- Molina Healthcare (Grand Rapids, MI)
- …discuss and resolve issues related to utilization management, pharmacy, quality of care , and correct coding. * Independently delivers training and presentations to ... assigned providers and their staff, answering questions that come up on behalf of the Health plan. May also deliver training and presentations to larger groups, such as leaders and management of provider offices (including large multispecialty groups or health… more
- Molina Healthcare (Grand Rapids, MI)
- … care transitions, behavioral health, long-term services and supports ( LTSS ), and other clinical programs. Leads team responsible for assessing, facilitating, ... management, care transitions, behavioral health, long-term services and supports ( LTSS ), or equivalent combination of relevant education and experience. * At… more
- Molina Healthcare (Grand Rapids, MI)
- …services and supports ( LTSS ) issues. * Identifies and reports quality of care issues. * Prepares and presents cases in conjunction with the chief medical officer ... guidelines. Assesses appropriateness of services, length of stay and level of care provided to members. Contributes to overarching strategy to provide quality and… more