Care Review Clinician, Inpatient Review Specialist

21 hours ago


Bellevue, Washington, United States Molina Healthcare Full time

Company Overview
Molina Healthcare Services (HCS) works with members, providers, and multidisciplinary teams 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.


Job Description
This role assesses inpatient services for members to ensure optimum outcomes, cost-effectiveness, and compliance with all state and federal regulations and guidelines. The clinical utilization manager analyzes clinical service requests from members or providers against evidence-based clinical guidelines.


Required Skills and Qualifications
To be successful in this role, you will need a Graduate degree from an Accredited School of Nursing and 3+ years of hospital acute care/medical experience. Additionally, you must have an Active, unrestricted State Registered Nursing (RN) license in good standing.


Benefits
Molina Healthcare offers a competitive benefits and compensation package. With a pay range of $23.76 - $51.49 per hour, you will have the opportunity to grow your career and contribute to our mission to provide quality healthcare services to our members.

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