Full-Time jobs in the Medical & Health category at Molina Healthcare in Columbus, Ohio

Job SummaryResponsible for implementing and monitoring local QI and HEDIS interventions. Essential FunctionsThe position's essential functions are as follows: • Assists Interventions Manager in implementing provider or member interventions • Works on removing barriers to care, either at the provider or member level • Assists in data entry and monitoring of interventions • Works with HP Reporting t...
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Medical Director - Behavorial Health Provides medical oversight in appropriateness and medical necessity of healthcare services provided to Plan members, targeting improvements in efficiency and satisfaction for patients and providers, as well as meeting or exceeding productivity standards, with particular emphasis on behavioral health issues. DUTIES AND RESPONSIBILITIES Provides clinical support ...
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Job Summary Responsible for health care management and coordination of Molina Healthcare members in order to achieve optimal clinical, financial and quality of life outcomes. Works with members to create and implement an integrated collaborative plan of care. Coordinates and monitors Molina member's progress and services to ensure consistent cost effective care that complies with Molina policy and...
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Job Summary Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing Molina Healthcare members with the right care at the right place at the right time. Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations...
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Job Summary Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing Molina Healthcare members with the right care at the right place at the right time. Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations...
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Job Summary Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing Molina Healthcare members with the right care at the right place at the right time. Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations...
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Case Manager I - UM Registered Nurse (RN) highly desired Location: Columbus, OH; this is a non-remote position JOB SUMMARY Responsible for health care management and coordination of Molina Healthcare members in order to achieve optimal clinical, financial and quality of life outcomes. Works with members to create and implement an integrated collaborative plan of care. Coordinates and monitors Moli...
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CASE MANAGER II This is a Registered Nurse or MSW position Location: Columbus, OH; Non-remote position JOB SUMMARY Responsible for health care management and coordination of Molina Healthcare members in order to achieve optimal clinical, financial and quality of life outcomes. Works with members to create and implement an integrated collaborative plan of care. Coordinates and monitors Molina membe...
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