• Care Review Clinician

    Molina Healthcare (Akron, OH)
    **JOB DESCRIPTION** Opportunity for experienced Utilization Review RN in United States who has a compact, multi-state license. This team reviews the prior ... requests for transplants; the ideal candidate will have experience either in utilization review or case management for transplants. Preference will be given to those… more
    Molina Healthcare (06/06/25)
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  • Care Review Clinician

    Molina Healthcare (Cleveland, OH)
    …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for ... staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of… more
    Molina Healthcare (05/11/25)
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  • Clinical Pharmacist - Prior Authorization/Oncology…

    CVS Health (Columbus, OH)
    …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... Clinical Pharmacist is an operation-based role that conducts criteria based & clinical review of medical data collected to perform prior authorization as per policy… more
    CVS Health (06/06/25)
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