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Overnight Care Review Processor 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 ... in processing of clinical correspondence. • Ability to work effectively in a fast-paced, high ...

Molina Healthcare

Care Review Processor

Long Beach, CA · On-site

$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 ...

AltaStaff

Care Review Clinician

Springfield, IL · On-site

$40 - $42/hr

Care Review Clinician works with the Utilization Management team primarily responsible for medical ... Verify member benefits and eligibility and Process prior authorization determinations within ...

AltaStaff

Care Review Clinician

Cherry Valley, IL · On-site

$40 - $42/hr

Care Review Clinician works with the Utilization Management team primarily responsible for medical ... Verify member benefits and eligibility and Process prior authorization determinations within ...

AltaStaff

UM Care Review Clinician

Chicago, IL · On-site

$40 - $42/hr

Care Review Clinician works with the Utilization Management team primarily responsible for medical ... Verify member benefits and eligibility and Process prior authorization determinations within ...

Integrated Resources

Care Review Clinician

Troy, MI · On-site

Care Review Clinician Integrated Resources, Inc., is led by a seasoned team with combined decades ... Follow members from admission process all the way through to discharge, find discharge plan and ...

Integrated Resources

Care Review Clinician

Spokane, WA · On-site

Care Review Clinician Integrated Resources, Inc., is led by a seasoned team with combined decades ... process through claim review, medical record review and research. To provide expert knowledge in ...

Home Instead

Overnight Caregiver

Papillion, NE · On-site

$16.50 - $18/hr

Fast hiring process for qualified applicants What You'll Do As an Overnight Care Professional, you'll travel to clients and provide attentive, compassionate care that helps seniors remain safe ...

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As of Aug 31, 2026, the average hourly pay for overnight care review processor 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.

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Care Review Processor

Molina Healthcare

Long Beach, CA

$20.34 - $30.39/hr

Full-time

Posted 24 days ago

Molina Healthcare rating

8.0

Company rating: 8.0 out of 10

Based on 199 frontline employees who took The Breakroom Quiz

171st 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.

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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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