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
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
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.
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.
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.
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.
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.
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.
Care Review Clinician
Spokane, WA · On-site
... process through claim review, medical record review and research. To provide expert knowledge in ... care, emergency medicine, surgical, pediatrics, advanced practice nursing, and billing and coding ...
Care Review Clinician
Spokane, WA · On-site
... process through claim review, medical record review and research. To provide expert knowledge in ... care, emergency medicine, surgical, pediatrics, advanced practice nursing, and billing and coding ...
Sr. Quality of Care Review Nurse
Tempe, AZ · Remote
$83K - $109K/yr
We're hiring a Sr. Quality of Care Review Nurse to join our Quality team. Oscar is the first health ... The Quality of Care Nurse Reviewer evaluates and refines healthcare processes to optimize patient ...
Quick apply
Sr. Quality of Care Review Nurse
Tempe, AZ · Remote
$83K - $109K/yr
We're hiring a Sr. Quality of Care Review Nurse to join our Quality team. Oscar is the first health ... The Quality of Care Nurse Reviewer evaluates and refines healthcare processes to optimize patient ...
Sr. Quality of Care Review Nurse
Atlanta, GA · Remote
$83K - $109K/yr
We're hiring a Sr. Quality of Care Review Nurse to join our Quality team. Oscar is the first health ... The Quality of Care Nurse Reviewer evaluates and refines healthcare processes to optimize patient ...
Quick apply
Sr. Quality of Care Review Nurse
Atlanta, GA · Remote
$83K - $109K/yr
We're hiring a Sr. Quality of Care Review Nurse to join our Quality team. Oscar is the first health ... The Quality of Care Nurse Reviewer evaluates and refines healthcare processes to optimize patient ...
Sr. Quality of Care Review Nurse
Dallas, TX · Remote
$83K - $109K/yr
We're hiring a Sr. Quality of Care Review Nurse to join our Quality team. Oscar is the first health ... The Quality of Care Nurse Reviewer evaluates and refines healthcare processes to optimize patient ...
Quick apply
Sr. Quality of Care Review Nurse
Dallas, TX · Remote
$83K - $109K/yr
We're hiring a Sr. Quality of Care Review Nurse to join our Quality team. Oscar is the first health ... The Quality of Care Nurse Reviewer evaluates and refines healthcare processes to optimize patient ...
Senior Care Advocate
$45K - $65K/yr
Summary The Senior Care Advocate is a key position responsible for driving business growth by ... Participate in regular sales meetings to review performance against targets, set new goals, and ...
Quick apply
Senior Care Advocate
$45K - $65K/yr
Summary The Senior Care Advocate is a key position responsible for driving business growth by ... Participate in regular sales meetings to review performance against targets, set new goals, and ...
Senior Care Coordinator
Corona, CA · On-site
Senior Care Coordinator Location: Corona, California Department: Care Coordination Classification ... Monitor EVV, workforce management, payroll, authorization, and timekeeping processes by reviewing ...
Quick apply
Senior Care Coordinator
Corona, CA · On-site
Senior Care Coordinator Location: Corona, California Department: Care Coordination Classification ... Monitor EVV, workforce management, payroll, authorization, and timekeeping processes by reviewing ...
Resident Services Director
Tarzana, CA · On-site
$105K/yr
Our mission is to enhance the lives of our senior residents by providing exceptional care, engaging ... Review and update service plans according to state requirements. * Perform and supervise the ...
Resident Services Director
Tarzana, CA · On-site
$105K/yr
Our mission is to enhance the lives of our senior residents by providing exceptional care, engaging ... Review and update service plans according to state requirements. * Perform and supervise the ...
Care Review Clinician (RN)
Long Beach, CA · Remote
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)
Long Beach, CA · Remote
Processes requests within required timelines. Refers appropriate cases to medical directors (MDs ... acute care, inpatient review, prior authorization, managed care, or equivalent combination of ...
Senior Care Coordinator
Plainview, NY · On-site
... process and the developmental treatment model. * Knowledge and sociological understanding of ... Participates in the development/documentation /review and update of client centered comprehensive ...
Senior Care Coordinator
Plainview, NY · On-site
... process and the developmental treatment model. * Knowledge and sociological understanding of ... Participates in the development/documentation /review and update of client centered comprehensive ...
Resident Services Director
Costa Mesa, CA · On-site
$105K/yr
Our mission is to enhance the lives of our senior residents by providing exceptional care, engaging ... Review and update service plans according to state requirements. * Perform and supervise the ...
Resident Services Director
Costa Mesa, CA · On-site
$105K/yr
Our mission is to enhance the lives of our senior residents by providing exceptional care, engaging ... Review and update service plans according to state requirements. * Perform and supervise the ...
Senior Care Coordinator
Plainview, NY · On-site
$32.97/hr
... process and the developmental treatment model. * Knowledge and sociological understanding of ... Participates in the development/documentation /review and update of client centered comprehensive ...
Senior Care Coordinator
Plainview, NY · On-site
$32.97/hr
... process and the developmental treatment model. * Knowledge and sociological understanding of ... Participates in the development/documentation /review and update of client centered comprehensive ...
Resident Services Director
Alhambra, CA · On-site
Our mission is to enhance the lives of our senior residents by providing exceptional care, engaging ... Review and update service plans according to state requirements. * Perform and supervise the ...
Resident Services Director
Alhambra, CA · On-site
Our mission is to enhance the lives of our senior residents by providing exceptional care, engaging ... Review and update service plans according to state requirements. * Perform and supervise the ...
(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 ...
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 ...
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 ...
Care Review Clinician (RN)
$26.41 - $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 ...
Care Review Clinician (RN)
$26.41 - $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 ...
Care Review Clinician (RN)
$26.41 - $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 ...
Care Review Clinician (RN)
$26.41 - $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 ...
Senior Care Review Processor information
See salary details
$30.5K - $35.7K
3% of jobs
$35.7K - $40.9K
0% of jobs
$40.9K - $46K
1% of jobs
$46K - $51.2K
15% of jobs
$53.6K is the 25th percentile. Wages below this are outliers.
$51.2K - $56.4K
13% of jobs
$56.4K - $61.6K
6% of jobs
$61.6K - $66.8K
3% of jobs
The median wage is $68.4K / yr.
$66.8K - $72K
28% of jobs
$73.1K is the 75th percentile. Wages above this are outliers.
$72K - $77.1K
27% of jobs
$77.1K - $82.3K
3% of jobs
$82.3K - $87.5K
1% of jobs
$30.5K
$64.9K
$87.5K
How much do senior care review processor jobs pay per year?
What is the difference between Senior Care Review Processor vs Care Coordinator?
| Aspect | Senior Care Review Processor | Care Coordinator |
|---|---|---|
| Credentials | Typically requires healthcare or social work certifications | Often requires healthcare, social work, or case management certifications |
| Work Environment | Healthcare facilities, insurance companies, or review agencies | Hospitals, clinics, or community health organizations |
| Employer & Industry | Healthcare and insurance sectors | Healthcare providers and community services |
| Search & Comparison Intent | Evaluating review and processing roles in senior care | Understanding 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.
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
All your information will be kept confidential according to EEO guidelines.
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