RN Care Review & Utilization Specialist
Listed on 2026-09-29
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Nursing
Healthcare Nursing, RN Nurse
Molina Healthcare is seeking a licensed RN to support clinical member services review and assessment. You will verify medical necessity, align with guidelines and policies, and help members achieve optimal care outcomes.
Work involves analyzing requests, determining prior authorization, and collaborating with multidisciplinary teams to promote cost-effective, quality care within Molina’s care model.
We would love to welcome a new RN Care Review & Utilization Specialist to our organisation in Town of Florida, NY, United States.
We appreciate your interest in this position.
Join Molina Healthcare and contribute to our ongoing work.
Take a moment to read everything above and see whether this role is right for you.
This posting is for the RN Care Review & Utilization Specialist role at Molina Healthcare, based in Town of Florida, NY, United States.
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