JOB DESCRIPTION
Job 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. Graduate Degree (equivalent combination of education, experience, and/or Nursing license will be considered in lieu of Graduate Degree). If licensed, license must be active, unrestricted and in good standing. Master's Degree in Business, Healthcare, Social Work, or related field. Active, unrestricted State Registered Nursing (RN) license in good standing. Utilization Management Certification (CPHM) Certified Professional in Health Care Quality (CPHQ), or other healthcare or management certification To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.KNOWLEDGE/SKILLS/ABILITIES
JOB QUALIFICATIONS
Required Education
Required Experience
Required License, Certification, Association
Preferred Education
Preferred Experience
10+ years managed care experience
Preferred License, Certification, Association