• RN Care Review

    Molina Healthcare (OH)
    JOB DESCRIPTION Job Summary The Care Review Clinician RN provides support for clinical member services review assessment processes. Responsible for ... experience. Candidates with MCO experience are highly preferred. The Care Review Clinician must be...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
    Molina Healthcare (11/04/25)
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  • Care Review Clinician

    Molina Healthcare (OH)
    For this position we are seeking a ( RN ) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity ... least 2 years experience, including experience in hospital acute care , inpatient review , prior authorization, managed ...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
    Molina Healthcare (11/01/25)
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  • Care Review Clinician

    Molina Healthcare (Cincinnati, OH)
    …managed care , or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... unit (ICU) or emergency room. Previous experience in managed care Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG… more
    Molina Healthcare (11/04/25)
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  • Care Review Clinician

    Molina Healthcare (Cleveland, OH)
    …managed care , or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
    Molina Healthcare (11/04/25)
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  • Care Review Clinician , PA…

    Molina Healthcare (Akron, OH)
    …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... clinic experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. **Preferred… more
    Molina Healthcare (10/26/25)
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  • Surgical Clinician - Cardiac Surgery

    Cleveland Clinic (Cleveland, OH)
    …include: + Graduate of an accredited School of Nursing + Current state licensure as a Registered Nurse ( RN ) + Completed Registered Nurse First ... experience Preferred qualifications for the ideal future caregiver include: + Certified Registered Nurse First Assistant (CRNFA) Certification + BSN Our… more
    Cleveland Clinic (10/04/25)
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  • Utilization Management Clinician

    CVS Health (Columbus, OH)
    …Service/Health Services (as applicable to hiring program) or Associates degree with a Registered Nurse with Behavioral Health experience/ background with 3 years ... with behavioral health background. **Preferred Qualifications** + 3 years Managed care /utilization review experience preferred. + Crisis intervention skills and… more
    CVS Health (11/01/25)
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  • Advanced Practice Provider (NP/PA) - Inpatient…

    Cleveland Clinic (Cleveland, OH)
    …(with Adult, Family, or Acute Care Certification) or PA to provide care as an independent clinician , collaborating closely with staff, fellows, residents, ... Nationally certified Advanced Practice Provider who provides primary and/or specialty care in a variety of healthcare settings. Functions in collaboration with the… more
    Cleveland Clinic (10/29/25)
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