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Delegation Oversight Nurse - Must Be Licensed
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- Oversees delegated activities to ensure compliance primarily with NCQA, CMS and State Medicaid requirements including delegation standards and requirements contained in the delegation agreement.
- The Delegation Oversight Nurse is responsible for ensuring that Molina Healthcare's UM delegates are compliant all applicable State, CMS, and NCQA requirements, as well as Molina Healthcare business needs.
- Coordinates, conducts, and documents pre-delegation and annual assessments as necessary to comply with state, federal, NCQA, and any other applicable requirements.
- Assists in preparation of documents for CMS, State Medicaid, NCQA, and/or other regulatory audits as needed.
- Completion of an accredited Licensed Vocational Nurse (LVN), or Licensed Practical Nurse (LPN) Program
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