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, …
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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. This position will support our Senior Whole Health business. …
JOB DESCRIPTION For this position we are seeking a (RN) Registered Nurse who must reside be licensed in the state Nebraska. We are looking for a RN to support our SC Health plan Medicaid Nebraska Inpatient Medical review process. Strong experience with appeals reviews and/or utilization management working on the manage care side. Excellent computer multi-tasking skills and good productivity is essential for this fast-paced role. Good analytical thought process is important to be successful in this role. This is …
JOB DESCRIPTION Opportunity for a Bachelors/Masters trained social worker to join our Illinois Health plan as a Field Case Manager. The service area for this position covers southern/central Lake County, West Cook County, and some of downtown Chicago. The driving distance could be up to a 2-hour radius from your home to conduct annual face-to-face visits with our members; we reimburse for mileage as part of our benefits package. When you are not in the field, you will work directly …
JOB DESCRIPTION We are looking for a Case Managers who must live and reside in Arizona. Case Manager will work remotely supporting our Medicaid Population telephonically. Supporting our SED Population. Excellent computer skills and attention to detail are very important to multitask between systems, talk with members on the phone, and enter accurate contact notes. This is a fast-paced position and productivity is important. Excellent skillset working with EMR’s and Microsoft Office. Prefer individuals with a behavioral health background supporting …
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. This position will be supporting our Washington State …
We are seeking a CASE MANAGER for our CALIFORNIA Health Plan. Candidates must live in LOS ANGELES COUNTY in the state of California for consideration. MASTERS DEGREE IN SOCIAL WORK, PSYCHOLOGY, or related. Case Managers will work in remote and field settings our Medicaid Population. Excellent computer skills and attention to detail are very important to multitask between systems, talk with members on the phone, and enter accurate contact notes. This is a fast-paced position and productivity is important. Excellent …
Job Description We are looking for a Behavioral Health Case Manager who must live and reside in Virginia. Case Manager will work in remote and field setting our Medicaid Population identified with Behavioral Health diagnosis. Excellent computer skills and attention to detail are very important to multitask between systems, talk with members on the phone, and enter accurate contact notes. This is a fast-paced position and productivity is important. Excellent skillset working with EMR’s and Microsoft Office. Field TRAVEL will …
CASE MANAGERS for our NEVADA Health Plan. Candidates must live in CLARK COUNTY in the state of Nevada, for consideration. Case Managers will work in remote and field settings our Medicaid Population. Excellent computer skills and attention to detail are very important to multitask between systems, talk with members on the phone, and enter accurate contact notes. This is a fast-paced position and productivity is important. Excellent skillset working with EMR’s and Microsoft Office. Prior experience with PEDIATRIC BEHAVIORAL HEALTH …