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Sr Specialist, Quality Interventions/QI Compliance- NCQA Accredi
Molina Healthcare - Las Vegas , NV

**JOB DESCRIPTION** **Job Summary** Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures maintenance of programs for members in accordance with prescribed quality standards; conducts data...

Date Post 04/28/2024 - Apply Now - Save Job

Sr Specialist, Quality Interventions/QI Compliance (Remote in Ne
Molina Healthcare - Las Vegas , NV

**JOB DESCRIPTION** **Job Summary** Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures maintenance of programs for members in accordance with prescribed quality standards; conducts data...

Date Post 04/18/2024 - Apply Now - Save Job

Case Manager - Pediatric Behavioral Health Specialist.
Molina Healthcare - Las Vegas , NV

**_CASE MANAGERS for our NEVADA Health Plan. Candidates must live in CLARK COUNTY in the state of Nevada, for consideration._** **_Case Managers will work in remote and field settings our Medicaid Population. Excellent computer skills and attention to detail are very important to multitask...

Date Post 04/17/2024 - Apply Now - Save Job

Specialist, Provider Network Admin - Remote (NV)
Molina Healthcare - Carson City , NV

**JOB DESCRIPTION** **Job Summary** Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it...

Date Post 04/14/2024 - Apply Now - Save Job

Remote Family Nurse Practitioner (Field visits required)
Molina Healthcare - Las Vegas , NV

**JOB DESCRIPTION** **Job Summary** The Care Connections Nurse Practitioners focus on screening and preventive primary care services delivered in the home, community, and nursing facility settings. Provides needed care in the environment that patients feel most comfortable and are most receptive...

Date Post 04/13/2024 - Apply Now - Save Job

Case Manager (RN) OB HIGH RISK, Clark County NEVADA
Molina Healthcare - Las Vegas , NV

**RN CASE MANAGER: OB HIGH RISK PREGNANCIES** **_We are hiring this position for CLARK COUNTY NEVADA. Excellent computer skills and attention to detail are very important to multi task between systems, talk with members on the phone, and enter accurate contact notes. This is a fast paced...

Date Post 04/12/2024 - Apply Now - Save Job

Managed Care, Gov Contracts Sr. Specialist (Nevada Remote)
Molina Healthcare - Las Vegas , NV

**Molina Healthcare of Nevada** is hiring for a **Managed Care, Gov Contracts Sr. Specialist** . This role can be worked remotely from anywhere in the state of Nevada.. The Sr. Specialist role will involve coordination of all Government Contracts deliverables, primary focus will be to improve...

Date Post 04/06/2024 - Apply Now - Save Job

Remote Family Nurse Practitioner (Field Visits Required)
Molina Healthcare - Reno , NV

**JOB DESCRIPTION** **_We have an extensive training program for new Grads_** **_Molina student loan repayment program available to Nurse Practitioners_** **Job Summary** The Care Connections Nurse Practitioners focus on screening and preventive primary care services delivered in the home,...

Date Post 04/06/2024 - Apply Now - Save Job

Sr Specialist, Quality Interventions/QI Compliance (Remote in NV
Molina Healthcare - Las Vegas , NV

**JOB DESCRIPTION** **Job Summary** Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures maintenance of programs for members in accordance with prescribed quality standards; conducts data...

Date Post 04/03/2024 - Apply Now - Save Job

Mgr, Social & Health Equity-Must reside in Nevada
Molina Healthcare - Las Vegas , NV

**Job Description** **Job Summary** The Manager of Social & Health Equity plans and implements projects and programs for social & health equity promotion and health disparity reduction in the communities Molina serves. This person provides subject matter expertise in equitable strategies,...

Date Post 03/30/2024 - Apply Now - Save Job

Remote Family Nurse Practitioner (field visits required)
Molina Healthcare - Las Vegas , NV

**JOB DESCRIPTION** **Job Summary** The Care Connections Nurse Practitioners focus on screening and preventive primary care services delivered in the home, community, and nursing facility settings. Provides needed care in the environment that patients feel most comfortable and are most receptive...

Date Post 03/22/2024 - Apply Now - Save Job

Manager, Provider Quality & Practice Transformation (Remote in N
Molina Healthcare - Las Vegas , NV

**JOB DESCRIPTION** **Job Summary** Responsible for continuous quality improvements and risk adjustment accuracy for all government lines of business. Supports robust provider engagement to achieve positive operational and financial outcomes. **KNOWLEDGE/SKILLS/ABILITIES** + Establishes the...

Date Post 03/16/2024 - Apply Now - Save Job

Justice System Liaison-Must reside in Nevada
Molina Healthcare - Las Vegas , NV

**JOB DESCRIPTION** **Job Summary** Works collaboratively with Justice System agencies ensuring members receive care coordination and appropriate access to eligible and necessary services. Provides training and technical assistance to both internal and external stakeholders to enhance...

Date Post 03/07/2024 - Apply Now - Save Job

Behavioral Health Specialist Pediatrics (CASE MANAGER, Licensed
Molina Healthcare - Las Vegas , NV

**_JOB TITLE:_** **_BEHAVIORAL HEALTH SPECIALIST : RN or LSW PEDIATRICS_** **_We are hiring this position for CLARK COUNTY NEVADA. Excellent computer skills and attention to detail are very important to multi task between systems, talk with members on the phone, and enter accurate contact...

Date Post 02/28/2024 - Apply Now - Save Job

RN Manager, Healthcare Services (UTILIZATION MANAGEMENT , NEVAD
Molina Healthcare - Las Vegas , NV

**JOB FUNCTION: UTILIZATION MANAGEMENT, REGISTERED NURSE MANAGER HEALTHCARE SERVICES** **For this role we are seeking a people leader with prior experience overseeing UM staff in a managed care setting. Excellent knowledge of Interqual, MCG guidelines and UM processes will be very important to be...

Date Post 02/11/2024 - Apply Now - Save Job

Manager, Healthcare Services (RN or LSW) Case Management NEVADA
Molina Healthcare - Reno , NV

**JOB FUNCTION: CASE MANAGEMENT REGISTERED NURSE OR LICENSED SOCIAL WORKER, MANAGER HEALTHCARE SERVICES** **For this role we are seeking a people leader with prior experience overseeing Case Management staff in a managed care setting. Excellent knowledge of Medicaid and Medicare case management...

Date Post 01/05/2024 - Apply Now - Save Job