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Field Case Manager RN, LTSS - Waiver
Molina Healthcare

Cincinnati, Ohio

NEW!
Transition of Care Coach (RN) Remote with field travel in King or Pierce County
Molina Healthcare

United States - Nationwide

NEW!
Case Manager - Licensed Social Worker - Wayne County
Molina Healthcare

Detroit, Michigan

NEW!
UM Supervisor, Care Review (RN) Remote
Molina Healthcare

United States - Nationwide

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Field Family Nurse Practitioner (Part Time)
Molina Healthcare

Los Angeles, California

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Field Case Manager RN, LTSS - Waiver Program
Molina Healthcare

Cincinnati, Ohio

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Field Family Nurse Practitioner (Martinez, CA)
Molina Healthcare

Martinez, California

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Field Family Nurse Practitioner (San Mateo, CA)
Molina Healthcare

Martinez, California

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Care Review Clinician, Prior Auth (RN): South Carolina, REMOTE
Molina Healthcare

United States - Nationwide

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Field Family Nurse Practitioner (Palm Springs, CA)
Molina Healthcare

Palm Springs, California

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(RN) Lead, Healthcare Services (Clinical) : NEVADA, Pacific Hours
Molina Healthcare

United States - Nationwide

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Field Family Nurse Practitioner (Fresno, CA) **SIGN ON BONUS
Molina Healthcare

Fresno, California

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Field Family Nurse Practitioner (Oakland, CA)
Molina Healthcare

Oakland, California

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Behavioral Health Case Manager
Molina Healthcare

Troy, Michigan

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Field Family Nurse Practitioner (El Centro, CA)
Molina Healthcare

El Centro, California

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(RN) Manager, Healthcare Services : Utilization Management NEVADA
Molina Healthcare

United States - Nationwide

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RN Case Manager - Northern Virginia
Molina Healthcare

Manassas, Virginia

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Field Family Nurse Practitioner (Martinez, CA)
Molina Healthcare

Martinez, California

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Field Family Nurse Practitioner (Modesto, CA)
Molina Healthcare

Modesto, California

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Field Case Manager, LTSS (RN)
Molina Healthcare

Edwardsville, Illinois

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Field Family Nurse Practitioner (Madera, CA)
Molina Healthcare

Madera, California

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Case Manager (Population/ Public Health Registered Nurse) : Clark County Nevada
Molina Healthcare

Las Vegas, Nevada

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Registered Nurse Case Manager Remote with Field Travel Malden/East Boston MA
Molina Healthcare

Boston, Massachusetts

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Case Manager: Cibola, McKinley County NEW MEXICO
Molina Healthcare

Gallup, New Mexico

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Field Case Manager, LTSS (RN)
Molina Healthcare

Eagle Pass, Texas

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Medical Claim Review Nurse (RN)
JOB DESCRIPTIONJob SummaryUtilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and claim submitted support correct coding to ensure appropriate reimbursement to providers.  Job Duties Performs clinical/medical reviews of retrospective medical claim reviews, medical claims and previously denied cases, in which an appeal has been submitted, to ensure medical necessity and appropriate/accurate billing and claims processing.      Identifies a


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