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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 managed care, and one year working with populations needing long-term services and supports (LTSS). A valid driver's license, reliable transportation, and proficiency in Microsoft Office Suite are also required.
Experience Required
Minimum 2 year(s)
Analyst, Business at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Regulatory Requirements Interpretation, Systems Solutions Development, Stakeholder Coordination, Requirement Documentation, Regulatory Monitoring, Root Cause Analysis, Problem Management, Requirement Communication, Solution Traceability, Reporting, Compliance Issues Review, Interpersonal Communication, Analytical Skills, Problem Solving Skills, Data Organization, Self Motivation
Specialization
Required qualifications include at least one year of experience in Medical Billing and coding, knowledge of policy/government legislative review, strong analytical and problem-solving skills, and proficiency in the Office Product Suite. Preferred qualifications include project implementation experience and knowledge of federal regulatory policy resources like CMS and the ACA.
Director, Healthcare Analytics (CA Health Plan) - REMOTE at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Healthcare Analytics, Sql, Data Analysis, Cost Containment, Utilization Management, Mentoring, Coaching, Regulatory Compliance, Reporting, Finance, Database Development, Care Coordination, Risk Adjustment, Quality Analysis, Subject Matter Expert, Project Collaboration
Specialization
A Bachelor's Degree in a relevant field and 5 years of experience leading healthcare analytics are required. Additionally, 12 years of work experience in a claims processing or healthcare environment is preferred.
Experience Required
Minimum 10 year(s)
Business Office at MEDRVA Healthcare
Richmond, Virginia, United States - Full Time
Skills Needed
Customer Service, Communication, Detailed Oriented, Microsoft Office Suite, Medical Office Registration, Insurance Verification, Authorizations, Administrative Support, Data Entry, Billing, Registration System, Eligibility Systems, Financial Analysis, Record Keeping, Check In/Check Out, Decision Making
Specialization
Candidates must be detailed oriented and capable of multi-tasking, possessing previous medical office and registration experience. Essential duties involve professional communication, accurate data entry into the registration system, determining insurance benefits, completing financial analysis, and maintaining patient records.
Experience Required
Minimum 2 year(s)
Patient Services Supervisor at BioTAB Healthcare
St. Louis, Missouri, United States - Full Time
Skills Needed
Supervision, Training, Performance Monitoring, Issue Resolution, Compliance, Process Improvement, Timecard Management, Customer Service Acumen, Quality Control, Patient Intake, Insurance Verification, Prior Authorizations, Case Processing, Crm, Hipaa, Salesforce
Specialization
Candidates must possess proven leadership experience in healthcare operations or customer service, along with a strong understanding of healthcare regulations and insurance processes. The role requires exceptional communication, organizational skills, attention to detail, and proficiency with relevant software like Salesforce or Epic.
Behavioral Health Technician Full-time at Evoraa Healthcare
Norcross, Georgia, United States - Full Time
Skills Needed
Client Safety, De Escalation, Communication, Interpersonal Skills, Time Management, Decision Making, Empathy, Emr Familiarity, Record Keeping, Problem Solving, Boundary Setting, Professional Judgment, Attention To Detail, Flexibility, Dependability, Reporting
Specialization
Minimum qualifications include a High School Graduate or GED preference, and preferred experience in substance abuse and/or mental health settings. Candidates must possess a valid state driving license without major violations in the last five years.
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, Microsoft Office Suite, Outlook, Excel, Teams, Care Management, Care Coordination, Waiver Enrollment, Care Planning, Motivational Interviewing, Medication Reconciliation, Time Management, Problem Solving, Critical Thinking
Specialization
Candidates must be a licensed Registered Nurse (RN) in Texas, residing in the Dallas service delivery area, with at least two years of healthcare experience, including one year in care management or a related setting, and one year working with persons with disabilities or chronic conditions. A valid driver's license and proficiency in Microsoft Office Suite are also required.
