Inpatient Care Coordinator

6 days ago


Long Beach, California, United States Molina Healthcare Full time
Job Description

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 Overview

We 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 Summary

The 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.
Requirements

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.
Preferred Qualifications

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 Benefits

Molina 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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