All jobs

Urgently Hiring: Remote Care Review Clinician

100% Remote Full-time Open now

Ready to take the next step in your career? Join us as a Remote Care Review Clinician! This is a fully Remote role, offering you the flexibility to work from anywhere. This position requires a strong and diverse skillset in relevant areas to drive success. This position comes with an attractive salary of a competitive salary.

 

 

Molina Healthcare is looking for a passionate Remote Care Review Clinician to join our expanding team. As the Remote Care Review Clinician, your primary responsibility will be to coordinate and provide quality management/utilization management reviews to ensure members’ access to quality healthcare services. You will also be responsible for conducting reviews to ensure that services are provided in accordance with the Molina Healthcare policies and procedures.We are searching for an individual with a strong commitment to providing quality healthcare services to members through the review of services. In addition to the strong interpersonal skills and the ability to interact with members and providers, the ideal candidate should possess the following qualifications: a current, active, unrestricted clinical license in the state of practice, a minimum of two (2) years of clinical experience in an acute care setting, and a minimum of two (2) years of quality management/utilization management experience in a managed care organization.If you have a passion for healthcare and are looking for an opportunity to make a difference in people's lives, we want to hear from you! Responsibilities for the Remote Care Review Clinician: Coordinate and provide quality management/utilization management reviews to ensure members’ access to quality healthcare services. Conduct reviews to ensure that services are provided in accordance with the Molina Healthcare policies and procedures. Provide quality healthcare services to members through the review of services. Interact with members and providers. Maintain a current, active, unrestricted clinical license in the state of practice. Maintain a minimum of two (2) years of clinical experience in an acute care setting. Maintain a minimum of two (2) years of quality management/utilization management experience in a managed care organization. Adhere to Molina Healthcare policies and procedures. Molina Healthcare is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Apply Job!

 

Don't Hesitate, Apply!

Don't worry if you don't meet every single requirement. We value a great attitude and a willingness to learn above all. Submit your application today!

Apply To This Job

You might also like

Urgently Hiring: Remote Certified Medical Assistant- Enrollment

100% Remote Full-time

Urgently Hiring: Remote Certified Medical Coders and Billers

100% Remote Full-time

Urgently Hiring: Remote Certified Pharmacy Technician

100% Remote Full-time

Urgently Hiring: Remote Chat Agent

100% Remote Full-time

Urgently Hiring: Remote Chat Consultant (NV, TX, AZ, ID, SD, NC)

100% Remote Full-time

Urgently Hiring: Remote Chat Jobs No Experience | $25-$35/Hour

100% Remote Full-time

Urgently Hiring: Remote Chat Operator No Experience

100% Remote Full-time

Urgently Hiring: Remote Chat Operator ? No Experience Required

100% Remote Full-time

Urgently Hiring: Remote Chat Operator - No Experience Required

100% Remote Full-time

Urgently Hiring: Remote Chat Service Representative

100% Remote Full-time

Producer, Audio

100% Remote Full-time

Behavioral Research Scientist Remote / Telecommute Jobs

100% Remote Full-time

⚓ General Dentist - $150k Bonus

100% Remote Full-time

Experienced Equipment Finance Collections Customer Service Representative – Hybrid/Flexible Schedule

100% Remote Full-time

Sales Development Representative (Hybrid)

100% Remote Full-time

Development Engineer in Test

100% Remote Full-time

Ejecutivo/a de Cuentas Sénior - Relaciones Públicas

100% Remote Full-time

Software Engineer, Data Infrastructure & Acquisition - Istanbul, Turkey

100% Remote Full-time

Experienced Online Remote Live Chat Assistant – Delivering Exceptional Customer Experiences at arenaflex

100% Remote Full-time

Immediate Hiring: Data Entry Associate - Remote at arenaflex

100% Remote Full-time