RN Care Review Specialist | Prior Authorization & Utilization Management
Los Angeles, Los Angeles County, California, 90079, USA
Listed on 2026-10-09
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Nursing
RN Nurse, Healthcare Nursing
Molina Healthcare is seeking an experienced RN to support clinical member services review and assess medical necessity across the care continuum in the United States, guiding members to desired outcomes through coordinated care.
You will collaborate with multidisciplinary teams, perform prior authorizations, analyze requests against evidence-based guidelines, and promote compliant, cost-effective care. Strong communication and time-management skills are essential.
For the RN Care Review Specialist | Prior Authorization & Utilization Management position at Remote Jobs, we are reviewing applications now.
All applications are reviewed carefully by our team.
This is a Full Time role.
The position is based in United States.
This opportunity is part of our work in Bio & Pharmacology & Health.
The advertised compensation is 70.000 - 90.000.
We aim to respond to suitable candidates as soon as possible.
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