Experience Required
Minimum 2 year(s)
BHT Supervisor at Evoraa Healthcare
Brentwood, Tennessee, United States - Full Time
Skills Needed
Supervision, Client Well Being, Client Support, Intake Procedures, Scheduling, Infection Control, Staff Meetings, Training Management, Client Confidentiality, Hipaa Compliance, Professional Ethics, Safety Reporting, Quality Client Care, Microsoft Office, Active Listening, Communication
Specialization
Candidates must possess a High School Diploma or GED, with vocational training preferred, and have prior supervisory experience, either as a BHT Supervisor or two years in the medical field. A minimum of three to five years of experience in a healthcare setting focused on client care is mandatory, along with computer literacy in Microsoft Office.
Experience Required
Minimum 2 year(s)
Specialist, Appeals & Grievances at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Appeals, Grievances, Claims Processing, Research, Resolution, Medical Records Review, Regulatory Compliance, Communication, Documentation, Time Management, Organizational Skills, Customer Service, Medicaid, Medicare, Coordination Of Benefits, Subrogation
Specialization
Candidates must possess at least two years of managed care experience in a call center, appeals, or claims environment, along with specific experience in health claims processing, including COB and subrogation. A strong understanding of Medicaid and Medicare appeals processing and regulatory guidelines is required, complemented by excellent organizational and communication skills.
Experience Required
Minimum 2 year(s)
Clinical Director at Evoraa Healthcare
Kingston, Georgia, United States - Full Time
Skills Needed
Clinical Leadership, Program Development, Quality Assurance, Supervision, Training, Regulatory Compliance, Crisis Management, Data Analysis, Budget Oversight, Stakeholder Engagement, Continuous Improvement, Psychopathology, Diagnostic Assessment, Chemical Dependency Treatment
Specialization
Candidates must possess a Master's degree in a related mental health field and hold an active LPC, LMFT, or LCSW TN State licensure. A minimum of two years of experience in an administrative/management setting, familiarity with Performance Improvement and JCAHO Standards, and knowledge of psychopathology are required.
Experience Required
Minimum 2 year(s)
Payments Specialist at Evoraa Healthcare
Peachtree City, Georgia, United States - Full Time
Skills Needed
Payment Posting, Reconciliation, Insurance Payments, Eras, Eobs, Claim Denial Identification, Underpayment Identification, Vendor Coordination, Repricing Workflows, Hipaa Compliance, Data Accuracy, Ehr Systems, Billing Platforms, Critical Thinking, Problem Solving, Reporting
Specialization
Candidates need 1 to 3 years of experience in medical billing, payment posting, or healthcare revenue cycle management, preferably in behavioral health. Essential qualifications include strong attention to detail, proficiency with EHR systems and billing platforms, and familiarity with insurance reimbursement processes and third-party repricing vendors.
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)
RN/LPN Full-time Dayshift at Evoraa Healthcare
, Georgia, United States - Full Time
Skills Needed
Administering Medication, Taking Vitals, Medical Assessment, Client Admissions, Client Discharges, Recording Observations, Hipaa Compliance, Alcohol Drug Confidentiality, Blood Draws, Tb Testing, Genesight Swabbing, Compassionate Interaction, Staff Training, Pharmacy Communication
Specialization
Minimum qualifications require current, unrestricted licensure as an RN or LPN in Georgia and an Associate's degree in Registered Nursing. Candidates must be able to effectively communicate, work compassionately with chemically dependent and psychiatric populations, and establish effective working relationships.
Nursing Facilities Care Manager, LTSS (RN) - Local Travel Required at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Registered Nurse, Facility Case Management, Mds Assessments, Care Management, Care Coordination, Microsoft Office Suite, Outlook, Excel, Teams, Comprehensive Member Assessments, Waiver Enrollment, Care Plan Development, Motivational Interviewing, Interdisciplinary Care Team, Medication Reconciliation, Time Management
Specialization
Candidates must be a licensed Registered Nurse (RN) with at least two years of healthcare experience, including one year in care management or a managed care/behavioral health setting, and one year working with populations requiring LTSS. A valid driver's license, reliable transportation, and proficiency in Microsoft Office Suite are also required.
Experience Required
Minimum 2 year(s)
BHT Supervisor - 2nd Shift at Evoraa Healthcare
Kingston, Georgia, United States - Full Time
Skills Needed
Supervision, Client Support, Scheduling, Infection Control, Staff Meetings, Training Management, Client Confidentiality, Hipaa Compliance, Professional Ethics, Safety Reporting, Quality Client Care, Lab Requisition Submission, Computer Literacy, Microsoft Office, Communication, Active Listening
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. A minimum of three to five years of experience in a healthcare setting focused on client care is required, along with computer proficiency in Microsoft Office applications.
Experience Required
Minimum 2 year(s)
Facilitated Enroller - Benefit Sales Specialist (In Field Brooklyn, NY) at Molina Healthcare
New York, New York, United States - Full Time
Skills Needed
Enrollment Support, Health Insurance Sales, Member Screening, Community Outreach, Health Plan Selection, Paperwork Processing, Relationship Management, Inbound/Outbound Calls, Health Care System Navigation, Application Assistance, Plan Education, Recertification Assistance, Interpersonal Skills, Organizational Skills, Time Management, Hipaa Compliance
Specialization
Candidates must possess at least two years of experience in healthcare or customer/provider services, including one year working with state and federal health insurance programs, or an equivalent combination of education and experience. Required qualifications also include completion of New York State of Health Assistors training, reliable transportation, and strong interpersonal, organizational, and communication skills.
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, Long Term Services, Assessments, Care Plans, Monitoring, Integration Of Services, Motivational Interviewing, Problem Solving, Communication, Microsoft Office Suite, Time Management, Critical Thinking, Community Resources, Self Motivation, Professional Relationships
Specialization
Candidates must have at least 2 years of healthcare experience, including 1 year in care management and working with individuals with disabilities or chronic conditions. An active RN license in Texas and a valid driver's license are also required.
Experience Required
Minimum 2 year(s)
Alternate Project Manager - Healthcare - RN, PA or NP at Valor Health Care
Brunswick, Georgia, United States -
Full Time

