Job description
Job Description:
Title: Care Review Clinician
Location: Remote
Hours: M-F 8 AM to 5 PM CST or T-S 8 AM to 5 PM PST
Pay: $35/HR
Required Skills:
- Must have a valid RN License in Texas or Compact State License
- Must have a degree from an accredited Registered Nursing Program
- Must have 3 years of Utilization Management experience and experience with MCG
Responsibilities:
- Provides concurrent review and prior authorizations (as needed) according to Molina policy for Molina members as part of the Utilization Management team.
- Participates in interdepartmental integration and collaboration to enhance the continuity of care for Molina members including Behavioral Health and Long Term Care.
- Identifies appropriate benefits, eligibility, and expected length of stay for members requesting treatments and/or procedures.
#INDPM
Job Type: Full-time
Pay: $35.00 per hour
Benefits:
- Dental insurance
- Health insurance
- Vision insurance
Schedule:
- 8 hour shift
Experience:
- Utilization management: 3 years (Required)
- MCG: 1 year (Required)
License/Certification:
- Texas or Compact RN License (Required)
Work Location: Remote
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