JOB DESCRIPTION Opportunity for TX licensed RN residing in Dallas County to join our LTSS Team as a Case Manager working with our Medicaid members. Part of the responsibilities of the role is to conduct face-to-face meetings with the members in their homes, completing assessments needed for determining the types of services we need to provide. Preference will be given to those candidates with previous LTSS experience. Mileage is reimbursed as part of our benefits package. Hours are Monday – …
Field Case Manager, LTSS (RN)
Nurse Clinician: Prior Authorization: CALIFORNIA / PACIFIC HOURS
Job Summary Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service. KNOWLEDGE/SKILLS/ABILITIES Assesses services for members to ensure optimum outcomes, …
Care Review Clinician, Inpatient Review (RN)
Job SummaryMolina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service. KNOWLEDGE/SKILLS/ABILITIES Assesses inpatient services for members to ensure optimum …
Case Manager (RN) (Must Reside In NE)Case Manager (RN) (Must Reside In NE)
Job Summary Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service. KNOWLEDGE/SKILLS/ABILITIES Completes comprehensive assessments of members per regulated …
Clinical Services Auditor (Remote)
KNOWLEDGE/SKILLS/ABILITIES Performs monthly auditing of registered nurse and other 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 with NCQA, CMS, State and Federal requirements. May also perform non-clinical system and process audits, as needed. Assesses clinical staff regarding appropriate decision-making. Reports monthly outcomes, identifies areas of re-training for staff, and communicates findings to leadership. Ensures auditing approaches follow a Molina standard in …
Paid Cancer Prevention Summer Research Fellowship
Are you a U.S. Citizen or Permanent Resident? Are you a current college or graduate student who likes science? Are you interested in what motivates behaviors around health? Do you want to learn the causes of disease and health conditions? Are you curious about cancer prevention? Embark on a transformative journey in cancer prevention research with our 10-week summer fellowship in the Cancer Prevention Research Training Program (CPRTP) at MD Anderson Cancer Center in Houston, Texas. This exciting opportunity is …
POSITION OVERVIEW: Position Name: NACDD Public Health AmeriCorps Service Member Position Type/Hours: Three Quarter Time/1200 hours Service Location: Service Location: YMCA of Metro Atlanta Leadership & Learning Center, 569 Martin Luther King Jr, Dr., Atlanta, GA 30314 Living Allowance: $8,074.00 Education Award: $5,176.50 Total Award: $13,250.50 PROGRAM PURPOSE: The National Association of Chronic Disease Directors (NACDD) is a national public health non-profit agency focused on improving the health of the public by strengthening state and national leadership and expertise for …
Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 114,000 colleagues serve people in more than 160 countries. JOB DESCRIPTION: Clinical Associate About Abbott Abbott is a global healthcare leader, creating breakthrough science to improve people’s health. We’re always looking towards the future, anticipating changes in medical …
Behavior Technician
As a Behavior Technician at Balance Autism, you are responsible for helping children diagnosed with autism learn new skills and achieve greater independence through data-driven therapy. Along the way, you will grow your career one step at a time—receiving constructive feedback, undergoing regular training and education, working with our staff to make a positive impact within our organization, and pursuing opportunities for advancement. YOUR RESPONSIBILITIES: Work directly with children Develop and execute treatment plans Monitor personalized programs Collect and track …