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New SearchJOB DESCRIPTION Job Summary Clinical Appeals is responsible for making appropriate and correct clinical decisions for appeals outcomes within compliance standards. KNOWLEDGE/SKILLS/ABILITIES ...
JOB DESCRIPTION Job Summary Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an ...
JOB DESCRIPTION Job Summary Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an ...
Job Description Job Summary The Manager, Clinical DRG Coding & Validation must have an extensive background in either facility-based nursing and/or inpatient coding and ...
JOB DESCRIPTION Opportunity for experienced Utilization Review RN in United States who has a compact, multi-state license. This team reviews the prior authorization requests ...
**California residents preferred JOB DESCRIPTION Job Summary Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, ...
JOB DESCRIPTION Job Summary The Delegation Oversight Nurse is responsible for ensuring that Molina Healthcare's UM delegates are compliant with all applicable State, CMS, ...
*** Preference for west coast residents who live in Pacific Daytime Business hours. Candidates who do not live in Pacific Time Zone must be willing to work Pacific Hours. JOB ...
JOB DESCRIPTION For this position we are seeking a (RN) Registered Nurse who lives in Kentucky and must be licensed for the state of Kentucky Case Manager RN will work with ...
***California residents preferred. EMERGENCY ROOM ADMISSIONS REVIEW NURSE 3-12 DAY SHIFT: 7:30AM - 08:30PM PACIFIC HOURS NON EXEMPT, 3 days a week will rotate. TRAINING ...
JOB DESCRIPTION We are seeking a (RN) Registered Nurse who must live and have a current active unrestricted RN license in the state of UT. This position will support our ...
JOB DESCRIPTION Opportunity to join Molina Healthcare working with our Medicaid members as a Case Manager. This is open to Illinois licensed RNs across the state who have ...
JOB DESCRIPTION Opportunity for Illinois licensed RN to join Molina as a Remote Case Manager working with our Medicare members in south central Illinois (Marion, Richland, ...
HOSPICE OVERSIGHT CASE MANAGER (REGISTERED NURSE) *California residents preferred JOB DESCRIPTION Job Summary Molina Healthcare Services (HCS) works with members, providers ...
JOB DESCRIPTION Job Summary Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an ...
*** Nevada residents preferred. Travel required in Clark County Nevada JOB DESCRIPTION Job Summary Molina Healthcare Services (HCS) works with members, providers and multidisciplinary ...
JOB DESCRIPTION Job Summary Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an ...
**Pacific / West Coast Time Zone residents preferred. JOB DESCRIPTION Job Summary Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team ...
**California RN residents preferred. Pacific daytime business hours required. JOB DESCRIPTION Job SummaryMolina Healthcare Services (HCS) works with members, providers ...
JOB DESCRIPTION Opportunity for experienced Utilization Review RN in the state of Texas. You will be hired to join the inpatient review team doing initial and concurrent reviews. ...
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