Experience Required
Minimum 2 year(s)
Principal Physicist (MR-Linac Planning) at HCA Healthcare UK
London W1G 8BJ, , United Kingdom - Full Time
Skills Needed
Line Management Experience, Physics
Qualification
Graduate
Director of Nursing at Evoraa Healthcare
Kingston, Georgia, United States - Full Time
Skills Needed
Nursing Leadership, Policy Management, Infection Control, Budgeting, Financial Processes, Patient Treatment Planning, Record Keeping, Staff Management, Problem Solving, Communication, Customer Service, Bls Certification, Joint Commission Accreditation, Behavioral Health Experience
Specialization
Candidates must be a graduate of an accredited nursing school with at least a BSN and hold an active, non-disciplinary RN license in the facility's state. Required experience includes a minimum of 2 years of direct supervisory experience, knowledge of policy management, financial reporting, and regulatory compliance, along with an active BLS certificate.
Experience Required
Minimum 5 year(s)
Behavioral Care Review Clinician (RN) at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Behavioral Health, Concurrent Review, Prior Authorization, Mcg, Utilization Management, Clinical Assessment, Medical Necessity, Care Coordination, Microsoft Office, Sharepoint, Multitasking, Regulatory Compliance, Asam Certification, Rn Licensure
Specialization
Candidates must have at least 2 years of MCG experience and a background in Behavioral Health Concurrent Review and Prior Authorization within an MCO setting. A valid RN license in Nevada and ASAM certification are required upon hire.
Experience Required
Minimum 2 year(s)
Care Manager, LTSS - MUST RESIDE IN IL at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Care Management, Care Coordination, Long Term Services And Supports, Multidisciplinary Team Collaboration, Member Assessments, Waiver Enrollment, Care Plan Development, Service Plan Implementation, Medical Necessity Assessment, Benefit Evaluation, Motivational Interviewing, Barrier Assessment, Incident Identification, Time Management, Problem Solving, Critical Thinking
Specialization
Candidates must have at least two years of healthcare experience, including one year working with persons with disabilities/chronic conditions in long-term services and supports or care management. A Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN) license is required, and the role mandates having a valid and unrestricted driver's license and reliable transportation for required travel.
Experience Required
Minimum 2 year(s)
Care Manager, LTSS- MUST Reside in ID at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Care Management, Care Coordination, Case Management, Motivational Interviewing, Medication Reconciliation, Assessment, Care Planning, Interdisciplinary Care Team Facilitation, Documentation, Time Management, Problem Solving, Critical Thinking, Communication, Microsoft Office, Clinical Guideposts
Specialization
Candidates must be a Registered Nurse (RN) with at least 2 years of healthcare experience, including 1 year in care management or a related field. A valid driver's license and the ability to reside in Idaho are mandatory requirements for this role.
Experience Required
Minimum 2 year(s)
Associate Specialist, Appeals & Grievances at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Claims Review, Appeals Processing, Grievance Resolution, Medical Records Request, Documentation, Research, Communication, Time Management, Organizational Skills, Microsoft Office Suite
Specialization
Candidates must possess at least one year of experience in claims or customer/provider service within a healthcare setting, along with proven customer service skills. Essential requirements include strong organizational, time management, and effective verbal and written communication abilities, plus proficiency in Microsoft Office.
Behavioral Health Technician 2nd Shift Full-time at Evoraa Healthcare
, Georgia, United States - Full Time
Skills Needed
Behavioral Health Support, Client Supervision, De Escalation, Documentation, Safety Monitoring, Interpersonal Skills, Time Management, Multi Tasking, Electronic Medical Records, Communication Skills, Crisis Intervention, Patient Care
Specialization
Candidates should have a high school diploma or GED and experience in substance abuse or mental health settings is preferred. A valid state driver's license with a clean driving record is required.
Remote Lead, Healthcare Services - Data-Driven Responsibilities - Texas ONL at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Care Management, Managed Care, Hedis Measures, Quality Improvement, Compliance, Data Extraction, Microsoft Office Suite, Microsoft Word, Microsoft Outlook, Microsoft Teams, Microsoft Excel, Clinical Support, Utilization Management, Care Transitions, Behavioral Health, Communication Skills
Specialization
Candidates must have at least 4 years of healthcare experience, including 2 years in managed care, and hold an active clinical license such as RN, LVN, LPN, LCSW, LMFT, LPCC, or LMSW. Proficiency in Microsoft Office Suite, particularly Excel, and strong communication and problem-solving skills are 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
Skills Needed
Registered Nurse, Care Management, Waiver Assessments, Care Coordination, Microsoft Office Suite, Outlook, Excel, Teams, Motivational Interviewing, Medication Reconciliation, Time Management, Problem Solving, Critical Thinking, Bilingual, Valid Driver's License
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, proficiency in Microsoft Office Suite, and bilingual capabilities are also 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
Skills Needed
Registered Nurse, Care Management, Waiver Assessments, Care Coordination, Care Planning, Medical Necessity, Interdisciplinary Care Team, Motivational Interviewing, Case Management, Microsoft Office Suite, Outlook, Excel, Teams, Time Management, Problem Solving, Critical Thinking
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 requirements.
