Long Beach, California, United States · Hybrid
$22/hr–$46/hr
This is a remote field-based role requring travel. Job Summary Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. Collaborates with multidisciplinary team c…
Skills: Care Management, Care Coordination, Member Assessment, Care Planning, Motivational Interviewing
Long Beach, California, United States · On-site
$73k–$143k/yr
JOB DESCRIPTION The ideal candidate is an experienced healthcare professional with at least 7 years of healthcare experience, including a strong background in Utilization Management. Candidates must hold an active Nursin…
Skills: Utilization Management, Care Management, Regulatory Compliance, Staff Management, Case Management Documentation
Long Beach, California, United States · Remote OK
$18/hr–$38/hr
***Remote and must live in South Carolina*** JOB DESCRIPTION Job Summary Provides support for health plan provider relations activities. Supports network development, network adequacy and provider training and education.…
Skills: Provider Relations, Network Management, Customer Service, Healthcare Delivery System, Microsoft Office
Long Beach, California, United States · On-site
JOB DESCRIPTION Job Summary Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to …
Skills: Behavioral Health Assessment, Care Coordination, Case Management, Care Planning, Motivational Interviewing
Long Beach, California, United States · On-site
$24/hr–$46/hr
JOB DESCRIPTION Family Care with My Choice Wisconsin Job Summary Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. Collaborates with multidisciplinary team…
Skills: Care Management, Care Coordination, Member Assessment, Care Planning, Waiver Enrollment
Long Beach, California, United States · On-site
$88k–$198k/yr
JOB DESCRIPTION Job Summary Provides screening, preventive primary care and medical care services to members - primarily in non-clinical settings where members feel most comfortable, including in-home, community and nurs…
Skills: Primary Care, Patient Evaluation, Care Coordination, Chronic Disease Management, Medical Diagnosis
Long Beach, California, United States · On-site
$88k–$172k/yr
JOB DESCRIPTION Job Summary Provides screening, preventive primary care and medical care services to members - primarily in non-clinical settings where members feel most comfortable, including in-home, community and nurs…
Skills: Primary Care, Patient Evaluation, Care Coordination, Chronic Disease Management, Medical Diagnosis
Long Beach, California, United States · On-site
$88k–$172k/yr
JOB DESCRIPTION Job Summary Provides screening, preventive primary care and medical care services to members - primarily in non-clinical settings where members feel most comfortable, including in-home, community and nurs…
Skills: Primary Care, Patient Evaluation, Care Coordination, Chronic Disease Management, Diagnostic Testing
Long Beach, California, United States · On-site
$84k–$172k/yr
JOB DESCRIPTION Job Summary Provides screening, preventive primary care and medical care services to members - primarily in non-clinical settings where members feel most comfortable, including in-home, community and nurs…
Skills: Primary Care, Care Coordination, Physical Examinations, Chronic Disease Management, Medical Diagnosis
Long Beach, California, United States · On-site
$84k–$172k/yr
JOB DESCRIPTION Job Summary Provides screening, preventive primary care and medical care services to members - primarily in non-clinical settings where members feel most comfortable, including in-home, community and nurs…
Skills: Primary Care, Patient Evaluation, Care Coordination, Chronic Disease Management, Medical Diagnosis
Long Beach, California, United States · On-site
$112k–$218k/yr
JOB DESCRIPTION Job Summary Leads and supervises team of nurse practitioners responsible for primary, urgent, and preventative care services in various non-clinical community settings including homes, nursing facilities,…
Skills: Clinical Supervision, Patient Care, Telehealth, Clinical Documentation, Case Management
Long Beach, California, United States · On-site
$60k–$130k/yr
JOB DESCRIPTION Job Summary Provides senior level analyst support for advanced provider data management (PDM) activities including analyzing business processes related to PDM, identifying areas for improvement, and devel…
Skills: Business Analytics, Data Analysis, Project Management, Stakeholder Management, Process Optimization
Long Beach, California, United States · On-site
$29/hr–$56/hr
Job Description Must be available to work day shift hours aligned with Eastern Standard Time (EST) and maintain flexibility to support weekend and holiday coverage as business needs require. Prior experience in Utilizati…
Skills: Utilization Management, Appeals Review, Medical Necessity Determination, ICD-10, CPT Coding
Long Beach, California, United States · On-site
