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Molina Healthcare Careers 48 Jobs in California

  • Care Review Clinician, Inpatient Review (RN) REMOTE / CALIFORNIA PACIFIC HOURS

    Molina Healthcare - California
    ... / Utilization Review / Utilization Management and knowledge of Interqual / MCG guidelines. CALIFORNIA LICENSURE ... process.** JOB DESCRIPTION Job Summary Molina Healthcare Services (HCS) works ...

  • Manager, Healthcare Services - ECM (CalAIM)

    Molina Healthcare - California
    ... operational management and oversight of integrated Healthcare Services (HCS) teams responsible for providing ... effective utilization of services, management of targeted member population, and triage activities ...

  • Correspondence Processor - Hybrid (Must reside in California)

    Molina Healthcare - Long Beach, California
    ... )** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to ... ** Provides clerical, data entry and/or telephone support for the Utilization Management team. Manages ...

  • Medical Director (Medicare)

    Molina Healthcare - Long Beach, California
    ... appropriateness and medical necessity of healthcare services provided to members, targeting improvements in ... utilization practices, guideline usage, pharmacy utilization and effective resource management. Develops ...

  • Care Review Clinician, Inpatient Review (RN) CALIFORNIA

    Molina Healthcare - Long Beach, California
    ... / Utilization Review / Utilization Management and knowledge of Interqual / MCG guidelines. CALIFORNIA LICENSURE ... process.** JOB DESCRIPTION Job Summary Molina Healthcare Services (HCS) works ...

  • Care Review Clinician, Inpatient Review (RN) CALIFORNIA 3-12 day shift

    Molina Healthcare - California
    ... Utilization Management / Utilization Review is very essential to this role. Experience with Case Management is ... Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess ...

  • Care Review Clinician, Inpatient Review (RN) NIGHT SHIFT (CALIFORNIA HOURS)

    Molina Healthcare - Los Angeles, California
    ... from then on._** Previous experience with Utilization Management / Utilization Review is very ... . JOB DESCRIPTION Job Summary Molina Healthcare Services (HCS) works with members ...

  • Remote Family Nurse Practitioner (Field visits required)

    Molina Healthcare - Los Angeles, California
    ... screening and preventive primary care services delivered in the home, community, and nursing facility ... Provide post discharge coordination to reduce hospital readmission rates and emergency room utilization ...

  • Remote Family Nurse Practitioner (Field visits required)

    Molina Healthcare - Los Angeles, California
    ... screening and preventive primary care services delivered in the home, community, and nursing facility ... Provide post discharge coordination to reduce hospital readmission rates and emergency room utilization ...

  • Remote Family Nurse Practitioner (Field visits required)

    Molina Healthcare - Los Angeles, California
    ... screening and preventive primary care services delivered in the home, community, and nursing facility ... Provide post discharge coordination to reduce hospital readmission rates and emergency room utilization ...

  • Provider Relations Representative

    Molina Healthcare - San Diego, California
    ... and resolve issues related to utilization management, pharmacy, quality of care, and correct coding ... management, or project management experience in a managed healthcare setting. **REQUIRED EXPERIENCE ...

  • Remote Family Nurse Practitioner (Field visits required)

    Molina Healthcare - Los Angeles, California
    ... screening and preventive primary care services delivered in the home, community, and nursing facility ... Provide post discharge coordination to reduce hospital readmission rates and emergency room utilization ...

  • Remote Family Nurse Practitioner - Field visits required

    Molina Healthcare - Los Angeles, California
    ... screening and preventive primary care services delivered in the home, community, and nursing facility ... Provide post discharge coordination to reduce hospital readmission rates and emergency room utilization ...

  • Remote Family Nurse Practitioner (field visits required)

    Molina Healthcare - Sacramento, California
    ... screening and preventive primary care services delivered in the home, community, and nursing facility ... Provide post discharge coordination to reduce hospital readmission rates and emergency room utilization ...

  • Remote Family Nurse Practitioner FNP (field visits required)

    Molina Healthcare - Sacramento, California
    ... screening and preventive primary care services delivered in the home, community, and nursing facility ... Provide post discharge coordination to reduce hospital readmission rates and emergency room utilization ...

