- Expertini Resume Scoring: Our Semantic Matching Algorithm evaluates your CV/Résumé before you apply for this job role: Care Review Clinician, Prior Authorization (Must Reside in MS).
Urgent! Care Review Clinician, Prior Authorization (Must Reside in MS) Job Opening In USA, USA – Now Hiring Mediabistro
Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential.
HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.
Conducts prior authorization reviews to determine financial responsibility for Molina Healthcare and its members.
Refers appropriate prior authorization requests to Medical Directors.
Collaborates with multidisciplinary teams to promote Molina Care Model
Adheres to UM policies and procedures.
Occasional travel to other Molina offices or hospitals as requested, may be required.
Completion of an accredited Registered Nurse (RN), Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) Program OR a bachelor’s or master’s degree in a healthcare field, such as social work or clinical counselor (for Behavioral Health Care Review Clinicians only).
1-3 years of hospital or medical clinic experience.
Active, unrestricted State Registered Nursing (RN), Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) license in good standing OR a clinical license in good standing, such as LCSW, LPCC or LMFT (for Behavioral Health Care Review Clinicians only).
Must be able to travel within applicable state or locality with reliable transportation as required for internal meetings.
3-5 years clinical practice with managed care, hospital nursing or utilization management experience.
Molina Healthcare offers a competitive benefits and compensation package.
Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
55 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
✨ Smart • Intelligent • Private • Secure
Practice for Any Interview Q&A (AI Enabled)
Predict interview Q&A (AI Supported)
Mock interview trainer (AI Supported)
Ace behavioral interviews (AI Powered)
Record interview questions (Confidential)
Master your interviews
Track your answers (Confidential)
Schedule your applications (Confidential)
Create perfect cover letters (AI Supported)
Analyze your resume (NLP Supported)
ATS compatibility check (AI Supported)
Optimize your applications (AI Supported)
O*NET Supported
O*NET Supported
O*NET Supported
O*NET Supported
O*NET Supported
European Union Recommended
Institution Recommended
Institution Recommended
Researcher Recommended
IT Savvy Recommended
Trades Recommended
O*NET Supported
Artist Recommended
Researchers Recommended
Create your account
Access your account
Create your professional profile
Preview your profile
Your saved opportunities
Reviews you've given
Companies you follow
Discover employers
O*NET Supported
Common questions answered
Help for job seekers
How matching works
Customized job suggestions
Fast application process
Manage alert settings
Understanding alerts
How we match resumes
Professional branding guide
Increase your visibility
Get verified status
Learn about our AI
How ATS ranks you
AI-powered matching
Join thousands of professionals who've advanced their careers with our platform
Unlock Your Care Review Potential: Insight & Career Growth Guide
Real-time Care Review Jobs Trends in United States, United States (Graphical Representation)
Explore profound insights with Expertini's real-time, in-depth analysis, showcased through the graph below. This graph displays the job market trends for Care Review in United States, United States using a bar chart to represent the number of jobs available and a trend line to illustrate the trend over time. Specifically, the graph shows 204278 jobs in United States and 472 jobs in United States. This comprehensive analysis highlights market share and opportunities for professionals in Care Review roles. These dynamic trends provide a better understanding of the job market landscape in these regions.
Great news! Mediabistro is currently hiring and seeking a Care Review Clinician, Prior Authorization (Must Reside in MS) to join their team. Feel free to download the job details.
Wait no longer! Are you also interested in exploring similar jobs? Search now: Care Review Clinician, Prior Authorization (Must Reside in MS) Jobs United States.
An organization's rules and standards set how people should be treated in the office and how different situations should be handled. The work culture at Mediabistro adheres to the cultural norms as outlined by Expertini.
The fundamental ethical values are:The average salary range for a Care Review Clinician, Prior Authorization (Must Reside in MS) Jobs United States varies, but the pay scale is rated "Standard" in United States. Salary levels may vary depending on your industry, experience, and skills. It's essential to research and negotiate effectively. We advise reading the full job specification before proceeding with the application to understand the salary package.
Key qualifications for Care Review Clinician, Prior Authorization (Must Reside in MS) typically include Healthcare Diagnosing Or Treating Practitioners and a list of qualifications and expertise as mentioned in the job specification. Be sure to check the specific job listing for detailed requirements and qualifications.
To improve your chances of getting hired for Care Review Clinician, Prior Authorization (Must Reside in MS), consider enhancing your skills. Check your CV/Résumé Score with our free Resume Scoring Tool. We have an in-built Resume Scoring tool that gives you the matching score for each job based on your CV/Résumé once it is uploaded. This can help you align your CV/Résumé according to the job requirements and enhance your skills if needed.
Here are some tips to help you prepare for and ace your job interview:
Before the Interview:To prepare for your Care Review Clinician, Prior Authorization (Must Reside in MS) interview at Mediabistro, research the company, understand the job requirements, and practice common interview questions.
Highlight your leadership skills, achievements, and strategic thinking abilities. Be prepared to discuss your experience with HR, including your approach to meeting targets as a team player. Additionally, review the Mediabistro's products or services and be prepared to discuss how you can contribute to their success.
By following these tips, you can increase your chances of making a positive impression and landing the job!
Setting up job alerts for Care Review Clinician, Prior Authorization (Must Reside in MS) is easy with United States Jobs Expertini. Simply visit our job alerts page here, enter your preferred job title and location, and choose how often you want to receive notifications. You'll get the latest job openings sent directly to your email for FREE!