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Care Review Processor Jobs in California (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 ... processing of clinical correspondence. Ability to work effectively in a fast-paced, high-volume ...

Molina Healthcare

Care Review Clinician, ABA

Long Beach, CA · On-site

$26.41 - $51.49/hr

Must live in Florida Job Summary Provides support for member clinical review processes specific to ... Works collaboratively with the utilization and care management departments to provide ABA and ...

MDA Edge

Enrolled Registered Nurse (RN)

Stockton, CA · On-site

Track and oversee the annual State level-of-care review process. * Collaborate with the interdisciplinary team (IDT) and outreach & enrollment (O&E) team. * Protect privacy and maintain ...

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How much do care review processor jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for care review processor in California is $16.52, according to ZipRecruiter salary data. Most workers in this role earn between $13.27 and $18.99 per hour, depending on experience, location, and employer.

What is a care review processor?

A Care Review Processor is responsible for reviewing medical claims, authorizations, and healthcare documentation to ensure accuracy, completeness, and compliance with company policies and regulations. They work with healthcare providers, insurance companies, and internal teams to process claims efficiently. Their role helps streamline patient care by validating medical necessity and ensuring proper claim adjudication. Strong attention to detail and knowledge of medical terminology are essential for success in this position.

What are the typical daily responsibilities of a care review processor?

As a Care Review Processor, your day-to-day responsibilities usually include reviewing medical records and authorization requests, verifying insurance coverage, ensuring documentation is complete, and coordinating with healthcare providers to clarify information. You may also be responsible for entering data into claims systems, communicating with patients or case managers, and helping to resolve discrepancies or incomplete submissions. Most of your work will involve close attention to detail and following established healthcare or insurance processes. Teamwork is often part of the role, as you may collaborate with clinicians, billing teams, and customer service representatives to facilitate accurate and timely care reviews.

What are the key skills and qualifications needed to thrive in the care review processor position, and why are they important?

A Care Review Processor requires a solid understanding of healthcare procedures, medical terminology, and insurance guidelines, typically supported by experience in medical claims or healthcare administration. Familiarity with claims management software, electronic health records (EHR) systems, and Microsoft Office is often necessary, along with knowledge of HIPAA compliance requirements. Strong attention to detail, organizational skills, and the ability to communicate effectively with medical professionals and insurance providers are vital soft skills. These competencies ensure accurate review and processing of care requests while supporting efficient, compliant healthcare operations.

What are the most commonly searched types of Care Review Processor jobs in California?

The most popular types of Care Review Processor jobs in California are:

What are popular job titles related to Care Review Processor jobs in California?

For Care Review Processor jobs in California, the most frequently searched job titles are:

What job categories do people searching Care Review Processor jobs in California look for?

The top searched job categories for Care Review Processor jobs in California are:

What cities in California are hiring for Care Review Processor jobs?

Cities in California with the most Care Review Processor job openings:

Care Review Processor jobs near you
Infographic showing various Care Review Processor job openings in California as of August 2026, with employment types broken down into 2% As Needed, 71% Full Time, 21% Part Time, and 6% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $34,366 per year, or $16.5 per hour.

Care Review Processor

Molina Healthcare

Long Beach, CA

$20.34 - $30.39/hr

Full-time

Re-posted 18 hours ago

Molina Healthcare rating

8.0

Company rating: 8.0 out of 10

Based on 199 frontline employees who took The Breakroom Quiz

172nd of 315 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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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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