Molina Healthcare

Care Review Clinician, Inpatient Review LPN

Molina Healthcare

Riverside, CA, USA
Full-TimeDepends on ExperienceSenior LevelMasters
Job Description

We are looking for an experienced and compassionate Care Review Clinician, Inpatient Review LPN to join our Molina Healthcare team. In this role, you will be responsible for performing utilization management duties such as medical reviews, concurrent reviews, and discharge planning. You will collaborate with multi-disciplinary teams to ensure that quality care is being delivered to our members.This position requires a current license as a Practical Nurse, as well as prior experience in utilization management, preferably in the managed care industry. You must have excellent verbal and written communication skills, be self-motivated, and have an unwavering commitment to providing excellent customer service. The right individual for this role will be a team player, have strong problem-solving and analytical skills, and possess an understanding of managed care and medical terminology.

Where is this job?
This job is located at Riverside, CA, USA
Job Qualifications
  • Excellent Customer Service And Communication Skills

  • Knowledge Of Medical Terminology

  • Licensed Practical Nurse (Lpn) License

  • Certificate Of Completion Of An Accredited Lpn Program

  • Inpatient Review Experience

  • Knowledge Of State And Federal Regulations Related To Healthcare

  • Understanding Of The Principles Of Managed Care

  • Ability To Analyze

  • Interpret And Summarize Clinical Data

Required Skills
  • Documentation

  • Research

  • Quality Improvement

  • Communication

  • Compliance

  • Teamwork

  • Collaboration

  • Problem-Solving

  • Care planning

  • assessment

  • Decision-Making

  • Patient education

  • Regulatory

  • Medication

  • Interdisciplinary

Soft Skills
  • Communication

  • Emotional Intelligence

  • Leadership

  • Time management

  • Interpersonal Skills

  • creativity

  • Teamwork

  • Adaptability

  • Problem-Solving

  • Decision-making

Compensation

According to JobzMall, the average salary range for a Care Review Clinician, Inpatient Review LPN in Riverside, CA, USA is between $45,000 and $60,000 per year. Salaries can vary depending on the specific job duties, experience level, and education of the individual.

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 BeforeMay 10th, 2026
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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.

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