Care Review Clinician (RN)
Long Beach, CA · On-site
Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Long Beach, CA · On-site
Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Long Beach, CA · On-site
Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
... • Registered Nurse (RN). License must be active and unrestricted in state of practice. • ... Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
... • Registered Nurse (RN). License must be active and unrestricted in state of practice. • ... Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
$26.41 - $51.49/hr
... • Registered Nurse (RN). License must be active and unrestricted in state of practice. • ... Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $26.41 - $51.49 ...
$26.41 - $51.49/hr
... • Registered Nurse (RN). License must be active and unrestricted in state of practice. • ... Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $26.41 - $51.49 ...
$26.41 - $51.49/hr
... • Registered Nurse (RN). License must be active and unrestricted in state of practice. • ... Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $26.41 - $51.49 ...
$26.41 - $51.49/hr
... • Registered Nurse (RN). License must be active and unrestricted in state of practice. • ... Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $26.41 - $51.49 ...
Opportunity for a bilingual, TX licensed RN residing in Eagle Pass, TX. You will join Molina to work with our Medicaid members currently admitted to a nursing facility. Preference will be given to RN ...
Opportunity for a bilingual, TX licensed RN residing in Eagle Pass, TX. You will join Molina to work with our Medicaid members currently admitted to a nursing facility. Preference will be given to RN ...
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
... • Registered Nurse (RN). License must be active and unrestricted in state of practice. • ... Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
... • Registered Nurse (RN). License must be active and unrestricted in state of practice. • ... Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate ... Care manager RNs may be assigned complex member cases and medication regimens. Care manager RNs may ...
Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate ... Care manager RNs may be assigned complex member cases and medication regimens. Care manager RNs may ...
Opportunity for a bilingual, TX licensed RN residing in Eagle Pass, TX. You will join Molina to work with our Medicaid members currently admitted to a nursing facility. Preference will be given to RN ...
Opportunity for a bilingual, TX licensed RN residing in Eagle Pass, TX. You will join Molina to work with our Medicaid members currently admitted to a nursing facility. Preference will be given to RN ...
Miami, FL · Remote
$26.41 - $43/hr
... • Registered Nurse (RN). License must be active and unrestricted in state of practice. • ... Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an ...
Miami, FL · Remote
$26.41 - $43/hr
... • Registered Nurse (RN). License must be active and unrestricted in state of practice. • ... Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an ...
Saint Petersburg, FL · Remote
$26.41 - $43/hr
Conducts reviews to determine prior authorization/financial responsibility for Molina and its ... Registered Nurse (RN). License must be active and unrestricted in state of practice. Ability to ...
Saint Petersburg, FL · Remote
$26.41 - $43/hr
Conducts reviews to determine prior authorization/financial responsibility for Molina and its ... Registered Nurse (RN). License must be active and unrestricted in state of practice. Ability to ...
Orlando, FL · Remote
$26.41 - $43/hr
Conducts reviews to determine prior authorization/financial responsibility for Molina and its ... Registered Nurse (RN). License must be active and unrestricted in state of practice. Ability to ...
Orlando, FL · Remote
$26.41 - $43/hr
Conducts reviews to determine prior authorization/financial responsibility for Molina and its ... Registered Nurse (RN). License must be active and unrestricted in state of practice. Ability to ...
Miami, FL · Remote
$26.41 - $43/hr
Conducts reviews to determine prior authorization/financial responsibility for Molina and its ... Registered Nurse (RN). License must be active and unrestricted in state of practice. Ability to ...
Miami, FL · Remote
$26.41 - $43/hr
Conducts reviews to determine prior authorization/financial responsibility for Molina and its ... Registered Nurse (RN). License must be active and unrestricted in state of practice. Ability to ...
$26.41 - $51.49/hr
... • Registered Nurse (RN). License must be active and unrestricted in state of practice. • ... Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $26.41 - $51.49 ...
$26.41 - $51.49/hr
... • Registered Nurse (RN). License must be active and unrestricted in state of practice. • ... Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $26.41 - $51.49 ...
$26.41 - $51.49/hr
... • Registered Nurse (RN). License must be active and unrestricted in state of practice. • ... Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $26.41 - $51.49 ...
