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Molina Healthcare
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San Diego, California
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Authorizations, Utilization Review / Utilization Management and knowledge of Interqual / MCG guidelines ... .
JOB DESCRIPTION
Job Summary
Molina Healthcare Services (HCS) works with members
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Molina Healthcare
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San Diego, California
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Utilization Management / Utilization Review is required for this role. Experience with Case Management is a ... , unrestricted Utilization Management Certification (CPHM).
To all current Molina employees: If you are
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Molina Healthcare
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San Diego, California
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occur to discuss and resolve issues related to utilization management, pharmacy, quality of care, and ... , network development and management, or project management experience in a managed healthcare setting
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Molina Healthcare
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San Diego, California
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screening and preventive primary care services delivered in the home, community, and nursing facility ... coordination to reduce hospital readmission rates and emergency room utilization
Perform face-to-face in
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Molina Healthcare
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San Diego, California
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training and education, in alignment with Molina Healthcare's overall mission, core values, and strategic ... staff are the primary point of contact between Molina Healthcare and contracted provider network. In
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