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PRC Case Manager

Company: Molina Healthcare
Location: Bothell
Posted on: November 21, 2020

Job Description:

Job Description

Job Summary

Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.

The PRC Case Manager is responsible for the systematic review of member information (claims, case management notes, clinical information, etc.) to determine if they have met the criteria to be placed in the PRC Program. This position requires clinical background & knowledge in a wide variety of medical condititions and types of treatment; some acute care experience is preferred.

Keywords: Molina Healthcare, Seattle , PRC Case Manager, Executive , Bothell, Washington

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