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Molina Healthcare
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United States - Nationwide
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Molina Healthcare
Las Vegas, Nevada
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Molina Healthcare
Boston, Massachusetts
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Care Review Clinician, Inpatient Review (RN) (Must Reside in NE)
JOB DESCRIPTIONJob Summary Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.KNOWLEDGE/SKILLS/ABILITIES Assesses inpatient services for members to ensure optimum outcomes, cost effectiveness and compliance with all state and federal regulations and guidelines. Analyzes clinical se
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