Top 6 Mds rn Jobs in Sun Valley, Ca

RN- Care Review Clinician- UM/Discharge Planning (Remote- CA License Req)
Molina Healthcare —Los Angeles, CA
- $30.37 - $59.21 an hour
- Full-time
- Remote
- RN License
- Mid-level
- Discharge planning
- Health insurance
MDS Coordinator/RN
Sun Mar Health Care —Tarzana, CA
- Full-time
- Skilled nursing facility
- Mid-level
Quick Apply
7d
MDS Nurse - SNF
Griffith Park Healthcare Center —Glendale, CA
- $48 - $50 an hour
- Full-time
- Skilled nursing facility
- RN License
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
MDS RN Nurse
Santa Anita Convalescent Hospital —Temple City, CA
- $60 - $65 an hour
- Full-time
- Nursing
- Skilled nursing facility
- RN License
Quick Apply
Director of MDS (LVN or RN)
Palazzo Post Acute —Los Angeles, CA
- From $83,200 a year
- Full-time
- CPR Certification
- Nursing
- Skilled nursing facility
- Health insurance
- Dental insurance
Quick Apply
Minimum Data Set Assistant/Registered Nurse (Part Time)
Sharon Care Center —Los Angeles, CA
- $40 - $60 an hour
- Part-time
- Nursing
- Skilled nursing facility
- RN License
- Health insurance
- Dental insurance
Quick Apply

More jobs to discover

Find similar jobs that you might be interested in.

MDS Coordinator
Harbor Post-Acute Care Center —Torrance, CA
Must have a current, unencumbered CA RN license. The successful candidate will be working alongside the DON to help care for the residents by developing,…
From $50 an hour
Quick Apply
MDS Coordinator- RN/LVN
Glenwood Care Center —Oxnard, CA
Active California RN license (preferred) or LVN license (required minimum). Collaborate with interdisciplinary team (nursing, therapy, dietary, social services)…
$36 - $55 an hour
Quick Apply

Show more similar jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

MDS Coordinator - RN
Springfield Masonic Community —Springfield, OH
Registered Nurse licensed in the State of Ohio. 403(b) Retirement Plan Participation with Match. Assists to maintain quality documentation in the nursing…
Quick Apply
6d
MDS Nurse
Confidential —Columbus, OH
Monitor and ensure MDS assessments are accurately coded to present a complete picture of residents clinical status and services rendered.
Quick Apply

Show more jobs in cities nearby

I want to receive the latest job alert for mds rn in sun valley, ca

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

mds rn jobs near sun valley, ca

Licensed Vocational Nurse jobs in Los Angeles, CA

Registered Nurse jobs in Temple City, CA

Utilization Review Nurse jobs in Los Angeles, CA

Registered Nurse jobs in Los Angeles, CA

Nurse jobs in Glendale, CA

Mds Coordinator jobs in Tarzana, CA

Non Licensed Counseling jobs in Mississippi

Licensed Vocational Nurse jobs in Glendale, AZ

Nurse Prn Remote jobs in Texas

Licensed Professional Counselor jobs in Springfield, MO

Licensed Vocational Nurse jobs in Barberton, OH

Resort Nurse jobs in Las Vegas, NV

Licensed Vocational Nurse jobs in Clovis, CA

Licensed Vocational Nurse jobs in Sunland, CA

Acute Care Nurse Practitioner jobs in New York, NY

Fertility Nurse jobs in Cincinnati, OH

Registered Nurse jobs in Baltimore, MD

Registered Nurse jobs in Tampa, FL

Registered Behavior Technician jobs in Wichita, KS

Registered Nurse jobs in Lubbock, TX

RN- Care Review Clinician- UM/Discharge Planning (Remote- CA License Req)

Molina Healthcare -
Los Angeles, CA

Apply Now

Job Details

Full-time
$30.37 - $59.21 an hour

Benefits

Health insurance

Qualifications

Inpatient experience
RN License
Managed care organization experience
Pre-authorization review for utilization management
Acute care experience
Productivity software
Nursing

Full Job Description

JOB DESCRIPTION Job Summary

Provides 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 optimum outcomes, cost-effectiveness and compliance with all state/federal regulations and guidelines.
Analyzes clinical service requests from members or providers against evidence based clinical guidelines.
Identifies appropriate benefits, eligibility and expected length of stay for requested treatments and/or procedures.
Conducts reviews to determine prior authorization/financial responsibility for Molina and its members.
Processes requests within required timelines.
Refers appropriate cases to medical directors (MDs) and presents them in a consistent and efficient manner.
Requests additional information from members or providers as needed.
Makes appropriate referrals to other clinical programs.
Collaborates with multidisciplinary teams to promote the Molina care model.
Adheres to utilization management (UM) policies and procedures.

Required Qualifications

At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience.
Registered Nurse (RN). License must be active and unrestricted in state of practice.
Ability to prioritize and manage multiple deadlines.
Excellent organizational, problem-solving and critical-thinking skills.
Strong written and verbal communication skills.
Microsoft Office suite/applicable software program(s) proficiency.

Preferred Qualifications
Certified Professional in Healthcare Management (CPHM).

Utilization review, prior authorization, inpatient review desirable. MCG experience, strongly preferred.

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: $30.37 - $59.21 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Apply Now

Refine Your Search

mds rn jobs in sun valley, ca

RN- Care Review Clinician- UM/Discharge Planning (Remote- CA License Req)

MDS Coordinator/RN

MDS Nurse - SNF

MDS RN Nurse

Director of MDS (LVN or RN)

Minimum Data Set Assistant/Registered Nurse (Part Time)

More jobs to discover

Explore jobs in cities nearby

I want to receive the latest job alert for mds rn in sun valley, ca

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected