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 ...
RN, Specialty Care Review
Atlanta, GA · On-site
$40.35/hr
Understands the Complex Case Management Program and referral process; Refers patients to the ... Performs quality of care and service reviews using identified quality indicators. Reviews the ...
RN, Specialty Care Review
Atlanta, GA · On-site
$40.35/hr
Understands the Complex Case Management Program and referral process; Refers patients to the ... Performs quality of care and service reviews using identified quality indicators. Reviews the ...
... process and the developmental treatment model. * Knowledge and sociological understanding of ... Participates in the development/documentation /review and update of client centered comprehensive ...
... process and the developmental treatment model. * Knowledge and sociological understanding of ... Participates in the development/documentation /review and update of client centered comprehensive ...
Care Review Clinician II Location : Troy, MI Duration : 3+ Months (possible extension ... Follow members from admission process all the way through to discharge, find discharge plan and ...
Care Review Clinician II Location : Troy, MI Duration : 3+ Months (possible extension ... Follow members from admission process all the way through to discharge, find discharge plan and ...
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 ...
Senior Care Coordinator
Plainview, NY · On-site
$32.97/hr
... process and the developmental treatment model.Knowledge and sociological understanding of Medicaid ... Participates in the development/documentation /review and update of client centered comprehensive ...
Quick apply
Senior Care Coordinator
Plainview, NY · On-site
$32.97/hr
... process and the developmental treatment model.Knowledge and sociological understanding of Medicaid ... Participates in the development/documentation /review and update of client centered comprehensive ...
Care Review Clinician (RN)
Long Beach, CA · On-site +1
$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)
Long Beach, CA · On-site +1
$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 ...
(RN) Remote Care Review Clinician - Utilization Review
Long Beach, CA · Remote
$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 · Remote
$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 ...
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 ...
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 - $59.21/hr
Job SummaryProvides 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 - $59.21/hr
Job SummaryProvides 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)
Long Beach, CA · On-site
$30.37 - $59.21/hr
Job SummaryProvides 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)
Long Beach, CA · On-site
$30.37 - $59.21/hr
Job SummaryProvides 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) Remote
Long Beach, CA · On-site +1
$26.41 - $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 ...
Care Review Clinician (RN) Remote
Long Beach, CA · On-site +1
$26.41 - $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 ...
Senior Care Advisor
Los Angeles, CA · On-site +1
$26.89 - $35.50/hr
A trusted telephonic resource, the Senior Care Advisor helps guide seniors who may qualify for the PACE program through the enrollment process with WelbeHealth. The Senior Care Advisor will ...
Senior Care Advisor
Los Angeles, CA · On-site +1
$26.89 - $35.50/hr
A trusted telephonic resource, the Senior Care Advisor helps guide seniors who may qualify for the PACE program through the enrollment process with WelbeHealth. The Senior Care Advisor will ...
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 ...
Caregiver - Flexible Schedules (Part-Time & Full-Time Available) Why Join Senior Helpers South OC ... Trusted by Families Backed by 120+ five star Google reviews, reflecting the exceptional care our ...
Caregiver - Flexible Schedules (Part-Time & Full-Time Available) Why Join Senior Helpers South OC ... Trusted by Families Backed by 120+ five star Google reviews, reflecting the exceptional care our ...
Senior Care Aide
Irvine, CA · On-site
$18 - $22/hr
Trusted by Families Backed by 120+ five-star Google reviews , reflecting the outstanding care our ... in senior care. 24/7 Support Our office team is available around the clock -- you're never alone ...
Quick apply
Senior Care Aide
Irvine, CA · On-site
$18 - $22/hr
Trusted by Families Backed by 120+ five-star Google reviews , reflecting the outstanding care our ... in senior care. 24/7 Support Our office team is available around the clock -- you're never alone ...
Colquitt Regional Senior Care is currently hiring an Activities Assistant. The activity assistant ... For further information, please review the Know Your Rights notice from the Department of Labor.
Colquitt Regional Senior Care is currently hiring an Activities Assistant. The activity assistant ... For further information, please review the Know Your Rights notice from the Department of Labor.
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?
As of Aug 8, 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?
| 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.
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:
$26.41 - $51.49/hr
Full-time
Posted 16 days ago
Molina Healthcare rating
8.0
Based on 198 frontline employees who took The Breakroom Quiz
163rd of 303 rated insurance
Job description
JOB DESCRIPTION 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). 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
Certified Professional in Healthcare Management (CPHM).
Recent hospital experience in an intensive care unit (ICU) or emergency room.
#PJHS3
#LI-AC1
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: $26.41 - $51.49 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
What Molina Healthcare employees say
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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