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51 Jobs in California

  • Director, Outpatient Utilization Management (CA license)

    Long Beach, California
    ... oversees one of the following key Healthcare Services functions: case management/disease management/care ... This is a fully remote role. The Director of Healthcare Services position will be overseeing the ...

  • AVP Clinical Operations (Remote within USA)

    Long Beach, California
    ... Job Description Job Summary Molina Healthcare Services (HCS) works with members ... education and experience Required Experience 7 years of utilization and/or case management ...

  • RN Program Manager, HCS TRAINING

    Long Beach, California
    ... DESCRIPTION** Job Summary Molina Healthcare Services (HCS) works with members, providers and ... /SKILLS/ABILITIES** In collaboration with others, plans and executes internal Healthcare Services ...

  • Provider Relations Representative

    Los Angeles, California
    ... and resolve issues related to utilization management, pharmacy, quality of care, and correct coding ... management, or project management experience in a managed healthcare setting. **REQUIRED EXPERIENCE ...

  • Care Review Clinician, Inpatient Review (RN) REMOTE / CALIFORNIA PACIFIC HOURS

    California
    ... / Utilization Review / Utilization Management and knowledge of Interqual / MCG guidelines. CALIFORNIA LICENSURE ... process.** JOB DESCRIPTION Job Summary Molina Healthcare Services (HCS) works ...

  • Care Review Clinician, Inpatient Review (RN) NIGHT SHIFT (CALIFORNIA HOURS)

    Los Angeles, California
    ... from then on._** Previous experience with Utilization Management / Utilization Review is very ... . JOB DESCRIPTION Job Summary Molina Healthcare Services (HCS) works with members ...

  • Care Review Clinician, Inpatient Review (RN) CALIFORNIA

    Long Beach, California
    ... / Utilization Review / Utilization Management and knowledge of Interqual / MCG guidelines. CALIFORNIA LICENSURE ... .** JOB DESCRIPTION Job Summary Molina Healthcare Services (HCS) works with members ...

  • Provider Relations Representative

    San Diego, California
    ... and resolve issues related to utilization management, pharmacy, quality of care, and correct coding ... management, or project management experience in a managed healthcare setting. **REQUIRED EXPERIENCE ...

  • Remote Family Nurse Practitioner (field visits required)

    Chula Vista, California
    ... screening and preventive primary care services delivered in the home, community, and nursing facility ... Provide post discharge coordination to reduce hospital readmission rates and emergency room utilization ...

  • Remote Family Nurse Practitioner (Field visits required)

    Los Angeles, California
    ... screening and preventive primary care services delivered in the home, community, and nursing facility ... Provide post discharge coordination to reduce hospital readmission rates and emergency room utilization ...

  • Remote Family Nurse Practitioner (field visits required)

    Los Angeles, California
    ... screening and preventive primary care services delivered in the home, community, and nursing facility ... Provide post discharge coordination to reduce hospital readmission rates and emergency room utilization ...

  • Remote Family Nurse Practitioner (Field visits required)

    Fresno, California
    ... screening and preventive primary care services delivered in the home, community, and nursing facility ... Provide post discharge coordination to reduce hospital readmission rates and emergency room utilization ...

  • Remote Family Nurse Practitioner (Field visits required)

    San Diego, California
    ... screening and preventive primary care services delivered in the home, community, and nursing facility ... Provide post discharge coordination to reduce hospital readmission rates and emergency room utilization ...

  • Remote Family Nurse Practitioner (Field visits required)

    Bakersfield, California
    ... screening and preventive primary care services delivered in the home, community, and nursing facility ... Provide post discharge coordination to reduce hospital readmission rates and emergency room utilization ...

  • Remote Family Nurse Practitioner (Field visits required)

    Los Angeles, California
    ... screening and preventive primary care services delivered in the home, community, and nursing facility ... Provide post discharge coordination to reduce hospital readmission rates and emergency room utilization ...

  • Remote Family Nurse Practitioner (Field visits required)

    Los Angeles, California
    ... screening and preventive primary care services delivered in the home, community, and nursing facility ... Provide post discharge coordination to reduce hospital readmission rates and emergency room utilization ...

  • Remote Family Nurse Practitioner (Field visits required)

    Los Angeles, California
    ... screening and preventive primary care services delivered in the home, community, and nursing facility ... Provide post discharge coordination to reduce hospital readmission rates and emergency room utilization ...

  • Remote Family Nurse Practitioner (Field visits required)

    Los Angeles, California
    ... screening and preventive primary care services delivered in the home, community, and nursing facility ... Provide post discharge coordination to reduce hospital readmission rates and emergency room utilization ...

  • Remote Family Nurse Practitioner - Field visits required

    Los Angeles, California
    ... screening and preventive primary care services delivered in the home, community, and nursing facility ... Provide post discharge coordination to reduce hospital readmission rates and emergency room utilization ...

  • Family Nurse Practitioner (field visits required)

    Sacramento, California
    ... screening and preventive primary care services delivered in the home, community, and nursing facility ... Provide post discharge coordination to reduce hospital readmission rates and emergency room utilization ...

  • Family Nurse Practitioner (field visits required)

    Sacramento, California
    ... screening and preventive primary care services delivered in the home, community, and nursing facility ... Provide post discharge coordination to reduce hospital readmission rates and emergency room utilization ...

  • Family Nurse Practitioner (Field Visits Required)

    Palm Springs, California
    ... screening and preventive primary care services delivered in the home, community, and nursing facility ... Provide post discharge coordination to reduce hospital readmission rates and emergency room utilization ...

  • Remote Family Nurse Practitioner (Field visits required)

    Los Angeles, California
    ... screening and preventive primary care services delivered in the home, community, and nursing facility ... Provide post discharge coordination to reduce hospital readmission rates and emergency room utilization ...

  • Remote Family Nurse Practitioner (Field visits required)

    Sacramento, California
    ... screening and preventive primary care services delivered in the home, community, and nursing facility ... Provide post discharge coordination to reduce hospital readmission rates and emergency room utilization ...

  • Remote Family Nurse Practitioner (field visits required)

    El Centro, California
    ... screening and preventive primary care services delivered in the home, community, and nursing facility ... Provide post discharge coordination to reduce hospital readmission rates and emergency room utilization ...

  • Family Nurse Practitioner (Field visits required)

    San Bernardino, California
    ... screening and preventive primary care services delivered in the home, community, and nursing facility ... Provide post discharge coordination to reduce hospital readmission rates and emergency room utilization ...

  • Remote Family Nurse Practitioner (Field visits required)

    Los Angeles, California
    ... screening and preventive primary care services delivered in the home, community, and nursing facility ... Provide post discharge coordination to reduce hospital readmission rates and emergency room utilization ...

  • Remote Family Nurse Practitioner (Field visits required)

    Palm Springs, California
    ... screening and preventive primary care services delivered in the home, community, and nursing facility ... Provide post discharge coordination to reduce hospital readmission rates and emergency room utilization ...

  • Remote Family Nurse Practitioner (Field visits required)

    Los Angeles, California
    ... screening and preventive primary care services delivered in the home, community, and nursing facility ... Provide post discharge coordination to reduce hospital readmission rates and emergency room utilization ...

  • Remote Family Nurse Practitioner (Field visits required)

    San Bernardino, California
    ... screening and preventive primary care services delivered in the home, community, and nursing facility ... Provide post discharge coordination to reduce hospital readmission rates and emergency room utilization ...
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