Responsible for coordination of daily Utilization Management functions in accordance with Molina policies, procedures and processes. Functions as a clinical resource for other licensed and non-licensed UM staff. Interacts with the Medical Directors, Molina staff and providers in a quality, cost effective healthcare services for Molina members.
JOB DUTIES AND RESPONSIBILITIES:
Will receive daily ED census reports from designated hospitals.
Will assess for diagnosis listed as ED complaint ...
Molina Healthcare - 30+ days ago
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