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Job Description Manager, Healthcare Services II JOB SUMMARY: Manages the day to day integrated team of health plan based staff responsible for cost effective delivery of healthcare services for Molina members. Oversees staff responsible for establishing clinical, financial and educational goals for members to achieve high quality patient care and optimal outcomes. Monitors information daily as app...
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Job Description Molina Healthcare has an immedidate opportunity for a Case Manager II RN at our Irving, Tx location. This role is 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 monito...
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Location: Irving, TX This is a non-remote position Job Summary Responsible for overseeing the Integrated Case Management staff focused on assisting Molina Healthcare members with their health care needs to achieve optimal clinical, financial and quality of life outcomes. Monitors information daily as appropriate including member metrics and staff productivity. Evaluates the services provided and o...
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Job Summary This primary care physician will work in the health centers providing primary care medical care services to the patients of the Community Healthcare Network. Essential Functions • Leads member of the clinical care team which consists of a physician, nurse practitioner, MA, RN support and administrative support (front desk clerk); acts as team leader- takes the most active role in setti...
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POSITION SUMMARY: Manages submission, intervention and resolution of appeals, grievances, and/or complaints from Molina members and related outside agencies as a part of the integrated Healthcare Services Team. Conducts pertinent research, evaluates, responds and completes appeals and other inquiries accurately, timely and in accordance with all established regulatory guidelines. Prepares appeal s...
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