Job Seekers, Welcome to The Hispanic NursesĀ® Career Center
Search Filters
Use this area to filter your search results. Each filter option allows for multiple selections.
Molina Healthcare
Greenville, South Carolina
IRIS SDPC (RN) - TMG (Dane County, WI) (Fieldwork/Hybrid) (No Holidays, No Weekends, No After Hours)
Molina Healthcare
Madison, Wisconsin
Molina Healthcare
Marshfield, Wisconsin
Molina Healthcare
Milwaukee, Wisconsin
Loading... Please wait.
Utilization Management & Quality Review Nurse
DescriptionAs the Utilization Management & Quality Review Nurse, you will be responsible for:Ensuring appropriate, cost-effective, and high-quality care for New Century Health Plan membersConducting utilization management (UM) activities in accordance with health plan policies and regulatory guidelinesIdentifying and reporting Potential Quality Issues (PQI) and supporting Provider Dispute Resolution (PDR) processes to ensure compliance and foster provider satisfactionCompleting other dutie
Loading. Please wait.