• RN UM Care Review Clinician

    Molina Healthcare (Springfield, MA)
    JOB DESCRIPTION Job Summary The Care Review Clinician , IP Provides support for clinical member services review assessment processes. Responsible for ... * At least 2 years experience, including experience in hospital acute care , inpatient review , prior authorization, managed care , or equivalent combination of… more
    Molina Healthcare (10/18/25)
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  • RN Care Review Clinician

    Molina Healthcare (Vancouver, WA)
    JOB DESCRIPTION Job Summary The Care Review Clinician (RN) provides support for clinical member services review assessment processes. Responsible for ... * At least 2 years experience, including experience in hospital acute care , inpatient review , prior authorization, managed care , or equivalent combination of… more
    Molina Healthcare (10/19/25)
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  • Care Review Clinician (RN)

    Molina Healthcare (WA)
    …Qualifications * At least 2 years experience, including experience in hospital acute care , inpatient review , prior authorization, managed care , or equivalent ... emergency room. Preferred Experience Previous experience in Hospital Acute Care , ER or ICU, Prior Auth, Utilization Review... Care , ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual /… more
    Molina Healthcare (10/24/25)
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  • Care Review Clinician

    Molina Healthcare (TX)
    …healthcare field, such as social work or clinical counselor (for Behavioral Health Care Review Clinicians only). **Required Experience** 1-3 years of hospital or ... in good standing, such as LCSW, LPCC or LMFT (for Behavioral Health Care Review Clinicians only). Must be able to travel within applicable state or locality… more
    Molina Healthcare (10/18/25)
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  • Care Review Clinician (LVN…

    Molina Healthcare (Cedar Rapids, IA)
    …least 2 years health care experience, including experience in hospital acute care , inpatient review , prior authorization, managed care , or equivalent ... JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
    Molina Healthcare (10/22/25)
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  • Care Review Clinician (RN)…

    Molina Healthcare (Los Angeles, CA)
    …Qualifications** * At least 2 years experience, including experience in hospital acute care , inpatient review , prior authorization, managed care , or ... California residents preferred.** **EMERGENCY ROOM ADMISSIONS REVIEW NURSE** **_3-12 NIGHT SHIFT 7:30PM - 08:30AM PACIFIC HOURS NON EXEMPT, 3 days a week will… more
    Molina Healthcare (10/18/25)
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  • Care Review Clinician RN (BH…

    Molina Healthcare (Reno, NV)
    …experience with MCG guidelines. At least 2 years of experience with inpatient concurrent review , prior authorization and managed care ; Acute care hospital ... .** JOB DESCRIPTION Job Summary Provides support for member clinical service review processes specific to behavioral health. Responsible for verifying that services… more
    Molina Healthcare (10/18/25)
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  • Care Review Clinician

    Molina Healthcare (Reno, NV)
    **Job Description** **Job Summary** Provides support for member clinical review processes specific to applied behavioral analysis (ABA) services. Responsible for ... - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality… more
    Molina Healthcare (08/31/25)
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  • Care Review Clinician , PA…

    Molina Healthcare (West Valley City, UT)
    …(RN) license in good standing. **Preferred Experience** Previous experience in Hospital Acute Care , ER or ICU, Prior Auth, Utilization Review / Utilization ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for… more
    Molina Healthcare (10/18/25)
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  • Care Review Clinician , PA…

    Molina Healthcare (Las Vegas, NV)
    …(RN) license in good standing. **Preferred Experience** Previous experience in Hospital Acute Care , ER or ICU, Prior Auth, Utilization Review / Utilization ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for… more
    Molina Healthcare (10/18/25)
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