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RN Utilization Review & Care Coordination Specialist

Job in Charleston, Charleston County, South Carolina, 29408, USA
Listing for: Molina Healthcare
Full Time position
Listed on 2026-10-04
Job specializations:
  • Nursing
    Healthcare Nursing, RN Nurse
Salary/Wage Range or Industry Benchmark: 35000 - 71000 USD Yearly USD 35000.00 71000.00 YEAR
Job Description & How to Apply Below

Molina Healthcare is seeking an experienced RN to support clinical member services review and prior authorization processes. You will verify medical necessity and align with guidelines, insurance policies, and regulations to ensure quality and cost-effective member care.

You will work with multidisciplinary teams, manage timelines, and reference evidence-based guidelines to determine benefits, eligibility, and length of stay.

This posting is for the RN Utilization Review & Care Coordination Specialist role at Molina Healthcare, based in SC, United States.

The following opportunity is for a RN Utilization Review & Care Coordination Specialist with Molina Healthcare.

Our team is growing, and we are hiring a RN Utilization Review & Care Coordination Specialist in SC, United States.

This opportunity is for the RN Utilization Review & Care Coordination Specialist role at Molina Healthcare.

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