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RN Utilization Review Specialist — Behavioral Health
Job in
Owensboro, Daviess County, Kentucky, 42302, USA
Listed on 2026-07-31
Listing for:
Molina Healthcare
Full Time
position Listed on 2026-07-31
Job specializations:
-
Nursing
Healthcare Nursing
Job Description & How to Apply Below
Molina Healthcare is seeking a Registered Nurse with an OH or compact license to join the Care Review Clinician team. You will provide prior authorization for behavioral health services for the Ohio Medicaid population and support member care across the continuum.
Key responsibilities include reviewing requests for clinical necessity, collaborating with medical directors, and ensuring compliance with state and federal guidelines. Monday–Friday, with rotating weekends and holidays.
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