• RN UM Care Review

    Molina Healthcare (Boston, MA)
    JOB DESCRIPTION Job Summary The Care Review Clinician , IP Provides support for clinical member services review assessment processes. Responsible for ... 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 (10/01/25)
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  • Care Review Clinician

    Molina Healthcare (Los Angeles, CA)
    …managed care , or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... California residents preferred.** **EMERGENCY ROOM ADMISSIONS REVIEW NURSE ** **_3-12 DAY SHIFT 7:30AM...in the USA if they have a valid CALIFORNIA RN license and must work the Pacific Time Zone… more
    Molina Healthcare (09/06/25)
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  • Care Review Clinician

    Molina Healthcare (San Francisco, CA)
    …managed care , or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... program(s) proficiency. 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 (08/24/25)
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  • Care Review Clinician

    Molina Healthcare (Columbus, OH)
    …managed care , or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... **JOB DESCRIPTION** Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and… more
    Molina Healthcare (10/03/25)
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  • Care Review Clinician , PA…

    Molina Healthcare (Sparks, NV)
    …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 (09/17/25)
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  • Care Review Clinician , PA…

    Molina Healthcare (Ann Arbor, MI)
    …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 (09/05/25)
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  • Care Review Clinician

    Molina Healthcare (Albuquerque, NM)
    …**JOB QUALIFICATIONS** **Required Education** Any of the following: Completion of an accredited Registered Nurse ( RN ), Licensed Vocational Nurse (LVN) ... medical clinic experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ), Licensed Vocational Nurse more
    Molina Healthcare (09/27/25)
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  • Care Review Clinician , PA…

    Molina Healthcare (Rockford, IL)
    …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... medical clinic experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. To all… more
    Molina Healthcare (09/18/25)
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  • Care Review Clinician

    Molina Healthcare (Louisville, KY)
    …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for ... ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on...in good standing, such as LCSW, LPCC, LMFT or RN . **Preferred Education** Master's Degree in Clinical Social Work… more
    Molina Healthcare (10/03/25)
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  • Registered Nurse Clinician

    Centers for Independence (Waukesha, WI)
    ** Registered Nurse Clinician - CRC Waukesha** **Job Details** **Job Location** CRC Waukesha - Waukesha, WI **Position Type** Full Time **Education Level** ... Degree **Travel Percentage** None **Job Shift** Various **Job Category** Health Care **Description** **Job Purpose:** This is a professional position that is… more
    Centers for Independence (09/03/25)
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