RN Utilization Review & Prior Authorization Clinician

Molina Healthcare is seeking an RN Utilization Review Nurse to support clinical member services review assessment processes, ensuring medical necessity and alignment with guidelines and regulations. This role involves analyzing requests, determining benefits and eligibility, and conducting prior authorizations to promote cost-effective member care.

With 2+ years in hospital acute care and an active RN license, you will collaborate with multidisciplinary teams and adhere to utilization management

This role, RN Utilization Review & Prior Authorization Clinician at Jobtome, could be your next career step.

The advertised compensation is 42.000 - 82.000.

We aim to respond to suitable candidates as soon as possible.

Full responsibilities and requirements are described in the listing above.

Learn more about the RN Utilization Review & Prior Authorization Clinician role in the description above.

We appreciate your interest in this position.