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Behavioral Healthcare Provider 1 - 20%25 Supplement! at Ohio Department of Administrative Services
Massillon, Ohio, United States - Full Time
Skills Needed
Behavioral Health, Corrections, Mental Health, Counseling, Rehabilitation, Confidentiality, Establishing Relationships, Ethics And Values, Situational Awareness
Specialization
Candidates must possess a specific license from the Ohio regulatory boards, such as LCDC II, LPC, LSW, MFT, or a specialized RN license, which must align with the scope of practice described in the duties. The ideal candidate should be a strong leader passionate about habilitating youth.
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)
Bilingual Healthcare Customer Service Representative at Teksystems Global Services LLC
Littleton, Colorado, United States - Full Time
Skills Needed
Bilingual, Customer Service, First Contact Resolution, Problem Solving, Billing Issue Resolution, Benefit Interpretation, Listening Skills, Questioning Skills, Troubleshooting Skills, Critical Thinking, Self Motivation, Ethical Self Management
Specialization
Candidates must possess 1-2 years of call center experience and demonstrate exceptional critical thinking, as this is not a transactional role, requiring deep understanding of member needs and available resolutions.
Behavioral Healthcare Provider 2 (LISW/LPCC)- 20025800 at Ohio Department of Administrative Services
, , - Full Time
Skills Needed
Clinical Interventions, Case Management, Treatment Planning, Crisis Services, Suicide Watch Assessments, Clinical Direction, Psychosocial Needs Assessment, Interdisciplinary Treatment Planning, Discharge Summaries, Consultation, Community Referrals, Documentation, Professional Development, Peer Review, Lisw, Lpcc
Specialization
Candidates must be a Licensed Independent Social Worker (LISW) or Licensed Professional Clinical Counselor (LPCC) licensed by the Ohio Counselor, Social Work, Marriage & Family Therapy Board. Duties involve comprehensive documentation, interdisciplinary collaboration, and managing patient care coordination, including family and community agency contact.
Experience Required
Minimum 2 year(s)
Specialist Anesthesia - Private Healthcare Facility at SearchPlus HR
Dubai, Dubai, United Arab Emirates - Full Time
Skills Needed
Anesthesia Techniques, Patient Safety, Pre Anesthetic Evaluations, General Anesthesia, Regional Anesthesia, Local Anesthesia, Vital Signs Monitoring, Emergency Response, Collaboration, Critical Thinking, Communication, Interpersonal Skills, Detail Oriented
Specialization
Candidates must possess a medical degree specialized in Anesthesia along with a valid medical license and significant experience administering anesthesia across diverse surgical settings. Essential skills include strong understanding of anesthesia pharmacology, excellent assessment capabilities, and strong communication for multidisciplinary teamwork.
Experience Required
Minimum 5 year(s)
Healthcare Informatics Consultant - Remote Position at Jobgether
, Florida, United States - Full Time
Skills Needed
Healthcare Informatics, Ehr Data Extraction, Reporting, Sql, Data Governance, Data Management, Client Relationship Management, Data Accuracy, Epic, Cerner, Data Architecture, Data Modeling, Analytical Skills, Communication Skills, Requirements Gathering, Training
Specialization
Candidates must have 5 years of experience in an informatics-related role within a healthcare institution and a deep understanding of healthcare workflows, particularly in radiology. Advanced SQL skills and experience with Epic or Cerner EHR systems are highly preferred.
Experience Required
Minimum 5 year(s)
Consulting Client Partner, Healthcare & Life Sciences at Oracle Risk Management Services
, , - Full Time
Skills Needed
Consulting, Sales Strategy, Client Relationship Management, Healthcare, Life Sciences, Oracle Cloud Technologies, Transformation Leadership, Regulatory Compliance, Supply Chain Resilience, Data Integration, Team Leadership, Industry Insight, Customer Focused Approach, Pipeline Development, Deal Closing, Implementation Success
Specialization
The role requires strong leadership skills and the ability to develop and manage a comprehensive sales strategy. Candidates should have experience in consulting services, particularly within the healthcare and life sciences sectors.
