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.

Industry: Hospitals and Health Care
Company Size: 10,001+ employees

Molina Healthcare

Savvy Admin PROD

**Job Description**

**Must reside in Florida**

**Job Summary**

Provides lead level clinical support to healthcare services team supporting one or more of the following functions: care management, utilization management, care transitions, long-term services and supports (LTSS), behavioral health, and other clinical programs, 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 member care.

**Essential Job Duties**

-  Provides level support to healthcare services department staff - devising/implementing delegation assignment strategies, facilitating healthcare services processes and communicating/coordinating activities.

-  Resolves issues and complaints that arise in day-to-day healthcare services operations and communicates escalation issues to healthcare services leadership.

-  Assists in training of healthcare services staff according to department standards, policies and procedures.

-  Maintains a minimal caseload to ensure adherence to appropriate guidelines and provide assistance to staff who have an ongoing member caseloads that may required additional support.

-  Collaborates with and keeps healthcare service leadership apprised of operational issues, staffing issues, system and program needs.

-  As a subject matter expert clinical lead, provides support, recommendations and education as appropriate to all other clinical and non-clinical staff.

-  Monitors healthcare services staff workload for adherence to policies, procedures, guidelines, and program specific requirements.

-  Actively participates in the department auditing program to review, communicate findings and identify opportunities for improved quality and compliance.

-  Shares quality and productivity scores with individual staff for awareness.

-  Provides feedback to healthcare services leadership on staff performance issues and consults with leadership on corrective action as necessary for performance improvement.

-  May collaborate with leadership to ensure the daily authorization reconciliation report (DARR) is run each work day and cases found non-compliant or missing compliance elements are remediated promptly.

-  May collaborate with leadership ensuring the care management monitoring tool (CMMT) is run every work day and cases are addressed to maintain health rid assessment (HRA) and care plan compliance.

-  Acts as liaison to both internal and external customers on behalf of both Molina and healthcare services department areas.

-  Maintains confidentiality, effective workplace relationships and adheres to company code of conduct.

-  Attends/participates in departmental, company-wide, and external committees, task forces, or work groups as assigned. groups as assigned.

-  Local travel may be required (based upon state/contractual requirements).

**Required Qualifications**

-  At least 4 years experience in health care, and at least 2 years of managed care experienced in one or more of the following areas: utilization management, care management, care transitions, behavioral health, long-term services and supports (LTSS), or equivalent combination of relevant education and experience.

-  Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master Social Worker (LMSW). Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.

-  Demonstrated knowledge of community resources.

-  Proactive and detail-oriented.

-  Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.

-  Ability to work independently, with minimal supervision and demonstrate self-motivation.

-  Responsive in all forms of communication.

-  Ability to remain calm in high-pressure situations.

-  Ability to develop and maintain professional relationships.

-  Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.

-  Excellent problem-solving, and critical-thinking skills.

-  Strong verbal and written communication skills.

-  Microsoft Office suite/applicable software program(s) proficiency.

**Preferred Qualifications**

-  Registered Nurse (RN). License must be active and unrestricted in state of practice.

-  Certified Case Manager (CCM), Certified Professional in Health Care Management certification (CPHM), Certified Professional in Health Care Quality (CPHQ) or other health care or management certification.

-  Medicaid/Medicare population experience.

-  Clinical experience.

#PJHS

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

Pay Range: $29.05 - $56.64 / HOURLY

- Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Lead, Healthcare Services (Utilization Management) - Remote in FL

HCA Healthcare is dedicated to giving people a healthier tomorrow. 

As one of the nation’s leading providers of healthcare services, HCA Healthcare is comprised of 188 hospitals and 2,400+ sites of care in 20 states and the United Kingdom. In addition to hospitals, sites of care include surgery centers, freestanding ERs, urgent care centers, diagnostic and imaging centers, walk-in clinics and physician clinics.

Many things set HCA Healthcare apart from other healthcare organizations; however, at our core, our greatest strength is our people. Every day, more than 290,000 colleagues go to work with a collective focus: our patients. Our focus positively impacts the care experience at the bedside and beyond.

We are proud of the impact we have in our communities through employment, investment and charitable giving. 

HCA Healthcare is a learning health system that uses our approximately 37 million annual patient encounters to advance science, improve patient care and save lives. At HCA Healthcare, we are excited about the future of medicine. We believe we are uniquely positioned to play a leading role in the transformation of care.

Note: Be alert for fraudulent job postings, emails, and phone calls. HCA Healthcare will never send you money or ask you to send money during the interview or hiring process.

Industry: Hospitals and Health Care
Company Size: 10,001+ employees

HCA Healthcare

Introduction

Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a(an) Medical Assistant today with HCA Florida Royal Palm OB/GYN.

**Benefits**

**HCA Florida Royal Palm OB/GYN ** offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

- Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.

- Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.

- Free counseling services and resources for emotional, physical and financial wellbeing

- 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)

- Employee Stock Purchase Plan with 10% off HCA Healthcare stock

- Family support through fertility and family building benefits with Progyny and adoption assistance.

- Referral services for child, elder and pet care, home and auto repair, event planning and more

- Consumer discounts through Abenity and Consumer Discounts

- Retirement readiness, rollover assistance services and preferred banking partnerships

- Education assistance (tuition, student loan, certification support, dependent scholarships)

- Colleague recognition program

- Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)

- Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn More About Employee Benefits

**Note: Eligibility for benefits may vary by location.**

Come join our team as a(an) Medical Assistant. We care for our community! Just last year, HCA Healthcare and our colleagues donated $13.8 million dollars to charitable organizations. Apply Today!

**Job Summary And Qualifications**

Full time (Monday - Friday, days), no nights, no on call, no weekends, no holidays

Seeking a Medical Assistant for our practice who provides clinical expertise to ensure all patients receive high quality, efficient care. We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply now.

What you will do in this role:

- You will prepare patients for examination and treatment by taking patient histories and vital signs

- You will prepare exam and treatment rooms with the necessary instruments for your patients including preparation and maintenance of supplies and equipment for treatments, including sterilization

- You will give injections and assist with lab testing and phlebotomy

- You will assist physicians in preparing for minor surgeries and physicals

- You will answer telephone calls to the practice and screens for referral

- Bilingual Creole and English or Portuguese or English and Spanish highly preferred

What Qualifications you will need:

- Graduation from an accredited Medical Assisting program OR twelve months of direct clinical patient care experience in a healthcare setting OR current Medical Assistant certification

- Candidates with one year of medical work experience who do not possess Medical Assistant Certification must obtain Certification within one year of hire date

- Medical Assistants who recently graduated from a Medical Assisting training program will obtain a clinical MA certification within60 days of employment

- Active and unrevoked RMA, CCMA, CMA, NCMA, or NCRMA certification/ABR-OE credentials is highly preferred

Supporting HCA Healthcare's 186 hospitals and 2,400+ sites of care, Physician Services plays a crucial role as the main entry point for patients looking for high-quality healthcare within the HCA Healthcare system. With a focus on meeting the needs of our patients at all access points, Physician Services is dedicated to implementing innovative, physician-driven, value-added solutions to assist physicians in providing high-quality, patient-centered care, aligning with our mission to care for and enhance human life.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times.  In recent years, HCA Healthcare spent an estimated $3.7 billion in costs for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."- Dr. Thomas Frist, Sr.

HCA Healthcare Co-Founder

If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Medical Assistant opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. **Unlock the possibilities and apply today!**

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

Medical Assistant

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