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Remote Utilization Review Nurse (LVN/LPN
Remote / Online - Candidates ideally in
New York, New York County, New York, 10261, USA
Listed on 2026-08-03
New York, New York County, New York, 10261, USA
Listing for:
Molina Healthcare
Remote/Work from Home
position Listed on 2026-08-03
Job specializations:
-
Nursing
Healthcare Nursing, LPN/LVN, Nursing Home
Job Description & How to Apply Below
Location: New York
Molina Healthcare is seeking a Remote Medical Review Nurse (LVN/LPN) for PST schedule in the United States. The role involves reviewing documentation to ensure medical necessity and appropriate level of care, with focus on coding accuracy and reimbursement.
The candidate will work MST/PST shifts, perform clinical reviews, and collaborate with CMOs and medical directors on denial decisions and denials/modifications of payments.
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