Experience Required
Minimum 2 year(s)
Field Care Manager, LTSS (RN) - Local Travel Required at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Care Management, Care Coordination, Medicaid, Managed Care, Assessment, Care Planning, Motivational Interviewing, Medication Reconciliation, Microsoft Office Suite, Outlook, Excel, Teams, Documentation, Time Management, Problem Solving, Critical Thinking
Specialization
Candidates must be a licensed Registered Nurse (RN) with at least 2 years of healthcare experience, including 1 year in care management. A valid driver's license and the ability to perform local travel for home visits are required.
Experience Required
Minimum 2 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)
HR Coordinator at Evoraa Healthcare
Atlanta, Georgia, United States - Full Time
Skills Needed
Human Resources, Employee Relations, Performance Reviews, Training Coordination, Hr Compliance, Hr Reports, Interpersonal Skills, Attention To Detail, Hris Proficiency, Microsoft Office Suite, Judgment, Organization, Healthcare Experience, Process Improvements, Policy Updates
Specialization
Candidates must have a bachelor's degree in Human Resources or a related field and a minimum of 2 years of HR experience, preferably in the healthcare industry. Knowledge of HR compliance and proficiency with HRIS platforms and Microsoft Office Suite are also required.
Experience Required
Minimum 2 year(s)
Nursing Facilities 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, 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

Industry

Hospitals and Health Care

Description
JOB DESCRIPTION Opportunity for TX licensed RN residing in the southern part of San Antonio who is interested in joining Molina to work with our Medicaid members currently admitted to a nursing facility. Preference will be given to RNs who have worked in Facility Case Management with another MCO, but we will also consider RNs who have experience working in nursing facilities and/or experience conducting MDS assessments. Responsibilities include seeing the members in the nursing facilities and working with the nursing staff onsite there. 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 role involves providing support for care management and care coordination for long-term services and supports, collaborating with a multidisciplinary team to ensure integrated delivery of care across the continuum for high-need members. Essential duties include completing comprehensive member assessments, facilitating waiver processes, developing and monitoring care plans, and assessing for medical necessity of waiver services.
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 managed care, and one year working with populations needing long-term services and supports (LTSS). A valid driver's license, reliable transportation, and proficiency in Microsoft Office Suite are also required.
Experience Required
Minimum 2 year(s)
Analyst, Business at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Regulatory Requirements Interpretation, Systems Solutions Development, Stakeholder Coordination, Requirement Documentation, Regulatory Monitoring, Root Cause Analysis, Problem Management, Requirement Communication, Solution Traceability, Reporting, Compliance Issues Review, Interpersonal Communication, Analytical Skills, Problem Solving Skills, Data Organization, Self Motivation
Specialization
Required qualifications include at least one year of experience in Medical Billing and coding, knowledge of policy/government legislative review, strong analytical and problem-solving skills, and proficiency in the Office Product Suite. Preferred qualifications include project implementation experience and knowledge of federal regulatory policy resources like CMS and the ACA.
Director, Healthcare Analytics (CA Health Plan) - REMOTE at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Healthcare Analytics, Sql, Data Analysis, Cost Containment, Utilization Management, Mentoring, Coaching, Regulatory Compliance, Reporting, Finance, Database Development, Care Coordination, Risk Adjustment, Quality Analysis, Subject Matter Expert, Project Collaboration
Specialization
A Bachelor's Degree in a relevant field and 5 years of experience leading healthcare analytics are required. Additionally, 12 years of work experience in a claims processing or healthcare environment is preferred.
