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Dallas, Texas
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following key Healthcare Services functions: case management/disease management/care transitions ... JOB DESCRIPTION
Job Summary
Molina Healthcare Services (HCS) works with
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Dallas, Texas
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Job Description
Job Summary
Molina Healthcare Services (HCS) works with members ... Services & Supports (LTSS) program functions and goals per contract responsibilities.
• Provides
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Beaumont, Texas
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operational management and oversight of integrated Healthcare Services (HCS) teams responsible for providing ... effective utilization of services, management of targeted member population, and triage activities
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El Paso, Texas
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operational management and oversight of integrated Healthcare Services (HCS) teams responsible for providing ... effective utilization of services, management of targeted member population, and triage activities
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Dallas, Texas
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operational management and oversight of integrated Healthcare Services (HCS) teams responsible for providing ... effective utilization of services, management of targeted member population, and triage activities
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San Antonio, Texas
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operational management and oversight of integrated Healthcare Services (HCS) teams responsible for providing ... effective utilization of services, management of targeted member population, and triage activities
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Nacogdoches, Texas
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operational management and oversight of integrated Healthcare Services (HCS) teams responsible for providing ... effective utilization of services, management of targeted member population, and triage activities
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Fort Worth, Texas
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operational management and oversight of integrated Healthcare Services (HCS) teams responsible for providing ... effective utilization of services, management of targeted member population, and triage activities
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Dallas, Texas
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operational management and oversight of integrated Healthcare Services (HCS) teams responsible for providing ... effective utilization of services, management of targeted member population, and triage activities
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The Bronx, New York
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utilization management activities aimed at providing Molina Healthcare members with the right care at the ... including plan utilization, staff productivity, cost effective utilization of services, management of
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Dallas, Texas
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following key Healthcare Services functions: case management/disease management/care transitions ... JOB DESCRIPTION
Job Summary
Molina Healthcare Services (HCS) works with
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Dallas, Texas
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oversight for one or more of the following key Healthcare Services functions: case management/disease management/care transitions; utilization management; long-term supports and services; and/or nurse advice
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Phoenix, Arizona
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leadership in the development and execution of the Plan’s disease management, case management, utilization ... , including such programs as Quality Improvement, Utilization Management, Care Management, Predictive Modeling
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Louisville, Kentucky
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execution of the Plan’s disease management, case management, utilization management, and care management ... oversight and expertise in appropriateness and medical necessity of healthcare services provided to Plan
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Topeka, Kansas
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leadership in the development and execution of the Plan’s disease management, case management, utilization ... care management programs, including such programs as Quality Improvement, Utilization Management, Care
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San Antonio, Texas
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operational management and oversight of integrated Healthcare Services (HCS) teams responsible for providing ... effective utilization of services, management of targeted member population, and triage activities
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Albuquerque, New Mexico
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dependency services. Works closely with the Regional Medical Directors to standardized utilization management ... leadership and guidance for utilization management and case management and quality programs for mental health
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Dallas, Texas
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Ensures healthcare services staff understand professional standards of documentation
Implements new ... healthcare services staff.
30% travel required.
JOB QUALIFICATIONS
**Required
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United States
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leadership and guidance for utilization management and case management programs for mental health and chemical dependency services and assists with implementing integrated Behavioral Health care management
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New York, New York
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presents healthcare utilization and cost containment reports and makes recommendations based on relevant ... /performance management metrics
Demonstrate Healthcare experience in Quantifying, Measuring and Analyzing
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United States
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Review/ Utilization Review / Utilization Management and must have Interqual, and MCG guidelines ... Summary**
Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team
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United States
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healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes
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Detroit, Michigan
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, capitation, HMO regulations, managed healthcare systems, quality improvement, medical utilization management ... medical oversight and expertise in appropriateness and medical necessity of healthcare services provided
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Dallas, Texas
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. Identifies utilization management information needs and technologies. Develops and manages the annual ... effectiveness of case management services..
Job Qualifications
**Required Education
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Glen Allen, Virginia
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Services provides operational management and oversight of integrated Healthcare Services (HCS) teams ... productivity, cost effective utilization of services, management of targeted member population, and triage
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United States
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JOB TITLE: MANAGER, HEALTHCARE SERVICES TRAINING (RN)
**For this role, we are seeking a Healthcare Services Manager to oversee our Clinical Training staff. Contribute strategic recommendations to
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California
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operational management and oversight of integrated Healthcare Services (HCS) teams responsible for providing ... effective utilization of services, management of targeted member population, and triage activities
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United States
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Review/ Utilization Review / Utilization Management and** prior knowledge of Interqual / MCG guidelines. **Basic knowledge of Utilization Management processes desired. COMPACT LICENSURE IS
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Topeka, Kansas
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responsible for oversight and management of the state health plan's Healthcare Services (clinical operations ... JOB DESCRIPTION
Job Summary
Molina Healthcare Services (HCS) works with
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United States
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appropriateness and medical necessity of healthcare services provided to members, targeting improvements in ... utilization practices, guideline usage, pharmacy utilization and effective resource management.
Develops
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