Start Date

Immediate

Expiry Date

09 Jul, 26

Salary

0.0

Posted On

10 Apr, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Project Management, Healthcare Administration, Clinical Supervision, Contract Management, Quality Assurance, Regulatory Compliance, Microsoft Word, Microsoft Excel, Emergency Management, Staff Supervision, Communication, Reporting, Safety Planning, IT Security Planning, Customer Service

Industry

Medical Practices

Description
Description About Valor Healthcare: Valor Healthcare is a veteran- and physician-led provider of healthcare services for deserving, resilient patriots – including those who serve or have served in the military as well as those who devote their careers to government service. We aim to deliver high-quality care in a way that upholds the health of our nation’s greatest asset: its people. Valor works hard to earn the trust of those who have faith in us to care for them with respect and through methods that lead to superior clinical outcomes. Valor is different because of our people. Our leadership team is comprised of veterans, clinicians, and business leaders dedicated to providing exceptional care and world-class patient experience. Many of our colleagues have patriots in their families or are patriots themselves, building a company culture and commitment to customer service that is second to none. Position Summary: The Alternate Project Management supports Homeland Security (DHS) Federal Law Enforcement Training Centers (FLETC) contract providing Program Management, Educational Aides Services, Publication Storage and Assembly Warehouse Services, Student Records Management Services, Class Registration Services and Disclosure Support Services. Location: Brunswick, GA with required travel to other sites to include: Charleston, South Carolina, Artesia, New Mexico and Cheltenham, Maryland. Core Responsibilities: Administer all services, receive any complaints concerning performance of contract services, rectify the causes of the complaints, and act as a central point of contact with the Government. Be available to support and assist all the FLETC Training Delivery Points (TDP) to ensure conformance to FLETC Directives, manuals, Standard Operating Procedures, etc. and provide the Contracting Officer's Representative (COR) status updates on all TDPs. Be on call twenty-four hours a day to handle emergencies Attend meetings and provide written minutes of meetings. Responsible for Service Plan, Property Control Plan, Quality Assurance Surveillance Plan, Quality Control Plan, Key control Plan, Safety Plan, Contingency Plan, Recycling Plan, IT Security Plan, Environmental Management Plan, and Customer Service Plan. Requirements Qualifications: Must have a board certification and licensure of Physician’s Assistant, Nurse Practitioner, or Registered Nurse (RN) with the appropriate credentials and licenses with a minimum of three (3) consecutive years’ experience Must have a current, full, active, and unencumbered professional license in the State of Georgia (RN at minimum) Must have a minimum of a Bachelor’s degree from an accredited university. Minimum of three (3) consecutive years of professional supervisory experience successfully managing a Health Unit, an Urgent Care Clinic, Doctor’s Office, or an Emergency Department. Proficient in oral and written communication in English. Able to use a computer to communicate via email and retrieve reports and provide reports to the Contracting Officer/COR. Proficient in the use of Microsoft Word and Excel. Possess a valid United States Driver's License. Travel to Charleston, South Carolina, Artesia, New Mexico and Cheltenham, Maryland to perform and oversee on-site inspections as needed. About the Role: This job is CONTINGENT upon contract award, client approval, completion of a favorable background investigation, and the ability to obtain and maintain a Public Trust / High Risk clearance. Final compensation will be based on relevant factors including work experience, skills, certifications, and internal equity. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability, or protected veteran status.