Experience Required
Minimum 10 year(s)
Business Office at MEDRVA Healthcare
Richmond, Virginia, United States - Full Time
Skills Needed
Customer Service, Communication, Detailed Oriented, Microsoft Office Suite, Medical Office Registration, Insurance Verification, Authorizations, Administrative Support, Data Entry, Billing, Registration System, Eligibility Systems, Financial Analysis, Record Keeping, Check In/Check Out, Decision Making
Specialization
Candidates must be detailed oriented and capable of multi-tasking, possessing previous medical office and registration experience. Essential duties involve professional communication, accurate data entry into the registration system, determining insurance benefits, completing financial analysis, and maintaining patient records.
Experience Required
Minimum 2 year(s)
Patient Services Supervisor at BioTAB Healthcare
St. Louis, Missouri, United States - Full Time
Skills Needed
Supervision, Training, Performance Monitoring, Issue Resolution, Compliance, Process Improvement, Timecard Management, Customer Service Acumen, Quality Control, Patient Intake, Insurance Verification, Prior Authorizations, Case Processing, Crm, Hipaa, Salesforce
Specialization
Candidates must possess proven leadership experience in healthcare operations or customer service, along with a strong understanding of healthcare regulations and insurance processes. The role requires exceptional communication, organizational skills, attention to detail, and proficiency with relevant software like Salesforce or Epic.
Behavioral Health Technician Full-time at Evoraa Healthcare
Norcross, Georgia, United States - Full Time
Skills Needed
Client Safety, De Escalation, Communication, Interpersonal Skills, Time Management, Decision Making, Empathy, Emr Familiarity, Record Keeping, Problem Solving, Boundary Setting, Professional Judgment, Attention To Detail, Flexibility, Dependability, Reporting
Specialization
Minimum qualifications include a High School Graduate or GED preference, and preferred experience in substance abuse and/or mental health settings. Candidates must possess a valid state driving license without major violations in the last five years.
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, Microsoft Office Suite, Outlook, Excel, Teams, Care Management, Care Coordination, Waiver Enrollment, Care Planning, Motivational Interviewing, Medication Reconciliation, Time Management, Problem Solving, Critical Thinking
Specialization
Candidates must be a licensed Registered Nurse (RN) in Texas, residing in the Dallas service delivery area, with at least two years of healthcare experience, including one year in care management or a related setting, and one year working with persons with disabilities or chronic conditions. A valid driver's license and proficiency in Microsoft Office Suite are also required.
Experience Required
Minimum 2 year(s)
Principal Physicist (MR-Linac Planning) at HCA Healthcare UK
London W1G 8BJ, , United Kingdom - Full Time
Skills Needed
Line Management Experience, Physics
Qualification
Graduate
Director of Nursing at Evoraa Healthcare
Kingston, Georgia, United States - Full Time
Skills Needed
Nursing Leadership, Policy Management, Infection Control, Budgeting, Financial Processes, Patient Treatment Planning, Record Keeping, Staff Management, Problem Solving, Communication, Customer Service, Bls Certification, Joint Commission Accreditation, Behavioral Health Experience
Specialization
Candidates must be a graduate of an accredited nursing school with at least a BSN and hold an active, non-disciplinary RN license in the facility's state. Required experience includes a minimum of 2 years of direct supervisory experience, knowledge of policy management, financial reporting, and regulatory compliance, along with an active BLS certificate.
Experience Required
Minimum 5 year(s)
Behavioral Care Review Clinician (RN) at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Behavioral Health, Concurrent Review, Prior Authorization, Mcg, Utilization Management, Clinical Assessment, Medical Necessity, Care Coordination, Microsoft Office, Sharepoint, Multitasking, Regulatory Compliance, Asam Certification, Rn Licensure
Specialization
Candidates must have at least 2 years of MCG experience and a background in Behavioral Health Concurrent Review and Prior Authorization within an MCO setting. A valid RN license in Nevada and ASAM certification are required upon hire.
Experience Required
Minimum 2 year(s)
Care Manager, LTSS - MUST RESIDE IN IL at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Care Management, Care Coordination, Long Term Services And Supports, Multidisciplinary Team Collaboration, Member Assessments, Waiver Enrollment, Care Plan Development, Service Plan Implementation, Medical Necessity Assessment, Benefit Evaluation, Motivational Interviewing, Barrier Assessment, Incident Identification, Time Management, Problem Solving, Critical Thinking
Specialization
Candidates must have at least two years of healthcare experience, including one year working with persons with disabilities/chronic conditions in long-term services and supports or care management. A Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN) license is required, and the role mandates having a valid and unrestricted driver's license and reliable transportation for required travel.
