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Quality Improvement Coordinator

Molina Healthcare of Texas-San Antonio, TX, 78216

Molina Healthcare Inc., is among the most experienced managed healthcare companies serving patients who have traditionally faced barriers to quality healthcare-including individuals covered under Medicaid, the Healthy Families Program, the State Children's Health Insurance Program (SCHIP) and other government-sponsored health insurance programs. Molina has health plans in California, Michigan, New Mexico, Missouri, Utah, Ohio, Texas and Washington as well as 19 primary care clinics located in Northern and Southern California. The company's corporate headquarters are in Long Beach, Californi...
 

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Molina Healthcare of Ohio | Columbus, OH, 43235 | 2-3
The Utilization Management Department tracks and manages utilization of healthcare services for plan members with the goal of providing quality medical services in a coordinated, cost-effective manner through personalized service for the age, blind and disabled program.. Job Requirements: Valid Ohio State Nursing license (BSN preferred)and/or Certified Case Management certification. Two to three years of medical nursing experience; one to two years Utilization Management, Case Management or Home Healthcare experience preferred; capability of transporting self to various locations. If operat...
Molina Healthcare Inc. | Midvale, UT, 84047 | 2-3
Clinical Case Manager l The Central Medicare Department tracks and manages utilization of healthcare services for plan members with the goal of providing quality medical services in a coordinated, cost-effective manner through personalized service. Contact assigned hospitals by phone or fax to review members’ medical records and collect additional data concurrently and retrospectively; maintains medical records of hospitalized members, which reflect accurate clinical picture and scope of care provided; documents in QNXT appropriately. Maintain confidentiality of all information relating to ...
 
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