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REMOTE CARE REVIEW CLINICIAN, INPATIENT REVIEW (RN) 9AM TO 6PM CENTRAL - Remote Eligible

Ensure cost-effective and quality care delivery for members with high need potential.
Remote
Senior
$23.76-$51.49 USD per hour
1 week ago
Molina Healthcare

Molina Healthcare

Molina Healthcare is a FORTUNE 500, multi-state health care organization.

1 Similar Job at Molina Healthcare

✨ About The Role

- Responsible for assessing inpatient services for members to ensure optimal outcomes, cost-effectiveness, and compliance with regulations - Analyzing clinical service requests from members or providers against evidence-based clinical guidelines - Identifying appropriate benefits, eligibility, and expected length of stay for requested treatments and procedures - Conducting inpatient reviews to determine financial responsibility for Molina Healthcare and its members - Collaborating with multidisciplinary teams to promote the Molina Care Model and ensure quality care for patients

⚡ Requirements

- Experienced Registered Nurse with a minimum of 5-8 years of relevant hospital acute care/medical experience - Must possess an active, unrestricted State Registered Nursing (RN) license in good standing - Strong attention to detail and excellent computer skills are essential for multitasking between systems and accurately documenting interactions - Ability to work in a fast-paced environment and maintain high productivity levels - Comfortable working remotely and collaborating with team members using virtual office tools like MS Teams, video conferencing, and email/chat communications
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REMOTE CARE REVIEW CLINICIAN, INPATIENT REVIEW (RN) 9AM TO 6PM CENTRAL - Remote Eligible
Remote
$23.76-$51.49 USD per hour
Registered Nurse
About Molina Healthcare
Molina Healthcare is a FORTUNE 500, multi-state health care organization.