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Remote Care Review Nurse – Transition & UM Specialist
Remote / Online - Candidates ideally in
Miami, Miami-Dade County, Florida, 33222, USA
Listed on 2026-08-20
Miami, Miami-Dade County, Florida, 33222, USA
Listing for:
Molina Healthcare
Remote/Work from Home
position Listed on 2026-08-20
Job specializations:
-
Healthcare
Healthcare Nursing
Job Description & How to Apply Below
Molina Healthcare is seeking an RN Care Review Clinician to support Medicaid members recently admitted to the hospital, facilitating transition from inpatient to discharge to home or a nursing facility. The role combines phone outreach and in-person meetings while inpatient, with emphasis on accurate documentation and multitasking across systems.
Preferred candidates have utilization management, case management, managed care, or inpatient hospital experience, with behavioral health exposure as a
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