Talent.com
Care Review Processor (Remote) PST Hours
Care Review Processor (Remote) PST HoursMolina Healthcare • Corpus Christi, TX, United States
serp_jobs.error_messages.no_longer_accepting
Care Review Processor (Remote) PST Hours

Care Review Processor (Remote) PST Hours

Molina Healthcare • Corpus Christi, TX, United States
job_description.job_card.variable_hours_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
  • serp_jobs.filters.remote
job_description.job_card.job_description

JOB DESCRIPTION Job SummaryProvides non-clinical administrative support to utilization management team and contributes to interdisciplinary efforts supporting provision of integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care.

Essential Job Duties

  • Provides telephone, clerical and data entry support for the care review team.
  • Provides computer entries of authorization request / provider inquiries, such as eligibility and benefits verification, provider contracting status, diagnosis and treatment requests, coordination of benefits status determination, hospital census information regarding admissions and discharges and billing codes.
  • Responds to requests for authorization of services submitted via phone, fax and mail according to operational timeframes.
  • Contacts physician offices according to department guidelines to request missing information from authorization requests or for additional information as requested medical directors.

Required Qualifications

  • At least 1 year of experience in an administrative support role, preferably within a health care environment supporting correspondence or clinical communications, or equivalent combination of relevant education and experience.
  • Previous experience as a Correspondence Processor at Molina.
  • Strong attention to detail, and ability to work within regulatory and internal requirements for letter generation.
  • Strong organizational and time-management skills, and ability to manage multiple letter queues and deadlines.
  • Excellent verbal and written communication skills, and ability to ensure clarity and precision in all correspondence.
  • Willingness to learn and adapt to new programs, software systems, and lines of business.
  • Ability to research, obtain feedback, and integrate necessary adjustments into letters to meet quality standards.
  • Ability to manage multiple tasks simultaneously, and ensure quality and compliance in all produced correspondence.
  • Ability to maintain confidentiality and ensure compliance with all relevant guidelines, regulations, and policies in processing of clinical correspondence.
  • Ability to work effectively in a fast-paced, high-volume environment, maintain accuracy and meet deadlines.
  • Ability to collaborate effectively with team members and internal departments.
  • Basic Microsoft Office suite / applicable software program(s) proficiency.
  • Preferred Qualifications

  • Previous experience in a health care correspondence or clinical communications role, with an understanding of regulatory and accreditation rules related to clinical determinations.
  • 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 : $21.16 - $31.71 / HOURLY

  • Actual compensation may vary from posting based on geographic location, work experience, education and / or skill level.
  • serp_jobs.job_alerts.create_a_job

    Pst • Corpus Christi, TX, United States

    Job_description.internal_linking.related_jobs
    Care Review Processor (Remote) PST Hours

    Care Review Processor (Remote) PST Hours

    Molina Healthcare • Corpus Christi, Texas, US
    serp_jobs.filters.remote
    serp_jobs.job_card.full_time
    JOB DESCRIPTION Job SummaryProvides non-clinical administrative support to utilization management team and contributes to interdisciplinary efforts supporting provision of integrated delivery of ca...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
    Remote Medical Record Processor

    Remote Medical Record Processor

    VirtualVocations • Corpus Christi, Texas, United States
    serp_jobs.filters.remote
    serp_jobs.job_card.full_time
    A company is looking for an Embedded ROI Processor.Key Responsibilities Process medical record requests by communicating with patients, insurance companies, and attorneys Document information ac...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
    RN, Registered Nurse - A3 Cardiac Rehab & Cath Lab

    RN, Registered Nurse - A3 Cardiac Rehab & Cath Lab

    CHRISTUS Health • Bishop, TX, USA
    serp_jobs.job_card.full_time
    The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with th...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    RN, Registered Nurse Float PII - MedSurg / Tele / IMC Float Pool

    RN, Registered Nurse Float PII - MedSurg / Tele / IMC Float Pool

    CHRISTUS Health • Port Aransas, TX, USA
    serp_jobs.job_card.full_time
    Medsurg, Telemetry, and Intermediate Care.Provides routine and complex care, in accordance with patient treatment plans.Continues to develop the ability to cope with and manage contingencies of cli...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Associate Patient Care Coordinator

    Associate Patient Care Coordinator

    Optum • Mathis, TX, US
    serp_jobs.job_card.full_time
    Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.The work you do with our team will directly improve health outcomes by connect...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Loan Processor

    Loan Processor

    VirtualVocations • Corpus Christi, Texas, United States
    serp_jobs.job_card.full_time
    A company is looking for a Loan Processor responsible for providing quality customer service and managing loan documentation. Key Responsibilities Review and analyze borrower's credit, employment,...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    RN - Nurse Residency - January 2026 - Offering $10K Sign-on Bonus + Relo

