Field-Based RN: Facility Site Review & Compliance

Molina Healthcare; Riverside, Northern (CA, KY); Hybrid; USD 76,000 - 139,000; Full time

Job summary

Molina Healthcare in Riverside, California is seeking a Nurse Reviewer to lead clinical facility site reviews and related assessments, ensuring compliance with local, state, and federal requirements. This role supports quality and cost-effective member care.

Under supervision, you will compile reports, coordinate findings across leadership and providers, and contribute to ongoing program improvements while upholding HIPAA standards and Molina policies.

Qualifications

• Active and unrestricted RN license in state of practice.
• For CA: CSR certification or ability to obtain within 1 year.
• Valid and unrestricted driver’s license; travel 50-75% of the time.
• Ability to work across diverse settings and matrixed organization.
• Strong verbal and written communication; critical thinking skills.
• Proficiency with Microsoft Office and related software.

Responsibilities

• Conduct onsite, virtual and desktop facility site reviews and related assessments.
• Document review outcomes and prepare reports for leadership.
• Coordinate information between leadership, staff and providers.
• Support program improvement initiatives and training across teams.
• Maintain confidentiality and HIPAA compliance.

Skills

RN license

CSR certification

Driver's license

Travel 50-75%

Critical thinking

Communication skills

Microsoft Office

Cross-functional teamwork

Tools

Microsoft Office

Job description

Molina Healthcare in Riverside, California is seeking a Nurse Reviewer to lead clinical facility site reviews and related assessments, ensuring compliance with local, state, and federal requirements. This role supports quality and cost-effective member care.

Under supervision, you will compile reports, coordinate findings across leadership and providers, and contribute to ongoing program improvements while upholding HIPAA standards and Molina policies.