Experience Required
Minimum 5 year(s)
Senior Associate, Management Consulting - Healthcare at BDO USA Experienced Career Site
Boston, Massachusetts, United States - Full Time
Skills Needed
Management Consulting, Project Management, Business Analysis, M&A Integration, Supply Chain Optimization, Finance Transformation, Shared Services, Process Documentation, Data Analysis, Strategic Planning, Stakeholder Management, Microsoft Office Suite, Smartsheet, Leadership, Research, Communication
Specialization
Candidates must have a bachelor's degree and at least three years of experience in management consulting, project management, or business analysis. Proficiency in Microsoft Office and experience in specific consulting disciplines like M&A or finance transformation are required.
Experience Required
Minimum 2 year(s)
Care Manager (BH Licensed, Remote in UT) at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Case Management, Behavioral Health Assessments, Care Planning, Telephonic Communication, Interdisciplinary Team Collaboration, Motivational Interviewing, Data Entry, Attention To Detail, Computer Skills, Caseload Management, Discharge Planning Coordination, Clinical Judgment, Substance Abuse Population Support, Ltss Integration
Specialization
Candidates must possess at least two years of healthcare experience, preferably in behavioral health, and hold an active, unrestricted behavioral health clinician license such as LCSW, LPC, or LMFT in the state of practice. Required qualifications also include excellent computer skills, experience with severe mental illness populations, and the ability to travel locally up to 25-40%.
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, Ltss, Medicaid, Home Visits, Care Planning, Behavioral Health, Medical Necessity, Motivational Interviewing, Time Management, Problem Solving, Critical Thinking, Microsoft Office Suite, Outlook
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 also required.
Experience Required
Minimum 2 year(s)
RN Transition of Care Coach Field Care in Plymouth, Essex, Norfolk, Suffolk at Molina Healthcare
Waltham, Massachusetts, United States - Full Time
Skills Needed
Registered Nurse Licensure, Care Transition, Case Management, Hospital Discharge Planning, Managed Care Plan, Communication, Documentation, Emr Skills, Cultural Competence, Time Management, Work Independently, Motivational Interviewing, Critical Thinking, Problem Solving, Community Resources, Microsoft Office
Specialization
Candidates must be a Registered Nurse (RN) with an active and unrestricted license, possessing at least two years of healthcare experience, including one year in hospital discharge planning, care management, or a behavioral health setting. Required qualifications also include a valid driver's license, reliable transportation, and proficiency with EMR systems and community resources.
Experience Required
Minimum 2 year(s)
Director of Operations (Residential) at Evoraa Healthcare
Brentwood, Tennessee, United States - Full Time
Skills Needed
Operations Management, Staff Supervision, Scheduling, Interviewing, Training, Client Support, Safety Inspections, Compliance, Inventory Management, Team Collaboration, Multi Tasking, Microsoft Office, Prioritization, Effective Communication, Problem Solving, Risk Management
Specialization
A high school diploma is required, with a bachelor's degree preferred. Candidates should have at least three years of experience in operations management.
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 (LTSS). A valid driver's license, reliable transportation, proficiency in Microsoft Office Suite, and the ability to work independently are also required.
Experience Required
Minimum 2 year(s)
RN/LPN Full-time Nightshift at Evoraa Healthcare
Kingston, Georgia, United States - Full Time
Skills Needed
Medication Administration, Vital Signs Taking, Medical Assessment, Client Admissions, Client Discharges, Hipaa Compliance, Client Confidentiality, Blood Draws, Tb Testing, Genesight Swabbing, Compassionate Interaction, Record Keeping, Policy Adherence
Specialization
Candidates must possess current, unrestricted licensure as an RN or LPN in Georgia 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 required, with prior experience in recovery or mental health treatment being a plus.