How To Apply:

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Responsibilities
The Alternate Project Manager administers all contract services, acts as the central point of contact for the Government, and ensures conformance to FLETC directives. They are responsible for managing various service and safety plans while providing status updates to the Contracting Officer's Representative.
Alternate Project Manager - Healthcare - RN, PA or NP at Valor Health Care
Brunswick, Georgia, United States - Full Time
Skills Needed
Project Management, Healthcare Administration, Clinical Supervision, Contract Management, Quality Assurance, Regulatory Compliance, Microsoft Word, Microsoft Excel, Emergency Management, Staff Supervision, Communication, Reporting, Safety Planning, It Security Planning, Customer Service
Specialization
Candidates must hold a current, unencumbered license as an RN, PA, or NP in the State of Georgia and possess a Bachelor's degree. A minimum of three consecutive years of professional supervisory experience in a clinical setting is required.
Experience Required
Minimum 2 year(s)
Healthcare Documentation Quality Controller (HDQC II) at nimble International
Hyderabad, Telangana, India - Full Time
Skills Needed
Documentation Review, Quality Control, Analytical Skills, Attention To Detail, Medical Terminology, English Grammar, Hipaa Compliance, Error Correction, Clarity, Completeness, Accuracy, Anatomy, Physiology, Data Handling Protocols
Specialization
A minimum of 10 years of experience reviewing documentation across multiple medical specialties is required, along with extensive knowledge of anatomy, physiology, medical terminology, and English grammar. The candidate must also strictly comply with HIPAA standards and all applicable privacy and security regulations.
Experience Required
Minimum 10 year(s)
Field Nurse Practitioner (Farmington, NM) 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 Engagement, Prescribing Medications, Emr Documentation, Collaboration, Time Management, Problem Solving
Specialization
Candidates must possess at least one year of experience as a Nurse Practitioner and hold active, unrestricted national certification (AANP or ANCC) along with a current state-issued FNP license and a DEA license. A valid driver's license, reliable transportation, and BLS certification are also mandatory requirements.
Field Nurse Practitioner (Chehalis, WA) at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Nurse Practitioner, Medical Care, Care Coordination, Chronic Care Management, Acute Care Management, Diagnostic Testing, Medical Diagnosis, Patient Evaluation, Community Health, Time Management, Problem Solving, Communication Skills, Bls Certification, Emr Experience, Independent Work, Team Collaboration
Specialization
Candidates must have at least 1 year of experience as a nurse practitioner and hold an active national certification and state license. Additional qualifications include a DEA license, BLS certification, and the ability to work independently.
Experience Required
Minimum 2 year(s)
RN/LPN Full-time Nightshift at Evoraa Healthcare
, Georgia, United States - Full Time
Skills Needed
Administering Medications, Taking Vitals, Client Assessments, Compassionate Interaction, Client Admissions, Client Discharges, Record Keeping, Communication, Data Collection, Problem Solving, Team Collaboration, Confidentiality, Nursing Admissions, Blood Draws, Tb Testing, Genesight Swabbing
Specialization
Candidates must have a current unrestricted licensure in Georgia and an Associate's degree in Registered Nursing. Experience working with individuals in recovery or mental health treatment is a plus.
Field Nurse Practitioner (Colville, WA) at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Nurse Practitioner, Medical Care, Care Coordination, Chronic Care Management, Acute Care Management, Diagnostic Testing, Medical Diagnosis, Patient Evaluation, Community Health, Communication Skills, Time Management, Problem Solving, Critical Thinking, Bls Certification, Emr Experience, Transportation
Specialization
Candidates must have at least 1 year of experience as a nurse practitioner and hold an active national certification and state-issued license. Additional qualifications include a DEA license, BLS certification, and the ability to work independently in diverse settings.
Experience Required
Minimum 2 year(s)
Field Nurse Practitioner (NYC) 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, In Home Visits, On Call Coverage, Community Clinics, Medical Records Documentation, Prescribing Medications, Collaboration, Time Management
Specialization
