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Senior Care Review Processor Jobs (NOW HIRING)

Remote Care Review Processor Houston, Texas, United States Or refer someone About the Job Remote Care Review Processor Retuurn Solutions works with members, providers and multidisciplinary team ...

Remote Care Review ProcessorHouston, Texas, United States Or refer someoneAbout the Job Remote Care Review ProcessorRetuurn Solutions works with members, providers and multidisciplinary team members ...

Foreclosure Title Review Processor We are a professional staffing firm, working with organizations ... Employees have access to healthcare benefits including medical, dental and vision as well as a ...

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

Position Purpose: Care Review Clinician works with the Utilization Management team primarily ... Verify member benefits and eligibility and Process prior authorization determinations within ...

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

Position Purpose: Care Review Clinician works with the Utilization Management team primarily ... Verify member benefits and eligibility and Process prior authorization determinations within ...

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 ...

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 ...

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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 Aug 24, 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 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.

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:

Care Review Processor

El Paso, TX

Integrated Resources INC
Recruiting and Staffing Services • 51 - 200 employees

Full-time

Re-posted 25 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