  • Remote Family Nurse Practitioner (field visits required)

    Molina Healthcare - Sacramento, California
    ... screening and preventive primary care services delivered in the home, community, and nursing facility ... Provide post discharge coordination to reduce hospital readmission rates and emergency room utilization ...

  • Family Nurse Practitioner (Field Visits Required)

    Molina Healthcare - Palm Springs, California
    ... screening and preventive primary care services delivered in the home, community, and nursing facility ... Provide post discharge coordination to reduce hospital readmission rates and emergency room utilization ...

  • Remote Family Nurse Practitioner (Field visits required)

    Molina Healthcare - Los Angeles, California
    ... screening and preventive primary care services delivered in the home, community, and nursing facility ... Provide post discharge coordination to reduce hospital readmission rates and emergency room utilization ...

  • Remote Family Nurse Practitioner (Field visits required)

    Molina Healthcare - Sacramento, California
    ... screening and preventive primary care services delivered in the home, community, and nursing facility ... Provide post discharge coordination to reduce hospital readmission rates and emergency room utilization ...

  • Remote Family Nurse Practitioner (field visits required)

    Molina Healthcare - El Centro, California
    ... screening and preventive primary care services delivered in the home, community, and nursing facility ... Provide post discharge coordination to reduce hospital readmission rates and emergency room utilization ...

  • Family Nurse Practitioner (Field visits required)

    Molina Healthcare - San Bernardino, California
    ... screening and preventive primary care services delivered in the home, community, and nursing facility ... Provide post discharge coordination to reduce hospital readmission rates and emergency room utilization ...

  • Remote Family Nurse Practitioner (Field visits required)

    Molina Healthcare - Los Angeles, California
    ... screening and preventive primary care services delivered in the home, community, and nursing facility ... Provide post discharge coordination to reduce hospital readmission rates and emergency room utilization ...

  • Remote Family Nurse Practitioner (Field visits required)

    Molina Healthcare - Palm Springs, California
    ... screening and preventive primary care services delivered in the home, community, and nursing facility ... Provide post discharge coordination to reduce hospital readmission rates and emergency room utilization ...

  • Remote Family Nurse Practitioner (Field visits required)

    Molina Healthcare - Los Angeles, California
    ... screening and preventive primary care services delivered in the home, community, and nursing facility ... Provide post discharge coordination to reduce hospital readmission rates and emergency room utilization ...

  • Remote Family Nurse Practitioner (Field visits required)

    Molina Healthcare - San Bernardino, California
    ... screening and preventive primary care services delivered in the home, community, and nursing facility ... Provide post discharge coordination to reduce hospital readmission rates and emergency room utilization ...

  • Remote Family Nurse Practitioner (Field visits required)

    Molina Healthcare - Los Angeles, California
    ... screening and preventive primary care services delivered in the home, community, and nursing facility ... Provide post discharge coordination to reduce hospital readmission rates and emergency room utilization ...

  • Remote Family Nurse Practitioner (Field visits required)

    Molina Healthcare - Santa Clara, California
    ... screening and preventive primary care services delivered in the home, community, and nursing facility ... Provide post discharge coordination to reduce hospital readmission rates and emergency room utilization ...

  • Family Nurse Practitioner - Remote/Field (Fresno, CA)

    Molina Healthcare - Fresno, California
    ... screening and preventive primary care services delivered in the home, community, and nursing facility ... Provide post discharge coordination to reduce hospital readmission rates and emergency room utilization ...

  • Remote Family Nurse Practitioner (Field visits required)

    Molina Healthcare - Madera, California
    ... screening and preventive primary care services delivered in the home, community, and nursing facility ... Provide post discharge coordination to reduce hospital readmission rates and emergency room utilization ...

  • Remote Family Nurse Practitioner (Field visits required)

    Molina Healthcare - Oakland, California
    ... screening and preventive primary care services delivered in the home, community, and nursing facility ... Provide post discharge coordination to reduce hospital readmission rates and emergency room utilization ...
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