Essential Job Duties Provides telephone, clerical and data entry support for the care review team ... Previous experience as a Correspondence Processor at Molina. Strong attention to detail, and ...
Essential Job Duties Provides telephone, clerical and data entry support for the care review team ... Previous experience as a Correspondence Processor at Molina. Strong attention to detail, and ...
Care Review Clinician, ABA
Orlando, FL · On-site
$26.41 - $51.49/hr
Job Summary Provides support for member clinical review processes specific to applied behavioral ... Employment Type: Full Time
Care Review Clinician, ABA
Orlando, FL · On-site
$26.41 - $51.49/hr
Job Summary Provides support for member clinical review processes specific to applied behavioral ... Employment Type: Full Time
Care Review Clinician, ABA
Saint Petersburg, FL · On-site
$26.41 - $51.49/hr
Job Summary Provides support for member clinical review processes specific to applied behavioral ... Employment Type: Full Time
Care Review Clinician, ABA
Saint Petersburg, FL · On-site
$26.41 - $51.49/hr
Job Summary Provides support for member clinical review processes specific to applied behavioral ... Employment Type: Full Time
Maintain regulatory and system knowledge relating to assigned processing areas Full-Time Benefits ... Healthcare, Automotive/Diesel, Skilled Trades, and Information Technology. We are an Equal ...
Maintain regulatory and system knowledge relating to assigned processing areas Full-Time Benefits ... Healthcare, Automotive/Diesel, Skilled Trades, and Information Technology. We are an Equal ...
Care Review Clinician, ABA
Long Beach, CA · On-site
$67K - $92K/yr
Job Summary Provides support for member clinical review processes specific to applied behavioral ... Works collaboratively with the utilization and care management departments to provide ABA and ...
Care Review Clinician, ABA
Long Beach, CA · On-site
$67K - $92K/yr
Job Summary Provides support for member clinical review processes specific to applied behavioral ... Works collaboratively with the utilization and care management departments to provide ABA and ...
Maintain regulatory and system knowledge relating to assigned processing areas Full-Time Benefits ... in Healthcare, Automotive/Diesel, Skilled Trades, Information Technology. We are an Equal ...
Maintain regulatory and system knowledge relating to assigned processing areas Full-Time Benefits ... in Healthcare, Automotive/Diesel, Skilled Trades, Information Technology. We are an Equal ...
Care Review Clinician, ABA
Jacksonville, FL · On-site
$26.41 - $51.49/hr
Job Summary Provides support for member clinical review processes specific to applied behavioral ... Employment Type: Full Time
Care Review Clinician, ABA
Jacksonville, FL · On-site
$26.41 - $51.49/hr
Job Summary Provides support for member clinical review processes specific to applied behavioral ... Employment Type: Full Time
Maintain regulatory and system knowledge relating to assigned processing areas Full-Time Benefits ... in Healthcare, Automotive/Diesel, Skilled Trades, Information Technology. We are an Equal ...
Maintain regulatory and system knowledge relating to assigned processing areas Full-Time Benefits ... in Healthcare, Automotive/Diesel, Skilled Trades, Information Technology. We are an Equal ...
(RN) Remote Care Review Clinician - Utilization Review
Charleston, SC · Remote
$25.08 - $51.49/hr
Job Summary Provides support for clinical member services review assessment processes. Responsible ... Contributes to overarching strategy to provide quality and cost-effective member care. Essential ...
New
(RN) Remote Care Review Clinician - Utilization Review
Charleston, SC · Remote
$25.08 - $51.49/hr
Job Summary Provides support for clinical member services review assessment processes. Responsible ... Contributes to overarching strategy to provide quality and cost-effective member care. Essential ...
New
(RN) Remote Care Review Clinician - Utilization Review
Long Beach, CA · Remote
$25.08 - $51.49/hr
Job Summary Provides support for clinical member services review assessment processes. Responsible ... Employment Type: Full Time
New
(RN) Remote Care Review Clinician - Utilization Review
Long Beach, CA · Remote
$25.08 - $51.49/hr
Job Summary Provides support for clinical member services review assessment processes. Responsible ... Employment Type: Full Time
New
(RN) Remote Care Review Clinician - Utilization Review
Long Beach, CA · On-site +1
$25.08 - $51.49/hr
Job Summary Provides support for clinical member services review assessment processes. Responsible ... Contributes to overarching strategy to provide quality and cost-effective member care. Essential ...
(RN) Remote Care Review Clinician - Utilization Review
Long Beach, CA · On-site +1
$25.08 - $51.49/hr
Job Summary Provides support for clinical member services review assessment processes. Responsible ... Contributes to overarching strategy to provide quality and cost-effective member care. Essential ...
RN, Specialty Care Review
Atlanta, GA · On-site
$40.35/hr
Understands the Complex Case Management Program and referral process; Refers patients to the ... Performs quality of care and service reviews using identified quality indicators. Reviews the ...
RN, Specialty Care Review
Atlanta, GA · On-site
$40.35/hr
Understands the Complex Case Management Program and referral process; Refers patients to the ... Performs quality of care and service reviews using identified quality indicators. Reviews the ...
