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PMHNP, Behavioral Health UM — Utilization Review Leader

Job in Oshkosh, Winnebago County, Wisconsin, 54901, USA
Listing for: Molina Healthcare
Full Time position
Listed on 2026-10-09
Job specializations:
  • Healthcare
    Psychiatric Care & Support, Healthcare Nursing, Nursing Home
Job Description & How to Apply Below

Molina Healthcare is seeking a PMHNP to perform behavioral health utilization reviews across inpatient and outpatient settings. You will collaborate with physicians to ensure clinically appropriate, cost-effective care and regulatory compliance.

Role requires PMHNP-BC certification, WI licensure, and 5+ years in managed care or utilization management. Strong EMR skills and a member-centric focus are essential.

For the PMHNP, Behavioral Health UM — Utilization Review Leader position at Molina Healthcare, we are reviewing applications now.

We are seeking a motivated PMHNP, Behavioral Health UM — Utilization Review Leader to join Molina Healthcare in WI, United States.

Consider building your career as a PMHNP, Behavioral Health UM — Utilization Review Leader at Molina Healthcare.

The PMHNP, Behavioral Health UM — Utilization Review Leader position in the Bio & Pharmacology & Health field is open for applications.

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