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Senior Care Review Processor Jobs (NOW HIRING)

Kaiser Permanente

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 ...

Senior Helpers - South OC

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 ...

WelbeHealth

Senior Care Advisor

Los Angeles, CA

$147K - $147K/yr

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 ...

Welbehealth

Senior Care Advisor

Los Angeles, CA

$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 ...

WelbeHealth

Senior Care Advisor

Los Angeles, CA · On-site

$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 ...

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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
(RN) Remote Care Review Clinician - Utilization Review

(RN) Remote Care Review Clinician - Utilization Review

Molina Healthcare

Long Beach, CA • On-site, Remote

$25.08 - $51.49/hr

Full-time

Posted 20 days ago

Molina Healthcare rating

8.1

Company rating: 8.1 out of 10

Based on 193 frontline employees who took The Breakroom Quiz

134th of 281 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. SC Single state or Compact RN License.
• 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.
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

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

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