- Molina Healthcare (Long Beach, CA)
- …state Medicaid UM auditing experience. + Three years' experience in delegation oversight process and working knowledge of state and federal regulations. ... **JOB DESCRIPTION** **Job Summary** The ** Delegation Oversight Nurse** is responsible for...additional duties of the team. We are looking for LVN 's with at least 4 years of UM… more
- Molina Healthcare (Columbus, OH)
- …state Medicaid UM auditing experience. + Three years' experience in delegation oversight process and working knowledge of state and federal regulations. ... DESCRIPTION** **Job Summary** Responsible for continuous quality improvements within the Delegation Oversight Department. Oversees delegated activities to ensure… more
- Dignity Health (Bakersfield, CA)
- …**Minimum Qualifications:** - 3 years managed care experience - 1 year minimum of UM Delegation Oversight audit experience with Health Plan or large ... Nursing - Clear and current CA Licensed Vocational Nurse ( LVN ) - Knowledge in NCQA standards, DHCS, CMS, and...and DHMC regulatory requirements **Preferred Qualifications:** - 3-5 years UM /Case Management delegation oversight audit… more