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Molina Healthcare Careers 362 Jobs

  • Program Manager- Managed Care

    Molina Healthcare - United States
    ... /program management. Job Duties Active collaborator with people who are responsible for ... work of external vendors. Focuses on process improvement, organizational change management ...
  • Case Manager - Foster Care

    Molina Healthcare - Richmond, Virginia
    ... management. Promotes integration of services for members including behavioral health care and long term ... management, disease management, managed care or medical or behavioral health settings. **REQUIRED ...
  • Case Manager RN- Transition of Care

    Molina Healthcare - Grenada, Mississippi
    ... Pillars): medication management, use of personal health record, follow up care, signs and symptoms of ... Northern or Southern Mississippi and must be licensed for the state of MS. Transition of Care RN will work ...
  • Case Manager (RN) - Foster Care

    Molina Healthcare - Glen Allen, Virginia
    ... Preferred Experience 3-5 years in case management, disease management, managed care or medical or ... Virginia. Case Manager RN will work in remote and field setting supporting our Foster Care Medicaid ...
  • Product Development Manager (must have Medicaid Managed Care experience)

    Molina Healthcare - United States
    ... improvements related to products and solutioning. Management of internal business projects and programs ... the work of external vendors. Focuses on process improvement, organizational change management ...
  • Case Manager, LTSS RN - Personal Care Services

    Molina Healthcare - Taylor, Michigan
    ... have experience working with manage care population and/or case management role. Excellent computer ... management, managed care or medical or behavioral health settings. Required License, Certification ...
  • Registered Nurse Case Manager Complex Care Remote must reside in New York

    Molina Healthcare - United States
    ... Management program . We are seeking a Registered Nurse with previous Case/Care Management and managed care ... years in case management, disease management, managed care or medical or behavioral health settings ...
  • Case Manager (RN) : Transition Care ( San Diego County )

    Molina Healthcare - San Diego, California
    ... Pillars): medication management, use of personal health record, follow up care, signs and symptoms of ... JOB DESCRIPTION **CASE MANAGER - TRANSITION of CARE COACH RN for our CALIFORNIA Health ...
  • Auditor, Clinical Services - UM (Remote in TX)

    Molina Healthcare - Dallas, Texas
    ... clinical functions in Utilization Management (UM), Case Management (CM), Member Assessment Team (MAT), Health Management (HM), and/or Disease Management (DM). Monitors key clinical staff for compliance ...
  • Auditor, Clinical Services - REMOTE (TEXAS RESIDENTS ONLY)

    Molina Healthcare - Dallas, Texas
    ... experience in case management, disease management or utilization management in managed care, medical or ... clinical functions in Utilization Management (UM), Case Management (CM), Member Assessment Team (MAT ...
  • LVN Case Manager: SAN DIEGO COUNTY CA

    Molina Healthcare - California
    ... management. Promotes integration of services for members including behavioral health care and long term ... management, disease management, managed care or medical or behavioral health settings. **REQUIRED ...
  • Supv, Health Plan Pharmacy Ops

    Molina Healthcare - United States
    ... JOB DESCRIPTION Job Summary Molina Pharmacy Services/Management staff work to ... in this family include those involved in formulary management (such as, reviewing prior authorization ...
  • Case Manager LPN - Medicaid Population

    Molina Healthcare - Richmond, Virginia
    ... management. Promotes integration of services for members including behavioral health care and long term ... management, disease management, managed care or medical or behavioral health settings. **REQUIRED ...
  • Mgr, Healthcare Services

    Molina Healthcare - Arizona
    ... management, transition of care, health management and/or member assessment. Typically, through one or ... : utilization management, case management, care transition and/or disease management. Minimum 2 years of ...
  • Supervisor, Quality Interventions/QI Compliance- Remote

    Molina Healthcare - United States
    ... /SKILLS/ABILITIES** The Supervisor, Quality Interventions/Compliance supervises staff who ... improvement (QI) strategies, which may include initiation and management of provider, member and/or community ...
  • Remote Case Manager (RN) (Must reside in FL)

