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Care Review Processor Molina Jobs (NOW HIRING)

Molina Healthcare

Care Review Processor

Long Beach, CA

$20.34 - $30.39/hr

Essential Job Duties Provides telephone, clerical and data entry support for the care review team ... Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $20.34 - $30.39 ...

New

Molina Healthcare

Care Review Clinician (RN) Remote

$23.76 - $51.49/hr

... for Molina and its members. • Processes requests within required timelines. • Refers ... acute care, inpatient review, prior authorization, managed care, or equivalent combination of ...

Molina Healthcare

Care Review Clinician (RN)

Orlando, FL

$26.41 - $51.49/hr

... Molina and its members. Processes requests within required timelines. Refers appropriate cases to ... acute care, inpatient review, prior authorization, managed care, or equivalent combination of ...

Molina Healthcare

Care Review Clinician (RN)

Bothell, WA

$26.41 - $59.21/hr

... Molina and its members. Processes requests within required timelines. Refers appropriate cases to ... acute care, inpatient review, prior authorization, managed care, or equivalent combination of ...

Molina Healthcare

Care Review Clinician, ABA

Orlando, FL

$26.41 - $51.49/hr

Must live in Florida Job Summary Provides support for member clinical review processes specific to ... Participates in interdepartmental integration and collaboration to enhance care of Molina members ...

Molina Healthcare

Care Review Clinician (RN)

Miami, FL

$26.41 - $51.49/hr

... Molina and its members. Processes requests within required timelines. Refers appropriate cases to ... acute care, inpatient review, prior authorization, managed care, or equivalent combination of ...

Molina Healthcare

Care Review Clinician, ABA

Miami, FL

$26.41 - $51.49/hr

Must live in Florida Job Summary Provides support for member clinical review processes specific to ... Participates in interdepartmental integration and collaboration to enhance care of Molina members ...

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How much do care review processor molina jobs pay per hour?

As of Aug 7, 2026, the average hourly pay for care review processor molina in the United States is $16.74, according to ZipRecruiter salary data. Most workers in this role earn between $13.46 and $19.23 per hour, depending on experience, location, and employer.

What is the difference between Care Review Processor Molina vs Care Coordinator Molina?

AspectCare Review Processor MolinaCare Coordinator Molina
CredentialsTypically requires high school diploma or equivalent; some roles may prefer healthcare-related certificationsRequires similar credentials; often a healthcare or social services background
Work EnvironmentOffice setting, reviewing patient files and insurance claimsOffice or community setting, coordinating patient care and services
Employer & IndustryHealth insurance companies, healthcare providersHealthcare organizations, insurance companies

Care Review Processors focus on reviewing insurance claims and documentation, while Care Coordinators actively manage patient care plans. Both roles require healthcare knowledge and work in similar environments, but their responsibilities differ in scope and daily tasks.

What are the key skills and qualifications needed to thrive as a care review processor at Molina?

To thrive as a Care Review Processor at Molina, you need a strong knowledge of healthcare terminology, medical coding, and case review procedures, typically supported by experience in healthcare administration or a related field. Familiarity with claims processing systems, electronic health records (EHR), and utilization management software is often required. Attention to detail, organizational skills, and effective communication are critical soft skills for accurately reviewing and documenting care decisions. These competencies ensure timely, compliant, and accurate processing of care reviews, which supports patient care quality and organizational efficiency.

What is a care review processor at Molina?

Care Review Processors at Molina are professionals responsible for reviewing and processing healthcare service requests to ensure they meet medical necessity and policy guidelines. They work closely with clinicians, members, and providers to gather necessary documentation and help determine if requested services are covered under a member’s health plan. Their work supports timely and accurate decision-making for authorizations and appeals, helping ensure members receive appropriate care. Typically, this role requires attention to detail, familiarity with medical terminology, and the ability to navigate health plan systems.

What are some common challenges faced by care review processors at Molina, and how can applicants prepare to handle them?

Care Review Processors at Molina often navigate complex medical documentation and must ensure timely, accurate evaluations of care requests. Common challenges include managing a high volume of cases while meeting strict regulatory timelines and maintaining clear communication with providers and internal teams. Applicants can prepare by familiarizing themselves with medical terminology, developing strong organizational skills, and staying current with healthcare compliance standards. Proactive time management and attention to detail are key to success in this fast-paced environment.
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Care Review Processor Molina jobs near you
Infographic showing various Care Review Processor Molina job openings in the United States as of August 2026, with employment types broken down into 2% As Needed, 69% Full Time, 22% Part Time, and 7% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $34,822 per year, or $16.7 per hour.

Care Review Processor

Molina Healthcare

Long Beach, CA

$20.34 - $30.39/hr

Full-time

Posted 2 days ago

New

Molina Healthcare rating

8.0

Company rating: 8.0 out of 10

Based on 198 frontline employees who took The Breakroom Quiz

164th of 303 rated insurance

Job description

JOB DESCRIPTION Job SummaryProvides non-clinical administrative support to utilization management team and contributes to interdisciplinary efforts supporting provision of integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. 
Essential Job Duties 
Provides telephone, clerical and data entry support for the care review team. 
Provides computer entries of authorization request/provider inquiries, such as eligibility and benefits verification, provider contracting status, diagnosis and treatment requests, coordination of benefits status determination, hospital census information regarding admissions and discharges and billing codes. 
Responds to requests for authorization of services submitted via phone, fax and mail according to operational timeframes. 
Contacts physician offices according to department guidelines to request missing information from authorization requests or for additional information as requested medical directors. 
Required Qualifications

 At least 1 year of experience in an administrative support role, preferably within a health care environment supporting correspondence or clinical communications, or equivalent combination of relevant education and experience. 
Strong attention to detail, and ability to work within regulatory and internal requirements for letter generation. 
Strong organizational and time-management skills, and ability to manage multiple letter queues and deadlines. 
Excellent verbal and written communication skills, and ability to ensure clarity and precision in all correspondence. 
Willingness to learn and adapt to new programs, software systems, and lines of business. 
Ability to research, obtain feedback, and integrate necessary adjustments into letters to meet quality standards. 
Ability to manage multiple tasks simultaneously, and ensure quality and compliance in all produced correspondence. 
Ability to maintain confidentiality and ensure compliance with all relevant guidelines, regulations, and policies in processing of clinical correspondence. 
Ability to work effectively in a fast-paced, high-volume environment, maintain accuracy and meet deadlines. 
Ability to collaborate effectively with team members and internal departments. 
Basic Microsoft Office suite/applicable software program(s) proficiency. 
Preferred Qualifications 
Previous experience in a health care correspondence or clinical communications role, with an understanding of regulatory and accreditation rules related to clinical determinations. 
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. 
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $20.34 - $30.39 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Employment Type: Full Time

What Molina Healthcare employees say

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Benefits

Hours and flexibility

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About Molina Healthcare

Sourced by ZipRecruiter

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Long Beach, CA, US

Year founded

1980

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