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Overnight Care Review Processor Jobs (NOW HIRING)

SYNERGY HomeCare

Overnight Caregiver

Conroe, TX · On-site

$12 - $13/hr

Responsibilities: * Provide overnight care and support to clients in their homes, including ... A competitive salary (to be discussed during the interview process) * A dynamic and supportive work ...

Molina Healthcare

Care Review Clinician (RN) Remote

$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 ...

Molina Healthcare

Care Review Clinician (RN) Remote

$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 ...

Molina Healthcare

Care Review Clinician (RN) Remote

$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 ...

Oscar Health

Sr. Quality of Care Review Nurse

Miami, FL · Remote

$83K - $109K/yr

The Quality of Care Nurse Reviewer evaluates and refines healthcare processes to optimize patient safety, clinical outcomes, and regulatory compliance. You will report into the Nurse Manager, Quality ...

Oscar Health

Sr. Quality of Care Review Nurse

Atlanta, GA · Remote

$83K - $109K/yr

The Quality of Care Nurse Reviewer evaluates and refines healthcare processes to optimize patient safety, clinical outcomes, and regulatory compliance. You will report into the Nurse Manager, Quality ...

Discovery Institute

Utilization Review

Marlboro, NJ · On-site

Monitor payer portals for authorization updates. * Assist with Medicaid and managed care authorization processes. * Participate in utilization review meetings and case conferences. * Generate reports ...

North Coast Seafoods

Order Processor- Overnight

Boston, MA · On-site

$17.75 - $22.75/hr

Review, enter, and confirm all incoming and scheduled customer orders daily. * Ship-confirm ... We offer competitive compensation packages including comprehensive health care coverage, vacation ...

North Coast Seafoods

Order Processor- Overnight

Boston, MA · On-site

$17.75 - $22.75/hr

Review, enter, and confirm all incoming and scheduled customer orders daily. * Ship-confirm ... We offer competitive compensation packages including comprehensive health care coverage, vacation ...

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

As of Aug 8, 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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Overnight Care Review Processor jobs near you

Care Review Clinician (RN) Remote (Must Work PST)

Molina Healthcare

Remote

$23.76 - $51.49/hr

Full-time

Posted 9 days ago

Molina Healthcare rating

8.0

Company rating: 8.0 out of 10

Based on 198 frontline employees who took The Breakroom Quiz

163rd of 303 rated insurance

Job description


JOB DESCRIPTION
This RN will support Utilization Review for our NV Medicaid members. Excellent computer skills and attention to detail are very important to multitask between systems, talk with providers on the phone, and enter accurate contact notes.
This is a telephonic position and productivity is important. Preferred candidates will have previous utilization management, managed care, or inpatient hospital experience. Experience in a behavioral health setting would be a plus.
Schedule: Monday through Friday 8:00AM to 5:00PM PST (Weekends and holidays as needed).
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). Nevada 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
• Recent hospital experience in discharge planning.
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

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