• Care Review Clinician, Prior

    Molina Healthcare (Albuquerque, NM)
    …benefits and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility for Molina ... + Processes requests within required timelines. + Refers appropriate prior authorization requests to Medical Directors. +...Any of the following: Completion of an accredited Registered Nurse (RN), Licensed Vocational Nurse (LVN) or… more
    Molina Healthcare (07/24/25)
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  • Care Review Clinician, Prior Auth (RN) Pega…

    Molina Healthcare (Albuquerque, NM)
    …benefits and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility for Molina ... + Processes requests within required timelines. + Refers appropriate prior authorization requests to Medical Directors. +...Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization more
    Molina Healthcare (07/12/25)
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  • Care Review Clinician, PA (RN) Transplants

    Molina Healthcare (Las Cruces, NM)
    …benefits and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility for Molina ... + Processes requests within required timelines. + Refers appropriate prior authorization requests to Medical Directors. +...Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization more
    Molina Healthcare (07/17/25)
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