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Molina Healthcare
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Molina Healthcare
United States - Nationwide
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Seattle, Washington
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Author Health
Miami, Florida
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Miami, Florida
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Molina Healthcare
Spokane, Washington
Molina Healthcare
United States - Nationwide
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Remote Care Review Clinician, Appeals (RN) - Must work PST schedule
JOB DESCRIPTIONOpportunity for a US licensed RN to do prior authorization reviews with Molina Healthcare. Applicants call across the contiguous US states are eligible to apply but must be willing/able to work a schedule using Pacific time zone. Previous experience working in utilization management for another MCO is preferred. This position is fully a remote, work from home opportunity.Job 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 progre
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