- Molina Healthcare (Vancouver, WA)
- …markets/regions. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Provides behavioral health oversight ... and chemical dependency services - working closely with regional medical directors to standardize behavioral health utilization management policies and procedures to… more
- Molina Healthcare (Vancouver, WA)
- …Contributes to overarching strategy to provide quality and cost-effective member care. **ESSENTIAL JOB DUTIES:** + Facilitates clinical/medical reviews of ... of stay, level of care, and inpatient readmissions. + Validates member medical records and claims submitted/correct coding, to ensure appropriate reimbursement… more
- Molina Healthcare (Vancouver, WA)
- …of high speed required. Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are ... the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Assesses services for members to ensure… more
- Molina Healthcare (Vancouver, WA)
- …**Job Summary** The RN Care Review Clinician provides support for clinical member services review assessment processes. Responsible for verifying that services are ... Contributes to overarching strategy to provide quality and cost-effective member care. We are seeking candidates with a RN...within required timelines. * Refers appropriate cases to medical directors (MDs) and presents them in a consistent and… more
- Molina Healthcare (Vancouver, WA)
- JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically ... the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Assesses services for members to ensure… more
- Molina Healthcare (Vancouver, WA)
- …and medical coding. JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are ... the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Assesses services for members to ensure… more