Molina Healthcare
Location
Long Beach, California
Salary
$29 - $57 / HOUR
The auditor performs clinical audits across various functional areas to ensure compliance with regulatory requirements and quality standards. They also identify clinical gaps in care, report outcomes to leadership, and assist in developing training materials to improve staff performance.
Candidates must be a Registered Nurse (RN) with an active, restricted license and at least 2 years of healthcare experience. At least 1 year of experience in utilization management, care management, or managed care is required.
Prior experience in clinical review/auditing of care management. Familiarity with the New Mexico Turquoise Care Contract, NCQA (National Committee for Quality Assurance) auditing and performance standards or IPRO. Analytical ability to review data and determine quality trends.
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
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