Employer Industry: Healthcare Services

Why Consider this Job Opportunity:
- Competitive pay up to the maximum amount specified in the job description
- Opportunity for career advancement and growth within the organization
- Remote work flexibility with light travel requirements
- Bilingual candidates encouraged to apply
- Supportive and collaborative work environment

What to Expect (Job Responsibilities):
- Analyze clinical service requests against evidence-based clinical guidelines
- Conduct inpatient reviews to determine financial responsibility
- Process requests within required timelines
- Collaborate with multidisciplinary teams to promote the Molina Care Model
- Adhere to UM policies and procedures

What is Required (Qualifications):
- Graduate from an Accredited School of Nursing
- 3+ years of hospital acute care/medical experience
- Active, unrestricted State Licenses Practical Nurse (LPN) or Licensed Vocational Nurse (LVN) license in good standing
- Recent hospital experience in Medical or ER unit
- Strong MS Excel skills

How to Stand Out (Preferred Qualifications):
- Appeals background
- Quality reviews experience
- MLTC experience/LTC experience
- Experience with data collection/reports

#HealthcareServices #RemoteWork #CareerOpportunity #CompetitivePay #BilingualCandidates

We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.