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Remote RN: Care Review Clinician; UM
Remote / Online - Candidates ideally in
Chicago, Cook County, Illinois, 60290, USA
Listed on 2026-07-13
Chicago, Cook County, Illinois, 60290, USA
Listing for:
Molina Healthcare
Full Time, Remote/Work from Home
position Listed on 2026-07-13
Job specializations:
-
Nursing
RN Nurse
Job Description & How to Apply Below
Molina Healthcare is seeking a fully remote Utilization Review RN to support clinical member services across care continuum. An active Illinois nursing license and UM experience are required, with reviews aligned to MCG guidelines and standard practices.
The role is Monday–Friday, 8:30 AM to 5:30 PM CST, focusing on determining medical necessity, prior authorizations, and coordinated care with multidisciplinary teams to optimize outcomes and costs.
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