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Molina Healthcare
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Dallas, Texas
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Job Description
Job Summary
Molina Healthcare Services (HCS) works with members ... Health Plans enterprise-wide with implementing, monitoring, and achieving the Long Term Services
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Molina Healthcare
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United States
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, HMO regulations, managed healthcare systems, quality improvement, medical utilization management, risk ... leadership and guidance for utilization management and case management programs for mental health and
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Molina Healthcare
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Phoenix, Arizona
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leadership in the development and execution of the Plan’s disease management, case management, utilization ... , including such programs as Quality Improvement, Utilization Management, Care Management, Predictive Modeling
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Molina Healthcare
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Albuquerque, New Mexico
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, Healthcare Services is responsible for oversight and management of the state health plan's Healthcare Services (clinical operations) teams including Utilization Management (prior-authorization, inpatient
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Molina Healthcare
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United States
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analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost
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Molina Healthcare
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United States
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JOB DESCRIPTION
Job Summary
Molina Pharmacy Services/Management staff work to ... requirements, reviewing drug/provider utilization patterns and pharmacy costs management), clinical pharmacy
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Molina Healthcare
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United States
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JOB DESCRIPTION
Job Summary
Molina Healthcare Services (HCS) works with ... , hospital nursing or utilization management experience.
**Preferred License, Certification
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Molina Healthcare
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Albuquerque, New Mexico
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dependency services. Works closely with the Regional Medical Directors to standardized utilization management ... leadership and guidance for utilization management and case management and quality programs for mental health
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Molina Healthcare
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San Antonio, Texas
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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
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Molina Healthcare
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United States
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necessity of healthcare services provided to members, targeting improvements in efficiency and satisfaction ... usage, pharmacy utilization and effective resource management.
Develops and implements a
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Molina Healthcare
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United States
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utilization management and case management. You can work 100% remote for our California health plan ... DESCRIPTION**
Job Summary
Molina Healthcare Services (HCS) works with members, providers and
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Molina Healthcare
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United States
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, Concurrent Review/ Utilization Review / Utilization Management and knowledge of Interqual / MCG guidelines ... **
Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to
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Molina Healthcare
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United States
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, Concurrent Review/ Utilization Review / Utilization Management and knowledge of Interqual / MCG guidelines ... **
Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to
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Molina Healthcare
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New York, New York
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presents healthcare utilization and cost containment reports and makes recommendations based on relevant ... /performance management metrics
Demonstrate Healthcare experience in Quantifying, Measuring and Analyzing
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Molina Healthcare
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Dallas, Texas
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. Identifies utilization management information needs and technologies. Develops and manages the annual ... effectiveness of case management services..
Job Qualifications
**Required Education
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Molina Healthcare
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Glen Allen, Virginia
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Services provides operational management and oversight of integrated Healthcare Services (HCS) teams ... productivity, cost effective utilization of services, management of targeted member population, and triage
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Molina Healthcare
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United States
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healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes
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Molina Healthcare
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California
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/ Utilization Review / Utilization Management and knowledge of Interqual / MCG guidelines. CALIFORNIA LICENSURE ... .
Preferred License, Certification, Association
Active, unrestricted Utilization Management Certification
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Molina Healthcare
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California
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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
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Molina Healthcare
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United States
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JOB DESCRIPTION
Job Summary
Molina Pharmacy Services/Management staff work to ... authorization requirements, reviewing drug/provider utilization patterns and pharmacy costs management
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Molina Healthcare
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Dallas, Texas
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JOB DESCRIPTION
Job Summary
Molina Healthcare Services (HCS) works with ... executes internal Healthcare Services projects and programs involving department or cross-functional teams
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Molina Healthcare
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United States
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leadership and guidance for utilization management and case management programs for mental health and chemical dependency services and assists with implementing integrated Behavioral Health care management
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Molina Healthcare
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Lincoln, Nebraska
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related to utilization management, pharmacy, quality of care, and correct coding.
• Independently ... contract, network development and management, or project management experience in a managed healthcare
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Molina Healthcare
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Long Beach, California
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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
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Molina Healthcare
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Dallas, Texas
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healthcare services staff on professional standards of documentation
Reeducate staff via group ... utilization management; managed care; or medical/behavioral health settings.
One year of training
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Molina Healthcare
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United States
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/ Utilization Review / Utilization Management and knowledge of Interqual / MCG guidelines. CALIFORNIA LICENSURE ... process.**
JOB DESCRIPTION
Job Summary
Molina Healthcare Services (HCS) works
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Molina Healthcare
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United States
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Review/ Utilization Review / Utilization Management and must have Interqual, and MCG guidelines ... Summary**
Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team
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Molina Healthcare
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Long Beach, California
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/ Utilization Review / Utilization Management and knowledge of Interqual / MCG guidelines. CALIFORNIA LICENSURE ... process.**
JOB DESCRIPTION
Job Summary
Molina Healthcare Services (HCS) works
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Molina Healthcare
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California
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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
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Molina Healthcare
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United States
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Review/ Utilization Review / Utilization Management and must have Interqual, and MCG guidelines ... ._**
JOB DESCRIPTION
Job Summary
Molina Healthcare Services (HCS) works with members
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