Molina Healthcare

UM LPN Care Review Clinician

Molina Healthcare

Remote
Full-TimeDepends on ExperienceEntry LevelHigh school or equivalent
Job Description

Are you a caring and compassionate individual with a passion for providing quality healthcare services? Look no further! Molina Healthcare is currently seeking a skilled and dedicated UM LPN Care Review Clinician to join our team. In this role, you will have the opportunity to make a positive impact on the lives of our members by conducting comprehensive assessments and ensuring appropriate care is provided. If you have an active LPN license and a minimum of 2 years of clinical experience, we want to hear from you! Join us in our mission to provide accessible and high-quality healthcare to those in need.

  1. Conduct comprehensive assessments of member healthcare needs.
  2. Ensure appropriate and timely care is provided to members.
  3. Collaborate with healthcare providers to develop and implement care plans.
  4. Monitor and track member progress and make necessary adjustments to care plans.
  5. Communicate effectively with members, caregivers, and healthcare team.
  6. Utilize clinical knowledge and judgment to make sound decisions.
  7. Adhere to all relevant healthcare laws, regulations, and guidelines.
  8. Maintain accurate and up-to-date documentation of all interactions and interventions.
  9. Participate in continuous education and training to stay updated on best practices.
  10. Advocate for the best interests of members and ensure their needs are met.
  11. Maintain confidentiality and HIPAA compliance in all aspects of the job.
  12. Collaborate with other members of the healthcare team to provide coordinated and comprehensive care.
  13. Demonstrate empathy and compassion towards members and their families.
  14. Stay informed about industry trends and advancements in healthcare.
  15. Continuously strive to improve processes and outcomes for members.
Where is this job?
This job opening is listed as 100% remote
Job Qualifications
  • Valid Lpn License: The First And Most Important Qualification For A Um Lpn Care Review Clinician At Molina Healthcare Is A Valid And Current Lpn License. This Ensures That The Candidate Has The Necessary Education And Training To Perform The Duties Of The Job.

  • Previous Experience In Utilization Management: Molina Healthcare Expects Its Um Lpn Care Review Clinicians To Have Previous Experience In Utilization Management. This Includes Knowledge Of Medical Terminology, Coding, And Experience With Utilization Review Processes.

  • Strong Clinical Knowledge: In Addition To Utilization Management Experience, Candidates Should Possess A Strong Clinical Knowledge Base. This Includes A Thorough Understanding Of Medical Conditions, Treatments, And Medications.

  • Excellent Communication Skills: As A Um Lpn Care Review Clinician, Strong Communication Skills Are Essential. This Includes The Ability To Communicate Effectively With Both Healthcare Providers And Patients, As Well As The Ability To Document And Report Findings Accurately.

  • Attention To Detail: The Job Of A Um Lpn Care Review Clinician Requires Attention To Detail And The Ability To Analyze And Interpret Medical Records And Other Healthcare Information. Candidates Should Be Detail-Oriented And Have The Ability To Identify Discrepancies Or Potential Issues.

Required Skills
  • Documentation

  • Communication

  • Case management

  • Health promotion

  • medication management

  • Interdisciplinary Collaboration

  • Care planning

  • Disease Management

  • Patient education

  • Problem

  • Clinical Assessment

  • Utilization Review

Soft Skills
  • Communication

  • Conflict Resolution

  • Emotional Intelligence

  • Leadership

  • Time management

  • creativity

  • Critical thinking

  • Teamwork

  • Adaptability

  • Problem-Solving

Compensation

According to JobzMall, the average salary range for a UM LPN Care Review Clinician is $43,000 to $65,000 per year. This can vary depending on factors such as location, experience, and specific job responsibilities.

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 PostedFebruary 4th, 2025
Apply BeforeJune 9th, 2026
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