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Medical Director, Behavioral Health
JOB DESCRIPTION Job SummaryProvides medical oversight and expertise related to behavioral health and chemical dependency services, and assists with implementation of integrated behavioral health care programs within specific markets/regions. Contributes to overarching strategy to provide quality and cost-effective member care.
IRIS Self-Directed Personal Care (RN) - (Racine, WI & Kenosha, WI)
IRIS SDPC (RN) (HOME BASED, NO WEEKENDS/NO AFTER HOURS) Home Health Care, Hospice Care, Palliative Care, Long Term Care, Rehab No weekends, No afterhours support, No holidays Job Description Job Summary Are you seeking a unique nursing position that gives you a great work/life balance and lets you support people to live the lives...
IRIS Self-Directed Personal Care (RN) - (Milwaukee, WI)
IRIS SDPC (RN) (HOME BASED, NO WEEKENDS/NO AFTER HOURS) Home Health Care, Hospice Care, Palliative Care, Long Term Care, Rehab No weekends, No afterhours support, No holidays Job Description Job Summary Are you seeking a unique nursing position that gives you a great work/life balance and lets you support people to live the lives...
Medical Records Collector
JOB DESCRIPTION Job SummaryProvides support for medical records collection activities. Supports quality improvement activities through outreach to providers for collection of medical records for Healthcare Effectiveness Data and Information Set (HEDIS) specific data collection, projects and audit processes.
Consultant, IRIS, (Eau Claire, WI)
IRIS Consultant JOB DESCRIPTION Job Summary Do you want a career where you build lasting relationships with the people you partner with? Do you want to make a difference in the lives of people with long-term health care needs? Then TMG wants to hear from you! We’re currently looking for someone with a social services or human services...
Telephonic DSNIP Care Manager (RN)
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 ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective...
Field Care Manager, LTSS (RN) - Local Travel Required
JOB DESCRIPTION Opportunity for a Texas licensed RN to join Molina to work with our Medicaid members in the communities of Plano, Addison, Carrollton, and Richardson, the northern part of the Dallas service delivery area. You will conduct face-to-face visits with members in their homes, completing assessments needed for determining...
Advanced Practice Nurse Practitioner- Madison, WI
JOB DESCRIPTION Job Summary Provides medical oversight and expertise in appropriateness and medical necessity of health care services provided to plan members - targeting improvements in efficiency and satisfaction for member patients and providers, in addition to meeting or exceeding productivity standards.
Care Manager, LTSS
JOB DESCRIPTION Job Summary Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need potential.
Care Manager, LTSS
JOB DESCRIPTION Job Summary Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need potential.
Care Manager (must reside in Wisconsin)
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 ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective...
Behavioral Health - Supervisor Healthcare Services
JOB DESCRIPTION For this position we are seeking a (RN) Registered Nurse and/or a Licensed Social Worker who lives in Kentucky and must be licensed for the state of Kentuck. We are looking for a Supervisor with a strong background in Behavioral Health.
Supervisor, IRIS Consulting Services (Milwaukee, WI, Brown Deer, WI, & S. Milwaukee, WI)
JOB DESCRIPTION Job Summary Leads and supervises a regionally-based team of The Management Group's (TMG) IRIS consultants - ensuring provision of high-quality, person-centered supports to IRIS participants, and achievement of TMG's organizational goals.
Field Nurse Practitioner (Moses Lake, WA)
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 nursing facilities and “pop up” clinics.
Senior Analyst, Reporting & Analytics - Medicare Operations
JOB DESCRIPTION Job Summary Under general supervision, applies analytics and reporting methods to the design, development, integration, and support of enterprise reporting solutions. This role also supports project coordination, documentation, and cross-functional collaboration to ensure reporting work is well-organized, clearly defined,...
Field Care Manager, LTSS (RN) - Local Travel Required - Dallas
JOB DESCRIPTION Opportunity for a Texas licensed RN to join Molina to work with our Medicaid members in the Dallas, TX service delivery area. Responsibilities include conducting face-to-face meetings with the members in their homes, completing assessments needed for determining the types of services they are eligible to receive.
Microsoft Dynamics 365 Developer/Administrator
Microsoft Dynamics 365 Developer/Administrator About the Role: We are looking for a skilled Dynamics 365 Developer/Administrator to join our Data & Insights team. In this role, you will configure Dynamics 365 modules, build, and maintain Power Apps and Power Automate flows, assist with data migration and integration, provide first-line...
Assistant Manager – Forensic Accounting (Disputes & Expert Witness)
Our Forensics team in London is growing. We are looking for a Newly Qualified to Assistant Manager looking for a change of pace to join a well-established national team with ambitious growth plans. This role will be predominantly disputes focused and the individual should have a desire to assist in supporting the team’s marketing...
Assistant Manager – Forensic Accounting (Disputes & Expert Witness)
Our Forensics team in Birmingham is growing. We are looking for a Newly Qualified to Assistant Manager looking for a change of pace to join a well-established national team with ambitious growth plans. This role will be predominantly disputes focused and the individual should have a desire to assist in supporting the team’s marketing...
Manager / Associate Director – Forensic Accounting (Disputes & Expert Witness)
Our Forensics team in London is growing. We are looking for Manager or Associate Director looking for a change of pace to join a well-established national team with ambitious growth plans. This role will be predominantly disputes focused and the individual will be required to help support in the team’s marketing and business development...