$26.41 - $51.49/hr
... • Registered Nurse (RN). License must be active and unrestricted in state of practice. • ... Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $26.41 - $51.49 ...
Opportunity for a bilingual, TX licensed RN residing in Eagle Pass, TX. You will join Molina to work with our Medicaid members currently admitted to a nursing facility. Preference will be given to RN ...
Opportunity for a bilingual, TX licensed RN residing in Eagle Pass, TX. You will join Molina to work with our Medicaid members currently admitted to a nursing facility. Preference will be given to RN ...
Fort Lauderdale, FL · Remote
$26.41 - $43/hr
... • Registered Nurse (RN). License must be active and unrestricted in state of practice. • ... Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an ...
Fort Lauderdale, FL · Remote
$26.41 - $43/hr
... • Registered Nurse (RN). License must be active and unrestricted in state of practice. • ... Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an ...
$26.41 - $51.49/hr
... • Registered Nurse (RN). License must be active and unrestricted in state of practice. • ... Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $26.41 - $51.49 ...
$26.41 - $51.49/hr
... • Registered Nurse (RN). License must be active and unrestricted in state of practice. • ... Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $26.41 - $51.49 ...
$30.37 - $59.21/hr
... RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be ... Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $30.37 - $59.21 ...
$30.37 - $59.21/hr
... RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be ... Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $30.37 - $59.21 ...
$13.46 - $21.15
4% of jobs
$21.15 - $28.85
14% of jobs
$31.44 is the 25th percentile. Wages below this are outliers.
$28.85 - $36.54
21% of jobs
The median wage is $41.03 / hr.
$36.54 - $44.23
19% of jobs
$44.23 - $51.92
15% of jobs
$53.85 is the 75th percentile. Wages above this are outliers.
$51.92 - $59.62
9% of jobs
$59.62 - $67.31
6% of jobs
$67.31 - $75
4% of jobs
$75 - $82.69
3% of jobs
$82.69 - $90.38
3% of jobs
$90.38 - $98.08
1% of jobs
$13
$48
$98
| Aspect | Molina Rn | Licensed Practical Nurse |
|---|---|---|
| Credentials | Registered Nurse (RN) license | Licensed Practical Nurse (LPN) license |
| Work Environment | Hospitals, clinics, outpatient facilities | Long-term care, nursing homes, clinics |
| Job Responsibilities | Comprehensive patient care, assessments, care planning | Basic patient care, medication administration, vital signs |
| Work Hours | Varies, often full-time, shifts | Similar, often full-time or part-time shifts |
The main difference between Molina Rn and Licensed Practical Nurse is the level of education, scope of practice, and responsibilities. RNs typically have a broader scope, including assessments and care planning, while LPNs focus on basic patient care. Both roles are essential in healthcare settings, with RNs generally earning higher salaries and requiring more extensive training.

8.0
Based on 192 frontline employees who took The Breakroom Quiz
144th of 262 rated insurance
Job Summary
Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
Assesses services for members to ensure optimum outcomes, cost-effectiveness and compliance with all state/federal regulations and guidelines.
Analyzes clinical service requests from members or providers against evidence based clinical guidelines.
Identifies appropriate benefits, eligibility and expected length of stay for requested treatments and/or procedures.
Conducts reviews to determine prior authorization/financial responsibility for Molina and its members.
Processes requests within required timelines.
Refers appropriate cases to medical directors (MDs) and presents them in a consistent and efficient manner.
Requests additional information from members or providers as needed.
Makes appropriate referrals to other clinical programs.
Collaborates with multidisciplinary teams to promote the Molina care model.
Adheres to utilization management (UM) policies and procedures.
Required Qualifications
At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience.
Registered Nurse (RN). License must be active and unrestricted in state of practice.
Ability to prioritize and manage multiple deadlines.
Excellent organizational, problem-solving and critical-thinking skills.
Strong written and verbal communication skills.
Microsoft Office suite/applicable software program(s) proficiency.
Preferred Qualifications
Certified Professional in Healthcare Management (CPHM).
Recent hospital experience in an intensive care unit (ICU) or emergency room.
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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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.
Health care and social assistance
10,000+ Employees
Long Beach, CA, US
1980