RN/LPN Part-time Nightshift at Evoraa Healthcare
Kingston, Georgia, United States - Full Time
Skills Needed
Medication Administration, Vital Signs, Medical Assessment, Client Admissions, Client Discharges, Record Keeping, Hipaa Compliance, Confidentiality, Compassionate Interaction, Safety Maintenance, Staff Training, Blood Draws, Tb Testing, Genesight Swabbing
Specialization
Candidates must possess a current, unrestricted LPN or RN license in Georgia and demonstrate the ability to effectively communicate both orally and in writing. A non-judgmental and compassionate approach when working with chemically dependent individuals and those in psychiatric care is required.
RN/LPN Part-time Dayshift at Evoraa Healthcare
Kingston, Georgia, United States - Full Time
Skills Needed
Administering Medication, Taking Vitals, Medical Assessment, Client Admissions, Client Discharges, Hipaa Compliance, Client Confidentiality, Compassionate Interaction, Data Collection, Problem Definition, Effective Communication, Working With Chemically Dependent Individuals, Working With Psychiatric Care Patients
Specialization
Minimum qualifications require current, unrestricted licensure as an RN or LPN in Georgia, along with the ability to effectively communicate and interpret policies. Candidates must be able to work compassionately with chemically dependent individuals and those in psychiatric care.
RN/LPN Full-time Dayshift at Evoraa Healthcare
Kingston, Georgia, United States - Full Time
Skills Needed
Administering Medication, Taking Vitals, Medical Assessment, Client Admissions, Client Discharges, Recording Observations, Compassionate Interaction, Hipaa Compliance, Client Confidentiality, Blood Draws, Tb Testing, Genesight Swabbing
Specialization
Candidates must possess a current, unrestricted RN or LPN license in Georgia 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 required, with prior experience in recovery or mental health treatment being a plus.
Senior Medical Records Collector (Remote) at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Medical Records Collection, Quality Improvement, Hedis, Data Collection, Audit Processes, Provider Outreach, Data Retrieval, Project Management, Data Upload, Subject Matter Expertise, Mentorship, Process Improvement, Data Analysis, Prioritization, Communication Skills, Phone Etiquette
Specialization
Candidates must have at least two years of healthcare experience, including medical records support in a managed care setting, along with knowledge of HEDIS and NCQA standards. A valid driver's license, reliable transportation, and proficiency with data analysis tools like Excel are also required.
Experience Required
Minimum 2 year(s)
Senior Specialist, Appeals & Grievances at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Appeals, Grievances, Claims Processing, Research, Medical Records Review, Regulatory Compliance, Customer Service, Time Management, Verbal Communication, Written Communication, Coordination Of Benefits, Subrogation, Eligibility Criteria, Medicaid, Medicare, Microsoft Office
Specialization
Candidates must possess at least three years of managed care experience in claims, appeals, or a call center environment, including specific experience with Medicaid and Medicare claims denials and appeals processing. Strong organizational, time management, and communication skills are essential for handling simultaneous tasks and preparing accurate correspondence.
Experience Required
Minimum 2 year(s)
Lead Medical Records Collector (Remote) at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Medical Records Collection, Quality Improvement, Hedis, Data Collection, Project Management, Audit Processes, Emr Retrieval, Data Analysis, Customer Service, Prioritization, Hipaa Compliance, Mentorship, Process Improvement, Verbal Communication, Written Communication
Specialization
Candidates must have at least four years of healthcare experience, including medical records support in a managed care setting, along with knowledge of CMS, AHA coding, HEDIS, and NCQA. A valid driver's license and proficiency with data analysis tools like Excel are also required.
Experience Required
Minimum 2 year(s)
Behavioral Healthcare Provider 1 - 20%25 Supplement! at Ohio Department of Administrative Services
Massillon, Ohio, United States -
Full Time

