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Molina Healthcare
Spokane, Washington
Molina Healthcare
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UM Transplants Care Review Clinician, PA (RN) REMOTE
JOB DESCRIPTIONJob SummaryMolina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.We are seeking a candidate with a RN license and managed care UM experience-required. Prior Inpatient review experience and transplants highly preferred. Strong skills with Electronic Health systems and computer software to meet dai
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