Remote RN Utilization Review Clinician - Behavioral Health
Parma, Cuyahoga County, Ohio, USA
Listed on 2026-10-02
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Healthcare
Mental Health, Healthcare Nursing
Molina Healthcare in Columbus, OH is seeking a Care Review Clinician to provide prior authorization for behavioral health services for the OH Medicaid population. The role requires strong BH care experience across inpatient, substance use, and outpatient services, plus excellent multitasking and analytical thinking.
You will assess medical necessity, verify benefits and eligibility, and collaborate with medical directors and multidisciplinary teams to ensure cost-effective, quality member care.
We have an opening for a Remote RN Utilization Review Clinician - Behavioral Health in Columbus, OH, United States within Bio & Pharmacology & Health.
Please review the full job details above before applying.
If your experience matches this role, we encourage you to apply.
All applications are reviewed carefully by our team.
This is a Full Time role.
The position is based in Columbus, OH, United States.
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