REMOTE CARE REVIEW CLINICIAN, INPATIENT REVIEW, CA PACIFIC HOURS

✨ About The Role

- Conduct inpatient reviews to ensure optimal outcomes, cost-effectiveness, and compliance with regulations and guidelines
- Analyze clinical service requests against evidence-based guidelines and determine appropriate benefits and expected length of stay
- Process requests within required timelines and make referrals to other clinical programs as needed
- Collaborate with Medical Directors and present cases efficiently for review
- Adhere to utilization management policies and procedures while promoting the Molina Care Model
                            

⚡ Requirements

- Registered Nurse with at least 5-8 years of experience in acute care, utilization review, and utilization management, preferably in California
- Strong analytical skills and ability to multitask effectively in a fast-paced environment
- Comfortable working remotely with a dedicated home office setup and high-speed internet connectivity
- Willingness to work flexible hours, including weekends and holidays, to meet the demands of the role
- Excellent communication skills and the ability to collaborate with multidisciplinary teams to ensure quality care for patients
                            

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REMOTE CARE REVIEW CLINICIAN, INPATIENT REVIEW, CA PACIFIC HOURS

Molina Healthcare

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✨ About The Role

⚡ Requirements

REMOTE CARE REVIEW CLINICIAN, INPATIENT REVIEW, CA PACIFIC HOURS

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