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RN Care Review & Utilization Specialist

Listing for: Molina Healthcare, Inc.
Full Time position Listed on 2026-11-05
Job specializations:
  • Nursing
    RN Nurse, Healthcare Nursing, Clinical Nurse Specialist
Salary/Wage Range or Industry Benchmark: 36000 - 71000 USD Yearly USD 36000.00 71000.00 YEAR

Job Description & How to Apply Below

Molina Healthcare, Inc. is seeking a Nurse Reviewer to support clinical member services review assessment processes in New Mexico.

The role ensures medical necessity aligns with clinical guidelines, policies, and regulations while promoting integrated care across the continuum. The ideal candidate will have RN licensure active in NM, plus experience in hospital acute care, inpatient review, or managed care, and strong communication skills to collaborate with multidisciplinary teams.

We are currently recruiting a RN Care Review & Utilization Specialist for our team in Rio Rancho, NM, United States.

We invite applications for the RN Care Review & Utilization Specialist position located in Rio Rancho, NM, United States.

The following position is for a RN Care Review & Utilization Specialist with Molina Healthcare, Inc.

Our group is growing, and we are hiring a RN Care Review & Utilization Specialist in Rio Rancho, NM, United States.

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