RN- Care Review Clinician- UM/Discharge Planning (Remote- CA License Req)
Molina Healthcare Careers
Full-time
$22/hr
No experience
Remote
Posted 24d ago
About the job
JOB DESCRIPTION Job SummaryProvides 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 • Assesses services for members to ensure…
Location
Los Angeles, Los Angeles County
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