Remote RN: Utilization Review Clinician (UM)
Molina Healthcare
Molina Healthcare is recruiting a qualified RN for a fully remote Utilization Management role requiring an active Illinois license. The position operates Monday–Friday, 8:30 AM–5:30 PM CST, with emphasis on clinical determinations using MCG guidelines.
Responsibilities include reviewing medical necessity, ensuring guideline alignment, and coordinating with care teams to achieve optimal outcomes while observing regulatory requirements.
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Molina HealthcareBoydton,VA
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