Start Date

Immediate

Expiry Date

01 Jun, 26

Salary

0.0

Posted On

03 Mar, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Behavioral Health, Corrections, Mental Health, Counseling, Rehabilitation, Confidentiality, Establishing Relationships, Ethics And Values, Situational Awareness

Industry

Government Administration

Description
DYS is seeking a Behavioral Healthcare Provider 1 (two positions available) to oversee facility behavioral healthcare functions. The ideal candidate will be a strong leader with a solid background and a passion to habilitate youth. Behavioral Healthcare Provider 1 duties include but are not limited to: Within scope of practice, performs psychosocial interventions with youth, performs individual, family or group intervention (e.g., counseling, testing & education of the client), develops intervention goals & objectives designed to give education & resolve client's problems in functioning, participates in process of establishing, implementing & evaluating treatment system's goals & objectives, interviews youth & youth's family to establish case goals & objectives, assesses clients & determines specific intervention techniques for youth & monitors youth's responses to treatment systems & provides feedback on effectiveness of prescribed treatment, evaluates youth's progress resulting from prescribed treatment plans. Maintains necessary data documents to satisfy requirements of federal, state & local agencies, prepares data requiring social histories, admission/ aftercare summaries, court documents & completes forms required by law &/or department policy. Serves on treatment teams & program development teams, attends training meetings, intradepartmental meetings & court hearings & establishes & maintains working relationship with other facilities, agencies & support services in order to coordinate referrals & conduct follow-up services. Licensed Chemical Dependency Counselor II (LCDC II) by Ohio Chemical Dependency Professionals Board. Or Licensed Professional Counselor (LPC) by Ohio Counselor, Social Work, Marriage & Family Therapy Board. Or Licensed Social Worker (LSW) by Ohio Counselor, Social Work, Marriage & Family Therapy Board. Or Licensed Marriage & Family Therapist (MFT) by the State of Ohio Counselor, Social Work, Marriage & Family Therapy Board. Or Licensed Registered Nurse with practice specialty certificate in Mental Health or Psychiatric Nursing as issued by Ohio Board of Nursing. Or Licensed Registered Nurse by Ohio Board of Nursing plus completion of Masters degree in Psychology or other mental health related field. Or Licensed Registered Nurse by Ohio Board of Nursing plus completion of Masters degree in Nursing with a Mental Health of Psychiatric Nursing concentrate. Note: the official position description on file with the designated agency is to reflect, in the minimum acceptable characteristics, the required license(s) related to the scope of practice & services provided as described in the job duties. Only those applicants possessing the required license(s) documented in the position description are to be considered for any vacancies posted or in case of displacement due to a layoff. Job Skills: Behavioral Health Technical Skills: Behavioral Health, Corrections - Mental Health, Counseling and Rehabilitation, Mental Health Professional Skills: Confidentiality, Establishing Relationships, Ethics and Values, Situational Awareness
Responsibilities
The Behavioral Healthcare Provider 1 will perform psychosocial interventions, individual, family, or group counseling, and develop intervention goals for youth. This role also involves maintaining necessary data documents, serving on treatment teams, and coordinating referrals with external agencies.
Behavioral Healthcare Provider 1 - 20%25 Supplement! at Ohio Department of Administrative Services
Massillon, Ohio, United States - Full Time
Skills Needed
Behavioral Health, Corrections, Mental Health, Counseling, Rehabilitation, Confidentiality, Establishing Relationships, Ethics And Values, Situational Awareness
Specialization
Candidates must possess a specific license from the Ohio regulatory boards, such as LCDC II, LPC, LSW, MFT, or a specialized RN license, which must align with the scope of practice described in the duties. The ideal candidate should be a strong leader passionate about habilitating youth.
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)
Bilingual Healthcare Customer Service Representative at Teksystems Global Services LLC
Littleton, Colorado, United States - Full Time
Skills Needed
Bilingual, Customer Service, First Contact Resolution, Problem Solving, Billing Issue Resolution, Benefit Interpretation, Listening Skills, Questioning Skills, Troubleshooting Skills, Critical Thinking, Self Motivation, Ethical Self Management
Specialization
Candidates must possess 1-2 years of call center experience and demonstrate exceptional critical thinking, as this is not a transactional role, requiring deep understanding of member needs and available resolutions.
Behavioral Healthcare Provider 2 (LISW/LPCC)- 20025800 at Ohio Department of Administrative Services
, , - Full Time
Skills Needed
Clinical Interventions, Case Management, Treatment Planning, Crisis Services, Suicide Watch Assessments, Clinical Direction, Psychosocial Needs Assessment, Interdisciplinary Treatment Planning, Discharge Summaries, Consultation, Community Referrals, Documentation, Professional Development, Peer Review, Lisw, Lpcc
Specialization