JOB DESCRIPTION Job Summary Provides support for Medicare growth and community engagement activities. Responsible for increasing membership through marketing of Molina Medicare products to dual eligible, Medicare-Medicai…
Skills: Community Engagement, Medicare Marketing, Sales, Relationship Building, Lead Generation
Long Beach, California, United States · Remote OK
$52k–$102k/yr
JOB DESCRIPTION Job Summary Provides analyst support for compliance activities. Seeks to ensure the organization adheres to regulatory requirements, industry standards, and Molina internal policies, and prevent and/or de…
Skills: Compliance Analysis, Medicare Advantage, CMS Regulatory Requirements, Data Analysis, Reporting
Long Beach, California, United States · On-site
$60k–$118k/yr
JOB DESCRIPTION Job Summary Provides senior level clinical support to quality team - contributing to quality management programs, initiatives, audits, data analysis and quality improvement surveys and state/federal quali…
Skills: Quality Management, Clinical Quality Investigations, Quality Auditing, Peer Review, Process Improvement
Long Beach, California, United States · Hybrid
$24/hr–$46/hr
***Remote with travel throughout Dane County, Wi for member visits*** JOB DESCRIPTION Job Summary Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. Collabo…
Skills: Care Management, Care Coordination, Member Assessment, Care Planning, Motivational Interviewing
Long Beach, California, United States · On-site
JOB DESCRIPTION Job Summary Provides support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution to members or authorized representatives in accordance wit…
Skills: Claims Processing, Appeals and Grievances, Medicare Guidelines, Medicaid Guidelines, Customer Service
Long Beach, California, United States · On-site
$18/hr–$42/hr
JOB DESCRIPTION Job Summary Provides support for member enrollment activities including identifying, interviewing and screening prospective eligible members for Molina health insurance products, assisting with health pla…
Skills: Member Enrollment, Customer Service, Health Insurance Navigation, Community Outreach, Data Processing
New York, New York, United States · On-site
$18/hr–$42/hr
JOB DESCRIPTION Job Summary Provides support for member enrollment activities including identifying, interviewing and screening prospective eligible members for Molina health insurance products, assisting with health pla…
Skills: Member Enrollment, Customer Service, Health Insurance Navigation, Community Outreach, Data Processing
Long Beach, California, United States • Hybrid
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Provides care coordination and management for members with high-need potential, specifically focusing on long-term services and supports (LTSS). Responsibilities include conducting comprehensive assessments, developing care plans, and facilitating interdisciplinary care team meetings.
Requires at least 2 years of healthcare experience, including 1 year in LTSS and 1 year in care management. A valid driver's license and reliable transportation are mandatory for field-based travel.
This is a remote field-based role requring travel.
Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. Collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need potential. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Molina Healthcare is a FORTUNE 500 company that is focused exclusively on government-sponsored health care programs for families and individuals who qualify for government sponsored health care. Molina Healthcare contracts with state governments and serves as a health plan providing a wide range of quality health care services to families and individuals. Molina Healthcare offers health plans in Arizona, California, Florida, Idaho, Illinois, Kentucky, Massachusetts, Michigan, Mississippi, Nevada, New Mexico, New York, Ohio, South Carolina, Texas, Utah, Virginia, Washington and Wisconsin. Molina also offers a Medicare product and has been selected in several states to participate in duals demonstration projects to manage the care for those eligible for both Medicaid and Medicare.
Offices: 200 Oceangate, Long Beach, California 90802, US
Molina Healthcare is a FORTUNE 500 company that is focused exclusively on government-sponsored health care programs for families and individuals who qualify for government sponsored health care. Molina Healthcare contracts with state governments and serves as a health plan providing a wide range of quality health care services to families and individuals. Molina Healthcare offers health plans in Arizona, California, Florida, Idaho, Illinois, Kentucky, Massachusetts, Michigan, Mississippi, Nevada, New Mexico, New York, Ohio, South Carolina, Texas, Utah, Virginia, Washington and Wisconsin. Molina also offers a Medicare product and has been selected in several states to participate in duals demonstration projects to manage the care for those eligible for both Medicaid and Medicare.
Offices: 200 Oceangate, Long Beach, California 90802, US
