Facility Site Review Nurse (Remote)

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures maintenance of programs for members in accordance with prescribed quality standards; conducts data collection, reporting and monitoring for key performance measurement activities; and provides direction and implementation of NCQA accreditation surveys and federal/state QI compliance activities.

Responsible for timely performance of Facility reviews and appropriate follow up for network practitioners in compliance with DHS requirements; NCQA Standards and Molina Policies and Procedures. Reports, letters, and all follow up information must be submitted in compliance with set standards for content and timing requirements. Collaborates with practitioners and their staff, conveys Molina's commitment to assisting practitioners to comply with all federal, state, and local regulations and related accrediting agency standards. Maintains confidentiality of data, communications, and interactions, internally and externally. Updates and assistance in maintenance of Site Review Database, Report Preparation, and submission within set Molina Standards. Participates in internal reviews, including, but not limited to, inter-rater reliability activities, designed to maintain consistency of work process. Presents problems and recommended solutions to Quality Improvement management.