Candidates must possess at least one year of experience as a Nurse Practitioner, hold active national certification (AANP or ANCC), and maintain current, unrestricted state licensure as a Family Nurse Practitioner (FNP) along with a DEA license. A valid driver's license, reliable transportation, and the ability to work independently in diverse settings are also mandatory requirements.
Manager, Healthcare Analytics - Databricks/Power BI/SQL - Remote at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Healthcare Analytics, Sql, Power Bi, Databricks, Report Development, Data Analysis, Team Leadership, Mentoring, Coaching, Project Management, Database Development, Regulatory Reporting, Business Logic, Performance Coaching, Financial Analysis, Utilization Patterns
Specialization
A Bachelor's Degree in a relevant field and 10 years of work experience, preferably in a healthcare environment, are required. Additionally, 3 years of management or team leadership experience is necessary.
Experience Required
Minimum 10 year(s)
RN/LPN Full-time Dayshift at Evoraa Healthcare
Brentwood, Tennessee, United States - Full Time
Skills Needed
Administering Medication, Taking Vitals, Medical Assessment, Client Admissions, Client Discharges, Recording Observations, Hipaa Compliance, Client Confidentiality, Blood Draws, Tb Testing, Genesight Swabbing, Compassionate Interaction, Staff Training Attendance
Specialization
Candidates must possess a current, unrestricted RN or LPN license in Tennessee and demonstrate the ability to effectively communicate both orally and in writing. Experience working non-judgmentally with chemically dependent individuals and those in psychiatric care is highly valued.
Transition of Care Coach (RN) - Local Travel Required at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Registered Nurse, Transition Of Care, Case Management, Managed Care, Inpatient Hospital Experience, Behavioral Health, Computer Skills, Attention To Detail, Discharge Planning, Motivational Interviewing, Care Coordination, Time Management, Problem Solving, Critical Thinking, Communication Skills, Microsoft Office
Specialization
Candidates must be a licensed Registered Nurse in Texas residing near the Fort Worth service area, possessing at least two years of healthcare experience, with one year in discharge planning, care management, or a behavioral health setting. A valid driver's license and reliable transportation are required for local travel to designated hospitals.
Experience Required
Minimum 2 year(s)
BHT Supervisor at Evoraa Healthcare
Brentwood, Tennessee, United States - Full Time
Skills Needed
Supervision, Client Well Being, Client Support, Intake Procedures, Scheduling, Infection Control, Staff Meetings, Training Management, Client Confidentiality, Hipaa Compliance, Professional Ethics, Safety Reporting, Quality Client Care, Microsoft Office, Active Listening, Communication
Specialization
Candidates must possess a High School Diploma or GED, with vocational training preferred, and have prior supervisory experience, either as a BHT Supervisor or two years in the medical field. A minimum of three to five years of experience in a healthcare setting focused on client care is mandatory, along with computer literacy in Microsoft Office.
Experience Required
Minimum 2 year(s)
Specialist, Appeals & Grievances at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Appeals, Grievances, Claims Processing, Research, Resolution, Medical Records Review, Regulatory Compliance, Communication, Documentation, Time Management, Organizational Skills, Customer Service, Medicaid, Medicare, Coordination Of Benefits, Subrogation
Specialization
Candidates must possess at least two years of managed care experience in a call center, appeals, or claims environment, along with specific experience in health claims processing, including COB and subrogation. A strong understanding of Medicaid and Medicare appeals processing and regulatory guidelines is required, complemented by excellent organizational and communication skills.
Experience Required
Minimum 2 year(s)
Clinical Director at Evoraa Healthcare
Kingston, Georgia, United States - Full Time
Skills Needed
Clinical Leadership, Program Development, Quality Assurance, Supervision, Training, Regulatory Compliance, Crisis Management, Data Analysis, Budget Oversight, Stakeholder Engagement, Continuous Improvement, Psychopathology, Diagnostic Assessment, Chemical Dependency Treatment
Specialization
Candidates must possess a Master's degree in a related mental health field and hold an active LPC, LMFT, or LCSW TN State licensure. A minimum of two years of experience in an administrative/management setting, familiarity with Performance Improvement and JCAHO Standards, and knowledge of psychopathology are required.
