Florida RN Care Review Specialist – Utilization & UM
Job in
Philadelphia, Philadelphia County, Pennsylvania, 19117, USA
Listed on 2026-07-29
Listing for:
Visa Hunt
Full Time
position Listed on 2026-07-29
Job specializations:
-
Nursing
Job Description & How to Apply Below
Molina Healthcare is seeking a Registered Nurse reviewer to support clinical member services and utilization management in Florida. The role ensures medical necessity and alignment with guidelines, policies, and regulations to achieve desired member outcomes across care delivery.
Responsibilities include assessing services, authorizations, and collaborating with physicians and teams to promote cost‑effective care. Florida residency is required and a comprehensive benefits package is provided.
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