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Senior Care Review Processor Jobs (NOW HIRING)

Omatochi

Senior Care Manager - Sacramento

Dublin, CA · On-site

Position Summary The Senior Care Manager provides leadership and supervision to a team of Care ... Review assessments, care plans, and documentation for accuracy, completeness, and compliance.

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 ...

Oscar Health

Sr. Quality of Care Review Nurse

Dallas, TX · Remote

$83K - $109K/yr

The Senior Clinical Quality Nurse drives clinical performance through the quality auditing and clinical quality of care review process for the departments they serve. The Clinical Quality Nurse ...

Molina Healthcare

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 ... Works collaboratively with the utilization and care management departments to provide ABA and ...

Molina Healthcare

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 ...

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Senior Care Review Processor information

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$30.5K

$64.9K

$87.5K

How much do senior care review processor jobs pay per year?

As of Jul 14, 2026, the average yearly pay for senior care review processor in the United States is $64,909.00, according to ZipRecruiter salary data. Most workers in this role earn between $52,000.00 and $71,500.00 per year, depending on experience, location, and employer.

What jobs pay 4000 a week without a degree?

Senior Care Review Processors typically do not earn $4,000 weekly without specialized experience or certifications. High-paying roles in healthcare or skilled trades, such as certain nursing, technical, or management positions, can reach that level, but they often require relevant training, licensing, or extensive experience. Most jobs paying this amount without a degree are rare and usually involve high responsibility or specialized skills.

What is the 3 month rule for jobs?

The 3 month rule for a Senior Care Review Processor typically refers to a probationary period of three months during which an employee's performance and fit for the role are evaluated. Successful completion of this period may lead to permanent employment, benefits, or further training. It is common in roles requiring specific skills such as attention to detail and familiarity with care review processes.

What is the difference between Senior Care Review Processor vs Care Coordinator?

AspectSenior Care Review ProcessorCare Coordinator
CredentialsTypically requires healthcare or social work certificationsOften requires healthcare, social work, or case management certifications
Work EnvironmentHealthcare facilities, insurance companies, or review agenciesHospitals, clinics, or community health organizations
Employer & IndustryHealthcare and insurance sectorsHealthcare providers and community services
Search & Comparison IntentEvaluating review and processing roles in senior careUnderstanding care coordination roles in healthcare

The Senior Care Review Processor and Care Coordinator roles share similarities in healthcare credentials and work environments. However, the Review Processor focuses on evaluating senior care cases, while the Care Coordinator manages overall patient care plans. Both roles are vital in healthcare settings but serve different functions within the senior care process.

How difficult is it for a 60 year old to get a job?

Age can influence hiring for a Senior Care Review Processor, but many employers value experience and reliability. Success depends on individual skills, health, and adaptability, with some roles requiring specific certifications or computer proficiency. Older applicants often find opportunities in roles that emphasize their experience and strong communication skills.

What is a care review processor?

A care review processor is a professional responsible for evaluating and documenting the quality of care provided in healthcare or senior care settings. They review care plans, assess compliance with regulations, and ensure that care standards are met, often using specialized software and following industry guidelines.
What cities are hiring for Senior Care Review Processor jobs? Cities with the most Senior Care Review Processor job openings:
What are the most commonly searched types of Care Review Processor jobs? The most popular types of Care Review Processor jobs are:
What states have the most Senior Care Review Processor jobs? States with the most job openings for Senior Care Review Processor jobs include:
Senior Care Review Processor jobs near you
Care Review Processor

Care Review Processor

Integrated Resources INC

El Paso, TX • On-site

Full-time

Posted 13 days ago

Job description

Job Description

Job Title: Care Review Processor

Duration: 4+ months contract

Location: Texas USA 79902

Hours: Mon- Fri 8:00 AM to 5:00 PM

Top Three Skill Sets: Customer Service, Computer Skills and medical terminology

Job Description:

  • Provide computer entries of authorization request/provider inquiries by phone, mail, or fax. Including: Verify member eligibility and benefits, Determine provider contracting status and appropriateness, Determine diagnosis and treatment request Assign billing codes (ICD-9/ICD-10 and/or CPT/HCPC codes), Determine COB status, Verify inpatient hospital census-admits and discharges, Perform action required per protocol using the appropriate Database.
  • Respond to requests for authorization of services submitted to CAM via phone, fax and mail according to Client's operational timeframes.
  • Participates in interdepartmental integration and collaboration to enhance the continuity of care for Client members including Behavioral Health and Long Term Care.
  • Contact physician offices according to Department guidelines to request missing information from authorization requests or for additional information as requested by the Medical Director.
  • Provide excellent customer service for internal and external customers.
  • Meet department quality standards, including inter-rater reliability (IRR) testing and quality review audit scores.
  • Notify Care Access and Monitoring Nurses and case managers of hospital admissions and changes in member status.
  • Meet productivity standards.
  • Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA).

EDUCATION:

  • Accurate data entry at 40 WPM minimum.
  • Required Education: High School Diploma/GED
  • Required Experience: 1-4 years of experience in a Utilization Review Department in a Managed Care Environment.
  • Previous Hospital or Healthcare clerical, audit or billing experience. Experience with Medical Terminology
Additional Information

All your information will be kept confidential according to EEO guidelines.

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About Integrated Resources

Sourced by ZipRecruiter

Integrated Resources Inc (IRI), based in Edison, NJ, US, is an esteemed player in the staffing solutions industry with a credible presence on their official website irionline.com. Notably, IRI provides a range of professional staffing services including contract, contract-to-hire, and direct hire solutions to a wide spectrum of industries such as healthcare, life sciences, manufacturing, financial, insurance, and others. Since its inception, IRI has been committed to delivering top-talent and optimum solutions to meet its clients' diverse needs.

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

Edison, NJ, US

Year founded

1996

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