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RN Utilization Review Specialist

Job in Florence, Boone County, Kentucky, 41022, USA
Listing for: Molina Healthcare
Full Time position
Listed on 2026-09-17
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 a qualified RN to support clinical member services review and assessment processes. You will verify medical necessity, align services with guidelines and policies, and contribute to delivering integrated care across the continuum.

The role emphasizes utilization management, adherence to timelines, and collaboration with multidisciplinary teams to promote cost-effective, quality care for Molina members.

The RN Utilization Review Specialist role at Molina Healthcare is now open for applications in KY, United States.

We would love to welcome a new RN Utilization Review Specialist to our team in KY, United States.

For the RN Utilization Review Specialist position at Molina Healthcare, we are reviewing applications now.

Step into the RN Utilization Review Specialist role at Molina Healthcare in KY, United States and grow with us.

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