    Molina Healthcare - United States
    ... Preferred Experience 3-5 years in case management, disease management, managed care or medical or ... integrated delivery of care across the continuum, including behavioral health and long term care, for members ...
  • LVN Case Manager (Case Management + Utilization Management)

    Molina Healthcare - United States
    ... management. Promotes integration of services for members including behavioral health care and long term ... management, disease management, managed care or medical or behavioral health settings. **PREFERRED ...
  • Case Manager Social Worker Remote with Field Travel Seattle WA

    Molina Healthcare - Seattle, Washington
    ... management, disease management, managed care or medical or behavioral health settings. **REQUIRED ... . PREFERRED EXPERIENCE: 3-5 years in case management, disease management, managed care or medical or ...
  • Mgr, Growth & Comm Engagement Field-Based Western WA

    Molina Healthcare - Seattle, Washington
    ... , Assistor, Connecter, Promotora, Marketing, Growth, Manager, Supervisor, Leader, Management, Bilingual ... role is approximately 50-75% travel. Healthcare experience of some kind. Managed Care is a big ...
  • Case Manager - Behavioral Health

    Molina Healthcare - Cayce, South Carolina
    ... disease management. • Facilitates interdisciplinary care team meetings and informal ICT ... , disease management, managed care or medical or behavioral health settings. Experience with working ...
  • Medical Records Collector - ( Hybrid in El Paso)

    Molina Healthcare - United States
    ... database. Assisting with project management by coordinating the identification, pursuit and collection ... and Supervisor(s) and / or performs the coordination and preparation of the HEDIS medical record ...
  • Provider Relations Representative

    Molina Healthcare - South Carolina
    ... network. They are responsible for network management including provider education, communication ... when escalation to a Senior Representative, Supervisor, or another Molina department is needed. Takes ...
  • Telephonic Case Manger RN - MUST LIVE IN TX

    Molina Healthcare - Dallas, Texas
    ... Preferred Experience 3-5 years in case management, disease management, managed care or medical or ... integrated delivery of care across the continuum, including behavioral health and long term care, for members ...
  • Senior Provider Relations Representative

    Molina Healthcare - Milwaukee, Wisconsin
    ... related to utilization management, pharmacy, quality of care, and correct coding. • Independently ... network. They are responsible for network management including provider education, communication ...
  • Field Case Manager, LTSS RN

    Molina Healthcare - Fort Worth, Texas
    ... Services & Supports. 1-3 years in case management, disease management, managed care or medical or ... management, disease management, managed care or medical or behavioral health settings. 1 year experience ...
  • Case Manager (RN) - Medicaid Case Management

    Molina Healthcare - Hopewell, Virginia
    ... Preferred Experience 3-5 years in case management, disease management, managed care or medical or ... of care across the continuum, including behavioral health and long term care, for members with high ...
  • Field Case Manager, LTSS - IDD experience required

    Molina Healthcare - Fort Worth, Texas
    ... management, disease management, managed care or medical or behavioral health settings. PREFERRED EXPERIENCE: 3-5 years in case management, disease management, managed care or medical or ...
  • Field Case Manager, LTSS (RN) - Nursing Facility exp

    Molina Healthcare - San Antonio, Texas
    ... Services & Supports. 1-3 years in case management, disease management, managed care or medical or ... management, disease management, managed care or medical or behavioral health settings. 1 year experience ...
  • Field Case Manager, LTSS (Walker County, TX)

    Molina Healthcare - Huntsville, Texas
    ... management, disease management, managed care or medical or behavioral health settings. PREFERRED EXPERIENCE: 3-5 years in case management, disease management, managed care or medical or ...
  • IRIS Consultant - TMG (Milwaukee/Waukesha/Ozaukee), WI) (Fieldwork/Hybrid) (No Weekends, No Holidays, No After Hours)

    Molina Healthcare - Milwaukee, Wisconsin
    ... long-term health care needs? Then TMG wants to hear from you! We’re currently looking for ... of the Wisconsin IRIS program – a Medicaid long-term care option for older adults and people with ...
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