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Molina Healthcare
Greenville, South Carolina
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Molina Healthcare
Milwaukee, Wisconsin
Molina Healthcare
Marshfield, Wisconsin
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Delegation Oversight Nurse-Must be licensed in CA
JOB DESCRIPTIONJob SummaryResponsible for continuous quality improvements within the Delegation Oversight Department. Oversees delegated activities to ensure compliance primarily with NCQA, CMS and State Medicaid requirements including delegation standards and requirements contained in the delegation agreement.KNOWLEDGE/SKILLS/ABILITIESThe Delegation Oversight Nurse is responsible for ensuring that Molina Healthcare's UM delegates are compliant all applicable State, CMS, and NCQA requirements, as well as Molina Healthcare business needs. In addition, the Delegation Oversight Nurse will assist the Delegation Oversight Manager with additional duties of the team. This includes, but is not limited to:
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