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RN Care Review Specialist (UM

Job in Orlando, Orange County, Florida, 32815, USA
Listing for: Molina Healthcare
Full Time position
Listed on 2026-08-02
Job specializations:
  • Nursing
    RN Nurse
Salary/Wage Range or Industry Benchmark: 36382 - 59236 USD Yearly USD 36382.00 59236.00 YEAR
Job Description & How to Apply Below
Position: RN Care Review Specialist (UM)

Molina Healthcare is seeking a Registered Nurse to provide support for clinical member services review assessment processes in Florida. The role focuses on verifying medical necessity, aligning with guidelines and policies, and supporting integrated care for members.

Responsibilities include assessing services, reviewing requests, determining prior authorization, and collaborating with multidisciplinary teams. Must reside in Florida and maintain an active RN license.

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