Clinical Assessment Coordinator

3 days ago


New York, New York, United States Molina Healthcare Full time

Job Overview

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The Care Review Clinician at Molina Healthcare Services works closely with members, providers, and multidisciplinary teams to deliver high-quality care. This role involves assessing inpatient services, analyzing clinical requests, and determining financial responsibility for requested treatments and/or procedures.

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Key Responsibilities

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  • Analyze clinical service requests against evidence-based guidelines">
  • Determine financial responsibility for requested treatments and/or procedures">
  • Conduct inpatient reviews to identify optimal outcomes and cost-effectiveness">
  • Collaborate with multidisciplinary teams to promote quality care delivery">
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Qualifications

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To succeed in this role, you must have:

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  • A Graduate degree from an Accredited School of Nursing">
  • 3+ years of hospital acute care/medical experience">
  • An Active, unrestricted State Registered Nursing (RN) license in good standing">
  • A valid driver's license with a good driving record">
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Salary Range

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$35-$55 per hour, depending on your qualifications and experience.

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About Molina Healthcare

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We are an Equal Opportunity Employer committed to providing a competitive benefits and compensation package to our employees.



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