2024-04-27
Molina Healthcare (https://careers.molinahealthcare.com/)
Other
/yr
full-time
employee
Nebraska
United States
JOB DESCRIPTION
Opportunity for a Nebraska licensed RN, LMHP, LIMHP to complete Inpatient Utilization Reviews for our behavioral health members. Preference will be given to those providers who have experience doing these types of reviews within another Managed Care Organization. This is a fully remote position, working from home, Monday – Friday, 8 AM – 5 PM CST and the opportunity is open to all qualified applicants who reside in Nebraska.
Job Summary
Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.
KNOWLEDGE/SKILLS/ABILITIES
JOB QUALIFICATIONS
Required Education
Master's Degree in Social Work, Psychology, or other Behavioral Health field
Required Experience
3+ years Behavioral Health hospital acute care/medical experience.
Required License, Certification, Association
State Specific Requirements:
IL Qualifications: Licensed within the state of Illinois or will apply for licensure within the state of Illinois within 30 days of employment. Master’s Degree in Social Work, Psychology, or other Behavioral Health field, or graduate from an accredited School of Nursing. Active, unrestricted State license in good standing, such as LCSW, LPCC, LMFT or RN.
Preferred Education
Master's Degree in Clinical Social Work
Preferred Experience
Recent Behavioral Health hospital experience in ICU, Medical, or ER unit.
Preferred License, Certification, Association
Active and unrestricted Licensed Clinical Social Worker
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $23.76 - $51.49 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.