Care Review Clinician (RN) NIGHT SHIFT

Emergency Room Admissions Review Nurse

• California residents preferred.
• Emergency Room Admissions Review Nurse
• 3-12 Night Shift 7 : 30PM - 08 : 30AM Pacific Hours Non Exempt, 3 days a week will rotate.
• Training schedule will be Monday thru Friday 8 : 30AM to 5 : 30PM Pacific throughout a 2-3 month training and then will move to a 3 day / 12 hour shift after training is completed. Training hours are mandatory.
• This position supports our California Health Plan. Candidates can live anywhere in the USA if they have a valid CALIFORNIA RN license and must work the Pacific Time Zone shift hours as posted.

Job Summary

Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care.

Essential Job Duties

Required Qualifications

Preferred Qualifications

To all current Molina employees : If you are interested in applying for this position, please apply through the Internal Job Board.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M / F / D / V.

Pay Range : $30.37 - $59.21 / HOURLY