• Care Review Clinician - NM resident…

    Molina Healthcare (NM)
    …Registered Nurse (RN), Licensed Vocational Nurse ( LVN ) or Licensed Practical Nurse ( LPN ) Program OR a bachelor's or master's degree ... **JOB DESCRIPTION** Opportunity for experienced Utilization Review RN (preferred) or LPN with... Vocational Nurse ( LVN ) or Licensed Practical Nurse ( LPN… more
    Molina Healthcare (10/30/25)
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  • Denials Prevention Specialist, Clinician PRN

    Datavant (Santa Fe, NM)
    …of care, along with clinical knowledge and expertise successfully. Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well versed ... of the Denial Prevention Specialist is to effectively defend utilization of available health services, review of...as delegated by management Ideal candidate should be a Licensed Practical Nurse or Registered… more
    Datavant (11/12/25)
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  • Clinical Reviewer, Nurse (Medical Oncology)

    Evolent (Santa Fe, NM)
    …+ Performs other duties as assigned. **The Experience You'll Need (Required):** + Registered Nurse or Licensed Practical /Vocational Nurse with a current, ... for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification...precertification and prior approvals. Tasks are performed within the **RN/ LVN / LPN ** scope of practice, under the Medical… more
    Evolent (12/10/25)
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