Care Review Clinician

At Molina Healthcare, we are dedicated to providing high-quality and compassionate care to our diverse patient population. We are currently seeking a Care Review Clinician to join our team and play a crucial role in ensuring the delivery of effective and efficient healthcare services. As a Care Review Clinician, you will have the opportunity to make a positive impact on the lives of our members by conducting thorough reviews of treatment plans and collaborating with providers to promote the best possible outcomes. If you have a passion for improving healthcare and possess the necessary qualifications and skills, we would love to have you on our team.

1. Conduct thorough reviews of treatment plans to ensure they are effective and appropriate for the patient's needs.
2. Collaborate with healthcare providers to promote the best possible outcomes for patients.
3. Participate in regular team meetings to discuss patient cases and make recommendations for improvement.
4. Utilize evidence-based guidelines and medical necessity criteria to evaluate treatment plans.
5. Communicate with patients and their families to gather necessary information for treatment reviews.
6. Document all findings and recommendations in a timely and accurate manner.
7. Stay up-to-date on industry trends and changes in healthcare regulations to ensure compliance.
8. Identify and report any potential quality of care issues to management.
9. Work closely with other members of the healthcare team to coordinate and monitor patient care.
10. Advocate for patients and ensure they receive appropriate and timely care.
11. Act as a resource for other team members, providing guidance and support as needed.
12. Promote and maintain a patient-centered approach to care.
13. Adhere to all confidentiality and privacy policies and procedures.
14. Uphold Molina Healthcare's mission and values in all interactions with patients, providers, and colleagues.

According to JobzMall, the average salary range for a Care Review Clinician in Albuquerque, NM, USA is $62,000-$84,000 per year. This may vary based on experience, qualifications, and the specific employer.

Molina Healthcare is a managed care company headquartered in Long Beach, California, United States. The company provides health insurance to individuals through government programs such as Medicaid and Medicare.