    RN - Nurse Residency - January 2026 - Offering $10K Sign-on Bonus + Relo

    CHRISTUS Health • Aransas Pass, TX, USA
    serp_jobs.job_card.full_time
    Offering a $10K Sign-on Bonus and $5K relocation assistance if applicable .January 26th, 2026 (accepting GN permit).The Spohn RN Residency program is accepting applications for the next cohort at C...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    RN, Registered Nurse - Labor and Delivery • •Now Offering a $10K Sign-on + $5K Relo

    RN, Registered Nurse - Labor and Delivery • •Now Offering a $10K Sign-on + $5K Relo

    CHRISTUS Health • Ingleside, TX, USA
    serp_jobs.job_card.full_time
    The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with th...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    RN, Registered Nurse - Emergency Room ($10K Sign-on Bonus + $5K Relo)

    RN, Registered Nurse - Emergency Room ($10K Sign-on Bonus + $5K Relo)

    CHRISTUS Health • Ingleside, TX, USA
    serp_jobs.job_card.full_time
    This position qualifies for a$10K Sign-on Bonus + $5K Relocation if applicable .The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness o...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    RN, Registered Nurse - Endoscopy GI

    RN, Registered Nurse - Endoscopy GI

    CHRISTUS Health • Robstown, TX, USA
    serp_jobs.job_card.full_time
    The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with th...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    RN, Registered Nurse - Emergency Room - Relocation Required

    RN, Registered Nurse - Emergency Room - Relocation Required

    CHRISTUS Health • Ingleside, TX, US
    serp_jobs.job_card.full_time
    The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with th...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    RN, Registered Nurse - PreAdmitting - Relocation Required

    RN, Registered Nurse - PreAdmitting - Relocation Required

    CHRISTUS Health • Portland, TX, US
    serp_jobs.job_card.full_time
    The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with th...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Medical Claims Processor

    Medical Claims Processor

    VirtualVocations • Corpus Christi, Texas, United States
    serp_jobs.job_card.full_time
    A company is looking for a Healthcare & Insurance Operations Processing Senior Representative.Key Responsibilities Process professional claim forms and review policies and benefits Ensure co...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    RN, Registered Nurse - Labor Delivery • • $10K Sign-on + $5K Relo

    RN, Registered Nurse - Labor Delivery • • $10K Sign-on + $5K Relo

    CHRISTUS Health • Aransas Pass, TX, USA
    serp_jobs.job_card.full_time
    Now Offering a $10K Sign-on + $5K Relo for this position with 2 years of prior experience.The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an a...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    RN, Registered Nurse - Emergency Room

    RN, Registered Nurse - Emergency Room

    CHRISTUS Health • Robstown, TX, USA
    serp_jobs.job_card.full_time
    The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with th...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    RN, Registered Nurse - Labor and Delivery

    RN, Registered Nurse - Labor and Delivery

    CHRISTUS Health • Ingleside, TX, US
    serp_jobs.job_card.full_time
    Now Offering a $10K Sign-on + $5K Relo for this position with 2 years of prior experience.The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an a...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    RN, Registered Nurse Float PII - MedSurg / Tele / IMC Float Pool - Relocation Required

    RN, Registered Nurse Float PII - MedSurg / Tele / IMC Float Pool - Relocation Required

    CHRISTUS Health • Ingleside, TX, US
    serp_jobs.job_card.full_time
    Medsurg, Telemetry, and Intermediate Care.Provides routine and complex care, in accordance with patient treatment plans.Continues to develop the ability to cope with and manage contingencies of cli...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Mortgage Loan Processor

    Mortgage Loan Processor

    VirtualVocations • Corpus Christi, Texas, United States
    serp_jobs.job_card.full_time
    A company is looking for a Mortgage Loan Processor to join their team remotely.Key Responsibilities Manage a pipeline of 40-50 loans per month, including refinances and home equity loans Review ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    RN, Registered Nurse - Labor and Delivery • •$10K Sign-on + $5K Relo

    RN, Registered Nurse - Labor and Delivery • •$10K Sign-on + $5K Relo

    CHRISTUS Health • Ingleside, TX, USA
    serp_jobs.job_card.full_time
    Now Offering a $10K Sign-on + $5K Relo for this position with 2 years of prior experience.The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an a...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    RN, Registered Nurse - Emergency Room ($10K Sign-on Bonus + $5K Relo) - Relocation Required

    RN, Registered Nurse - Emergency Room ($10K Sign-on Bonus + $5K Relo) - Relocation Required

    CHRISTUS Health • Portland, TX, US
    serp_jobs.job_card.full_time
    This position qualifies for a $10K Sign-on Bonus + $5K Relocation if applicable .The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted