Molina Healthcare
Auditor, Clinical Services - UM (Remote in TX)
This job is now closed
Job Description
- Req#: 2026342
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Competitive pay up to the maximum amount specified in the job description
- Opportunity for career advancement and growth within the organization
- Comprehensive benefits package offered
- Chance to work with a supportive and collaborative team
- Access to remote work options
- Chance to make a positive impact on compliance and quality assurance
What to Expect (Job Responsibilities):
- Perform monthly auditing of clinical functions in various departments
- Monitor clinical staff for compliance with regulatory requirements
- Assess clinical staff decision-making processes
- Prepare for and participate in regulatory audits
- Maintain detailed records of auditing results
What is Required (Qualifications):
- Completion of an accredited RN program and a degree in Nursing or related field
- Minimum two years of relevant experience in managed care
- Proficient knowledge of Molina workflows
- Valid driver's license with reliable transportation
- Active and unrestricted license in good standing
How to Stand Out (Preferred Qualifications):
- 3-5 years of experience in case management, disease management, or utilization management
- Two years of clinical auditing/review experience
#HealthcareServices #Compliance #QualityAssurance #CareerOpportunity #CompetitivePay
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We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.About the company
Molina Healthcare is a managed care company headquartered in Long Beach, California, United States.
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