Experience Required
Minimum 2 year(s)
Payments Specialist at Evoraa Healthcare
Peachtree City, Georgia, United States - Full Time
Skills Needed
Payment Posting, Reconciliation, Insurance Payments, Eras, Eobs, Claim Denial Identification, Underpayment Identification, Vendor Coordination, Repricing Workflows, Hipaa Compliance, Data Accuracy, Ehr Systems, Billing Platforms, Critical Thinking, Problem Solving, Reporting
Specialization
Candidates need 1 to 3 years of experience in medical billing, payment posting, or healthcare revenue cycle management, preferably in behavioral health. Essential qualifications include strong attention to detail, proficiency with EHR systems and billing platforms, and familiarity with insurance reimbursement processes and third-party repricing vendors.
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)
RN/LPN Full-time Dayshift at Evoraa Healthcare
, Georgia, United States - Full Time
Skills Needed
Administering Medication, Taking Vitals, Medical Assessment, Client Admissions, Client Discharges, Recording Observations, Hipaa Compliance, Alcohol Drug Confidentiality, Blood Draws, Tb Testing, Genesight Swabbing, Compassionate Interaction, Staff Training, Pharmacy Communication
Specialization
Minimum qualifications require current, unrestricted licensure as an RN or LPN in Georgia and an Associate's degree in Registered Nursing. Candidates must be able to effectively communicate, work compassionately with chemically dependent and psychiatric populations, and establish effective working relationships.
Nursing Facilities Care Manager, LTSS (RN) - Local Travel Required at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Registered Nurse, Facility Case Management, Mds Assessments, Care Management, Care Coordination, Microsoft Office Suite, Outlook, Excel, Teams, Comprehensive Member Assessments, Waiver Enrollment, Care Plan Development, Motivational Interviewing, Interdisciplinary Care Team, Medication Reconciliation, Time Management
Specialization
Candidates must be a licensed Registered Nurse (RN) with at least two years of healthcare experience, including one year in care management or a managed care/behavioral health setting, and one year working with populations requiring LTSS. A valid driver's license, reliable transportation, and proficiency in Microsoft Office Suite are also required.
Experience Required
Minimum 2 year(s)
BHT Supervisor - 2nd Shift at Evoraa Healthcare
Kingston, Georgia, United States - Full Time
Skills Needed
Supervision, Client Support, Scheduling, Infection Control, Staff Meetings, Training Management, Client Confidentiality, Hipaa Compliance, Professional Ethics, Safety Reporting, Quality Client Care, Lab Requisition Submission, Computer Literacy, Microsoft Office, Communication, Active Listening
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. A minimum of three to five years of experience in a healthcare setting focused on client care is required, along with computer proficiency in Microsoft Office applications.
Experience Required
Minimum 2 year(s)
Facilitated Enroller - Benefit Sales Specialist (In Field Brooklyn, NY) at Molina Healthcare
New York, New York, United States - Full Time
Skills Needed
Enrollment Support, Health Insurance Sales, Member Screening, Community Outreach, Health Plan Selection, Paperwork Processing, Relationship Management, Inbound/Outbound Calls, Health Care System Navigation, Application Assistance, Plan Education, Recertification Assistance, Interpersonal Skills, Organizational Skills, Time Management, Hipaa Compliance
Specialization
Candidates must possess at least two years of experience in healthcare or customer/provider services, including one year working with state and federal health insurance programs, or an equivalent combination of education and experience. Required qualifications also include completion of New York State of Health Assistors training, reliable transportation, and strong interpersonal, organizational, and communication skills.
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, Long Term Services, Assessments, Care Plans, Monitoring, Integration Of Services, Motivational Interviewing, Problem Solving, Communication, Microsoft Office Suite, Time Management, Critical Thinking, Community Resources, Self Motivation, Professional Relationships
Specialization
Candidates must have at least 2 years of healthcare experience, including 1 year in care management and working with individuals with disabilities or chronic conditions. An active RN license in Texas and a valid driver's license are also required.
Experience Required
Minimum 2 year(s)