• RN Lead, HCS (Clinical) Remote with field…

    Molina Healthcare (Santa Fe, NM)
    …**Required Education** Completion of an accredited Licensed Registered Nurse ( RN ), Licensed Vocational Nurse ( LVN ), or Licensed Practical Nurse ... role must complete courses required to obtain licensure in all states. + Utilization Review Lead responsibilities also include but not limited to, collaborate… more
    Molina Healthcare (08/15/25)
    - Related Jobs
  • Clinical Appeals Nurse ( RN )

    Molina Healthcare (Las Cruces, NM)
    …Managed Care Experience in the specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service and Support, ... outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical/medical reviews of previously denied… more
    Molina Healthcare (08/15/25)
    - Related Jobs
  • Care Review Clinician, Prior Authorization

    Molina Healthcare (Albuquerque, NM)
    …Education** Any of the following: Completion of an accredited Registered Nurse ( RN ), Licensed Vocational Nurse ( LVN ) or Licensed Practical Nurse ... **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ), Licensed Vocational Nurse ( LVN ) or Licensed… more
    Molina Healthcare (07/24/25)
    - Related Jobs
  • Nurse Practitioner PA / Physician Assistant…

    Horizon Services, Inc. (Albuquerque, NM)
    …meetings unless excused. + Maintains a clean environment, adhering to best practices + Ensures to Review RN , and LVN documentation as well as builds LVN ... after 6 months, and $500 after 12 months of employment) JOB TITLE: Nurse Practitioner / Physician Assistant LOCATION: Gateway Medical Sobering - Albuquerque, New… more
    Horizon Services, Inc. (08/13/25)
    - Related Jobs