Inpatient Care Coordinator
6 days ago
Molina Healthcare Services (HCS) is a leading provider of healthcare services, working with members, providers, and multidisciplinary teams to assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum.
Company OverviewWe strive to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.
Job SummaryThe Inpatient Care Coordinator will work to assess inpatient services for members to ensure optimum outcomes, cost effectiveness, and compliance with all state and federal regulations and guidelines.
Responsibilities:- Analyze clinical service requests from members or providers against evidence-based clinical guidelines.
- Identify appropriate benefits, eligibility, and expected length of stay for requested treatments and/or procedures.
- Conduct inpatient reviews to determine financial responsibility for Molina Healthcare and its members.
To be successful in this role, you will need:
- Graduate from an Accredited School of Nursing.
- 3+ years hospital acute care/medical experience.
- Active, unrestricted State Registered Nursing (RN) license in good standing.
We are looking for candidates with recent hospital experience in ICU, Medical, or ER unit, as well as those with active, unrestricted Utilization Management Certification (CPHM).
Compensation and BenefitsMolina Healthcare offers a competitive salary range of $30.37 - $59.21 per hour, along with a comprehensive benefits package, including medical, dental, and vision insurance, 401(k) matching, and paid time off.
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