Job Description. JOB DESCRIPTION. 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...
Job Description. JOB DESCRIPTION. Job Summary. Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs. ensures maintenance of programs for members in accordance with prescribed quality standards. conducts data collection, reporting and monitoring for key performance measurement activities. and provides direction and implementation of NCQA accreditati...
Job Description. JOB DESCRIPTION. Job Summary. Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs. ensures maintenance of programs for members in accordance with prescribed quality standards. conducts data collection, reporting and monitoring for key performance measurement activities. and provides direction and implementation of NCQA accreditati...
Job Description. JOB DESCRIPTION. Job Summary. Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs. ensures maintenance of programs for members in accordance with prescribed quality standards. conducts data collection, reporting and monitoring for key performance measurement activities. and provides direction and implementation of NCQA accreditati...
Job Description. JOB DESCRIPTION. Job Summary. Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs. ensures maintenance of programs for members in accordance with prescribed quality standards. conducts data collection, reporting and monitoring for key performance measurement activities. and provides direction and implementation of NCQA accreditati...
Job Description. JOB DESCRIPTION. 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...
Job Description. Candidates For This Position Must Reside Near Counties In The Gulf Coast Area. Are you passionate about serving others. Do you have established relationships within the community. . Come join our growing. Community Engagement. team at. Molina Healthcare. . Community Engagement is more than just participating in events at Molina, we focus on making an impact on peoples lives. . This role involves working with a wide variety of c...
Job Description. JOB DESCRIPTION. We are looking for Case Managers, who must live in either Northern or Central Mississippi. The Case Manager will work with Medicaid population supporting Families and Children. Excellent computer skills and attention to detail are very important to multitask between systems, talk with members and providers on the phone, and enter accurate contact notes. This is a fast-paced position and productivity is important....
Job Description. Job Description. Job Summary. Molinas Quality Management function implements, oversees, and maintains new and existing healthcare quality monitoring activities and programs. ensures quality monitoring audits and investigations are performed in accordance with prescribed quality standards. informs data collection, reporting, and analysis to monitor key quality management activity. and provides direction and implementation of fede...
Job Description. JOB DESCRIPTION. Job Summary. Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs. ensures maintenance of programs for members in accordance with prescribed quality standards. conducts data collection, reporting and monitoring for key performance measurement activities. and provides direction and implementation of NCQA accreditati...
Job Description. Remote and must live in Idaho or Utah. JOB DESCRIPTION. Job Summary. Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each database. Validate data to be housed on provider databases and ...
Job Description. Job Description. Opportunity for a Nebraska licensed Social Worker with a background in treating children and adolescents in a behavioral health setting to join our Health Plan as a Case Manager. Part of the responsibilities includes conducting face-to-face visits with our members. Schedule is Monday Friday, 8 AM 5 PM and mileage is reimbursed as part of our benefits program. The case load will be in the Omaha and Lincoln ser...
