Molina Healthcare

Care Review Clinician, Inpatient Review LPN

Molina Healthcare

Peoria, IL, USA
Full-TimeDepends on ExperienceSenior LevelMasters
Job Description

Molina Healthcare is excited to welcome a Care Review Clinician, Inpatient Review LPN to join our team. We are looking to hire a professional and experienced clinician to perform medical necessity reviews of inpatient admission. The successful candidate will possess exceptional interpersonal and organizational skills, strong communication skills, and the ability to work independently. The Care Review Clinician, Inpatient Review LPN will be responsible for ensuring the accuracy of inpatient admission reviews, effectively communicating with healthcare providers, and meeting established performance standards. In this role, you will have the opportunity to work with a broad and diverse team to improve the overall quality of care for all Molina members.To be successful in this position, you will need to have a current and valid LPN license in the state of employment and a minimum of three years of clinical experience in an acute care setting. A Bachelor’s degree in Nursing or a related field is preferred. Experience in managed care or utilization review is preferred. The ideal candidate will have an in-depth understanding of medical necessity, be highly organized and have the ability to work efficiently within tight deadlines.

Where is this job?
This job is located at Peoria, IL, USA
Job Qualifications
  • •Current Unencumbered Lpn/Lvn License

  • •Knowledge Of Healthcare Systems And Managed Care Industry

  • •Knowledge Of Clinical Criteria And Coverage Policies

  • •Ability To Use And Interpret Computer Systems

  • •Excellent Written And Verbal Communication Skills

  • •Exceptional Problem-Solving Skills

  • •Ability To Work Independently And As Part Of A Team

  • •Ability To Prioritize Tasks And Manage Multiple Projects Simultaneously

Required Skills
  • Documentation

  • Research

  • Communication

  • Compassion

  • Researching

  • Analytical

  • Problem-Solving

  • assessment

  • Organizational

  • Decision-Making

  • Interpersonal

  • Time-Management

  • Conflict-Resolution

  • Quality-Control

  • Credentialing

Soft Skills
  • Communication

  • Leadership

  • Time management

  • Interpersonal Skills

  • creativity

  • flexibility

  • Critical thinking

  • Organizational skills

  • Teamwork

  • Problem-Solving

Compensation

According to JobzMall, the average salary range for a Care Review Clinician, Inpatient Review LPN in Peoria, IL, USA is between $40,000 and $90,000 per year. This range is based on a variety of factors including location, experience, and qualifications. The exact salary range may vary depending on the employer and the individual's qualifications and experience.

Additional Information
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.
Required LanguagesEnglish
Job PostedMay 8th, 2023
Apply BeforeJune 21st, 2025
This job posting is from a verified source. 
Reposted

Apply with Video Cover Letter Add a warm greeting to your application and stand out!

About Molina Healthcare

Molina Healthcare is a managed care company headquartered in Long Beach, California, United States. The company provides health insurance to individuals through government programs such as Medicaid and Medicare.

Frequently asked questions

Get interviewed today!

JobzMall is the world‘ s largest video talent marketplace.It‘s ultrafast, fun, and human.

Get Started