Candidates must be a Licensed Independent Social Worker (LISW) or Licensed Professional Clinical Counselor (LPCC) licensed by the Ohio Counselor, Social Work, Marriage & Family Therapy Board. Duties involve comprehensive documentation, interdisciplinary collaboration, and managing patient care coordination, including family and community agency contact.
Experience Required
Minimum 2 year(s)
Specialist Anesthesia - Private Healthcare Facility at SearchPlus HR
Dubai, Dubai, United Arab Emirates - Full Time
Skills Needed
Anesthesia Techniques, Patient Safety, Pre Anesthetic Evaluations, General Anesthesia, Regional Anesthesia, Local Anesthesia, Vital Signs Monitoring, Emergency Response, Collaboration, Critical Thinking, Communication, Interpersonal Skills, Detail Oriented
Specialization
Candidates must possess a medical degree specialized in Anesthesia along with a valid medical license and significant experience administering anesthesia across diverse surgical settings. Essential skills include strong understanding of anesthesia pharmacology, excellent assessment capabilities, and strong communication for multidisciplinary teamwork.
Experience Required
Minimum 5 year(s)
Healthcare Informatics Consultant - Remote Position at Jobgether
, Florida, United States - Full Time
Skills Needed
Healthcare Informatics, Ehr Data Extraction, Reporting, Sql, Data Governance, Data Management, Client Relationship Management, Data Accuracy, Epic, Cerner, Data Architecture, Data Modeling, Analytical Skills, Communication Skills, Requirements Gathering, Training
Specialization
Candidates must have 5 years of experience in an informatics-related role within a healthcare institution and a deep understanding of healthcare workflows, particularly in radiology. Advanced SQL skills and experience with Epic or Cerner EHR systems are highly preferred.
Experience Required
Minimum 5 year(s)
Consulting Client Partner, Healthcare & Life Sciences at Oracle Risk Management Services
, , - Full Time
Skills Needed
Consulting, Sales Strategy, Client Relationship Management, Healthcare, Life Sciences, Oracle Cloud Technologies, Transformation Leadership, Regulatory Compliance, Supply Chain Resilience, Data Integration, Team Leadership, Industry Insight, Customer Focused Approach, Pipeline Development, Deal Closing, Implementation Success
Specialization
The role requires strong leadership skills and the ability to develop and manage a comprehensive sales strategy. Candidates should have experience in consulting services, particularly within the healthcare and life sciences sectors.
Experience Required
Minimum 5 year(s)
Senior Associate, Management Consulting - Healthcare at BDO USA Experienced Career Site
Boston, Massachusetts, United States - Full Time
Skills Needed
Management Consulting, Project Management, Business Analysis, M&A Integration, Supply Chain Optimization, Finance Transformation, Shared Services, Process Documentation, Data Analysis, Strategic Planning, Stakeholder Management, Microsoft Office Suite, Smartsheet, Leadership, Research, Communication
Specialization
Candidates must have a bachelor's degree and at least three years of experience in management consulting, project management, or business analysis. Proficiency in Microsoft Office and experience in specific consulting disciplines like M&A or finance transformation are required.
Experience Required
Minimum 2 year(s)
Care Manager (BH Licensed, Remote in UT) at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Case Management, Behavioral Health Assessments, Care Planning, Telephonic Communication, Interdisciplinary Team Collaboration, Motivational Interviewing, Data Entry, Attention To Detail, Computer Skills, Caseload Management, Discharge Planning Coordination, Clinical Judgment, Substance Abuse Population Support, Ltss Integration
Specialization
Candidates must possess at least two years of healthcare experience, preferably in behavioral health, and hold an active, unrestricted behavioral health clinician license such as LCSW, LPC, or LMFT in the state of practice. Required qualifications also include excellent computer skills, experience with severe mental illness populations, and the ability to travel locally up to 25-40%.
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, Ltss, Medicaid, Home Visits, Care Planning, Behavioral Health, Medical Necessity, Motivational Interviewing, Time Management, Problem Solving, Critical Thinking, Microsoft Office Suite, Outlook
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 also required.
Experience Required
Minimum 2 year(s)
RN Transition of Care Coach Field Care in Plymouth, Essex, Norfolk, Suffolk at Molina Healthcare
Waltham, Massachusetts, United States - Full Time
Skills Needed
Registered Nurse Licensure, Care Transition, Case Management, Hospital Discharge Planning, Managed Care Plan, Communication, Documentation, Emr Skills, Cultural Competence, Time Management, Work Independently, Motivational Interviewing, Critical Thinking, Problem Solving, Community Resources, Microsoft Office
Specialization
Candidates must be a Registered Nurse (RN) with an active and unrestricted license, possessing at least two years of healthcare experience, including one year in hospital discharge planning, care management, or a behavioral health setting. Required qualifications also include a valid driver's license, reliable transportation, and proficiency with EMR systems and community resources.
Experience Required
Minimum 2 year(s)
Director of Operations (Residential) at Evoraa Healthcare