Experience Required
Minimum 2 year(s)
Care Manager, LTSS- MUST Reside in ID at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Care Management, Care Coordination, Case Management, Motivational Interviewing, Medication Reconciliation, Assessment, Care Planning, Interdisciplinary Care Team Facilitation, Documentation, Time Management, Problem Solving, Critical Thinking, Communication, Microsoft Office, Clinical Guideposts
Specialization
Candidates must be a Registered Nurse (RN) with at least 2 years of healthcare experience, including 1 year in care management or a related field. A valid driver's license and the ability to reside in Idaho are mandatory requirements for this role.
Experience Required
Minimum 2 year(s)
Associate Specialist, Appeals & Grievances at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Claims Review, Appeals Processing, Grievance Resolution, Medical Records Request, Documentation, Research, Communication, Time Management, Organizational Skills, Microsoft Office Suite
Specialization
Candidates must possess at least one year of experience in claims or customer/provider service within a healthcare setting, along with proven customer service skills. Essential requirements include strong organizational, time management, and effective verbal and written communication abilities, plus proficiency in Microsoft Office.
Behavioral Health Technician 2nd Shift Full-time at Evoraa Healthcare
, Georgia, United States - Full Time
Skills Needed
Behavioral Health Support, Client Supervision, De Escalation, Documentation, Safety Monitoring, Interpersonal Skills, Time Management, Multi Tasking, Electronic Medical Records, Communication Skills, Crisis Intervention, Patient Care
Specialization
Candidates should have a high school diploma or GED and experience in substance abuse or mental health settings is preferred. A valid state driver's license with a clean driving record is required.
Remote Lead, Healthcare Services - Data-Driven Responsibilities - Texas ONL at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Care Management, Managed Care, Hedis Measures, Quality Improvement, Compliance, Data Extraction, Microsoft Office Suite, Microsoft Word, Microsoft Outlook, Microsoft Teams, Microsoft Excel, Clinical Support, Utilization Management, Care Transitions, Behavioral Health, Communication Skills
Specialization
Candidates must have at least 4 years of healthcare experience, including 2 years in managed care, and hold an active clinical license such as RN, LVN, LPN, LCSW, LMFT, LPCC, or LMSW. Proficiency in Microsoft Office Suite, particularly Excel, and strong communication and problem-solving skills are 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
Skills Needed
Registered Nurse, Care Management, Waiver Assessments, Care Coordination, Microsoft Office Suite, Outlook, Excel, Teams, Motivational Interviewing, Medication Reconciliation, Time Management, Problem Solving, Critical Thinking, Bilingual, Valid Driver's License
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, proficiency in Microsoft Office Suite, and bilingual capabilities are also 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
Skills Needed
Registered Nurse, Care Management, Waiver Assessments, Care Coordination, Care Planning, Medical Necessity, Interdisciplinary Care Team, Motivational Interviewing, Case Management, Microsoft Office Suite, Outlook, Excel, Teams, Time Management, Problem Solving, Critical Thinking
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 requirements.
Experience Required
Minimum 2 year(s)
Field Care Manager, LTSS (RN) - Local Travel Required at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Care Management, Care Coordination, Medicaid, Managed Care, Assessment, Care Planning, Motivational Interviewing, Medication Reconciliation, Microsoft Office Suite, Outlook, Excel, Teams, Documentation, Time Management, Problem Solving, Critical Thinking
Specialization
Candidates must be a licensed Registered Nurse (RN) with at least 2 years of healthcare experience, including 1 year in care management. A valid driver's license and the ability to perform local travel for home visits are required.
Experience Required
Minimum 2 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)
HR Coordinator at Evoraa Healthcare
Atlanta, Georgia, United States - Full Time
Skills Needed
Human Resources, Employee Relations, Performance Reviews, Training Coordination, Hr Compliance, Hr Reports, Interpersonal Skills, Attention To Detail, Hris Proficiency, Microsoft Office Suite, Judgment, Organization, Healthcare Experience, Process Improvements, Policy Updates
Specialization
Candidates must have a bachelor's degree in Human Resources or a related field and a minimum of 2 years of HR experience, preferably in the healthcare industry. Knowledge of HR compliance and proficiency with HRIS platforms and Microsoft Office Suite are also required.
Experience Required
Minimum 2 year(s)