- Molina Healthcare (San Antonio, TX)
- **KNOWLEDGE/SKILLS/ABILITIES** + Performs monthly auditing of registered nurse and other clinical functions in Utilization Management ( UM ), Case Management (CM), ... Management (HM), and/or Disease Management (DM). + Monitors key clinical staff for compliance with NCQA, CMS, State and...or related field. **Required Experience** + Minimum two years UM , CM, MAT, HM, DM, and/or managed care experience.… more