Sr. Quality of Care Review Nurse
Dallas, TX · Remote
$83K - $109K/yr
... care review process for the departments they serve. The Clinical Quality Nurse serves as a peer ... Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 ...
New
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Sr. Quality of Care Review Nurse
Dallas, TX · Remote
$83K - $109K/yr
... care review process for the departments they serve. The Clinical Quality Nurse serves as a peer ... Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 ...
New
Care Review Clinician (RN) Remote
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
... processes. Responsible for verifying that services are medically necessary and align with ... acute care, inpatient review, prior authorization, managed care, or equivalent combination of ...
Care Review Clinician (RN) Remote
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
... processes. Responsible for verifying that services are medically necessary and align with ... acute care, inpatient review, prior authorization, managed care, or equivalent combination of ...
Processes requests within required timelines. Refers appropriate cases to medical directors (MDs ... acute care, inpatient review, prior authorization, managed care, or equivalent combination of ...
Processes requests within required timelines. Refers appropriate cases to medical directors (MDs ... acute care, inpatient review, prior authorization, managed care, or equivalent combination of ...
Job SummaryProvides support for clinical member services review assessment processes. Responsible ... Contributes to overarching strategy to provide quality and cost-effective member care. Essential ...
Job SummaryProvides support for clinical member services review assessment processes. Responsible ... Contributes to overarching strategy to provide quality and cost-effective member care. Essential ...
Processes requests within required timelines. Refers appropriate cases to medical directors (MDs ... acute care, inpatient review, prior authorization, managed care, or equivalent combination of ...
Processes requests within required timelines. Refers appropriate cases to medical directors (MDs ... acute care, inpatient review, prior authorization, managed care, or equivalent combination of ...
Care Review Clinician (RN) Remote
$26.41 - $51.49/hr
Processes requests within required timelines. Refers appropriate cases to medical directors (MDs ... Employment Type: Full Time
New
Care Review Clinician (RN) Remote
$26.41 - $51.49/hr
Processes requests within required timelines. Refers appropriate cases to medical directors (MDs ... Employment Type: Full Time
New
Care Review Clinician (RN) Remote
$26.41 - $51.49/hr
... processes. Responsible for verifying that services are medically necessary and align with ... acute care, inpatient review, prior authorization, managed care, or equivalent combination of ...
New
Care Review Clinician (RN) Remote
$26.41 - $51.49/hr
... processes. Responsible for verifying that services are medically necessary and align with ... acute care, inpatient review, prior authorization, managed care, or equivalent combination of ...
New
Care Review Clinician (RN) Remote
Long Beach, CA · On-site +1
$23.76 - $51.49/hr
... processes. Responsible for verifying that services are medically necessary and align with ... acute care, inpatient review, prior authorization, managed care, or equivalent combination of ...
Care Review Clinician (RN) Remote
Long Beach, CA · On-site +1
$23.76 - $51.49/hr
... processes. Responsible for verifying that services are medically necessary and align with ... acute care, inpatient review, prior authorization, managed care, or equivalent combination of ...
Full Time Care Review Processor information
See salary details
$8.89 - $10.45
6% of jobs
$10.45 - $12
6% of jobs
$13.34 is the 25th percentile. Wages below this are outliers.
$12 - $13.55
14% of jobs
$13.55 - $15.10
19% of jobs
The median wage is $15.49 / hr.
$15.10 - $16.65
15% of jobs
$16.65 - $18.20
13% of jobs
$18.35 is the 75th percentile. Wages above this are outliers.
$18.20 - $19.76
9% of jobs
$19.76 - $21.31
5% of jobs
$21.31 - $22.86
5% of jobs
$22.86 - $24.41
3% of jobs
$24.41 - $25.96
3% of jobs
$8
$16
$25
How much do full time care review processor jobs pay per hour?
What jobs pay 4000 a week without a degree?
How can I make 2000 a week working from home?
Is there a job where you get paid to review products?
What is the difference between Full Time Care Review Processor vs Part Time Care Review Processor?
| Aspect | Full Time Care Review Processor | Part Time Care Review Processor |
|---|---|---|
| Work Hours | Typically 35-40 hours per week | Less than 30 hours per week |
| Credentials | Usually requires similar certifications and experience | Same certifications, fewer hours |
| Work Environment | Office or remote, full-time schedule | Part-time, flexible hours, same environment |
| Employer Usage | Common in healthcare and insurance companies | Used by similar employers for flexible staffing |
Full Time Care Review Processors work full-time hours, often with more consistent schedules, while Part Time Care Review Processors work fewer hours with flexible scheduling. Both roles require similar credentials and are employed in healthcare and insurance industries. The main difference lies in the hours worked and scheduling flexibility.
What is a care review processor?

Full-time
This job post has expired 1 day ago. Applications are no longer accepted.
Molina Healthcare rating
8.1
Based on 193 frontline employees who took The Breakroom Quiz
134th of 281 rated insurance
Job description
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.
Previous experience as a Correspondence Processor at Molina.
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
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About Molina Healthcare
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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