Brentwood, Tennessee, United States - Full Time
Skills Needed
Operations Management, Staff Supervision, Scheduling, Interviewing, Training, Client Support, Safety Inspections, Compliance, Inventory Management, Team Collaboration, Multi Tasking, Microsoft Office, Prioritization, Effective Communication, Problem Solving, Risk Management
Specialization
A high school diploma is required, with a bachelor's degree preferred. Candidates should have at least three years of experience in operations management.
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 (LTSS). A valid driver's license, reliable transportation, proficiency in Microsoft Office Suite, and the ability to work independently are also required.
Experience Required
Minimum 2 year(s)
RN/LPN Full-time Nightshift at Evoraa Healthcare
Kingston, Georgia, United States - Full Time
Skills Needed
Medication Administration, Vital Signs Taking, Medical Assessment, Client Admissions, Client Discharges, Hipaa Compliance, Client Confidentiality, Blood Draws, Tb Testing, Genesight Swabbing, Compassionate Interaction, Record Keeping, Policy Adherence
Specialization
Candidates must possess current, unrestricted licensure as an RN or LPN in Georgia 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 required, with prior experience in recovery or mental health treatment being a plus.
RN/LPN Part-time Nightshift at Evoraa Healthcare
Kingston, Georgia, United States - Full Time
Skills Needed
Medication Administration, Vital Signs, Medical Assessment, Client Admissions, Client Discharges, Record Keeping, Hipaa Compliance, Confidentiality, Compassionate Interaction, Safety Maintenance, Staff Training, Blood Draws, Tb Testing, Genesight Swabbing
Specialization
Candidates must possess a current, unrestricted LPN or RN license in Georgia and demonstrate the ability to effectively communicate both orally and in writing. A non-judgmental and compassionate approach when working with chemically dependent individuals and those in psychiatric care is required.
RN/LPN Part-time Dayshift at Evoraa Healthcare
Kingston, Georgia, United States - Full Time
Skills Needed
Administering Medication, Taking Vitals, Medical Assessment, Client Admissions, Client Discharges, Hipaa Compliance, Client Confidentiality, Compassionate Interaction, Data Collection, Problem Definition, Effective Communication, Working With Chemically Dependent Individuals, Working With Psychiatric Care Patients
Specialization
Minimum qualifications require current, unrestricted licensure as an RN or LPN in Georgia, along with the ability to effectively communicate and interpret policies. Candidates must be able to work compassionately with chemically dependent individuals and those in psychiatric care.
RN/LPN Full-time Dayshift at Evoraa Healthcare
Kingston, Georgia, United States - Full Time
Skills Needed
Administering Medication, Taking Vitals, Medical Assessment, Client Admissions, Client Discharges, Recording Observations, Compassionate Interaction, Hipaa Compliance, Client Confidentiality, Blood Draws, Tb Testing, Genesight Swabbing
Specialization
Candidates must possess a current, unrestricted RN or LPN license in Georgia 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 required, with prior experience in recovery or mental health treatment being a plus.
Senior Medical Records Collector (Remote) at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Medical Records Collection, Quality Improvement, Hedis, Data Collection, Audit Processes, Provider Outreach, Data Retrieval, Project Management, Data Upload, Subject Matter Expertise, Mentorship, Process Improvement, Data Analysis, Prioritization, Communication Skills, Phone Etiquette
Specialization
Candidates must have at least two years of healthcare experience, including medical records support in a managed care setting, along with knowledge of HEDIS and NCQA standards. A valid driver's license, reliable transportation, and proficiency with data analysis tools like Excel are also required.
Experience Required
Minimum 2 year(s)
Senior Specialist, Appeals & Grievances at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Appeals, Grievances, Claims Processing, Research, Medical Records Review, Regulatory Compliance, Customer Service, Time Management, Verbal Communication, Written Communication, Coordination Of Benefits, Subrogation, Eligibility Criteria, Medicaid, Medicare, Microsoft Office
Specialization
Candidates must possess at least three years of managed care experience in claims, appeals, or a call center environment, including specific experience with Medicaid and Medicare claims denials and appeals processing. Strong organizational, time management, and communication skills are essential for handling simultaneous tasks and preparing accurate correspondence.
Experience Required
Minimum 2 year(s)
Lead Medical Records Collector (Remote) at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Medical Records Collection, Quality Improvement, Hedis, Data Collection, Project Management, Audit Processes, Emr Retrieval, Data Analysis, Customer Service, Prioritization, Hipaa Compliance, Mentorship, Process Improvement, Verbal Communication, Written Communication
Specialization
Candidates must have at least four years of healthcare experience, including medical records support in a managed care setting, along with knowledge of CMS, AHA coding, HEDIS, and NCQA. A valid driver's license and proficiency with data analysis tools like Excel are also required.
Experience Required
Minimum 2 year(s)