Registered Nurse

✨ About The Role

- The position involves assessing inpatient services to ensure optimal outcomes and compliance with regulations.
	- The role requires analyzing clinical service requests against evidence-based clinical guidelines.
	- Candidates will conduct inpatient reviews to determine financial responsibility for Molina Healthcare and its members.
	- The job includes processing requests within required timelines and making appropriate referrals to other clinical programs.
	- Collaboration with multidisciplinary teams is essential to promote the Molina Care Model and adhere to Utilization Management policies.
                            

⚡ Requirements

- The ideal candidate will have at least 3 years of experience in hospital acute care or medical settings.
	- A strong background in Concurrent Review, Utilization Review, or Utilization Management is essential for success in this role.
	- Candidates should possess excellent computer skills and attention to detail to manage multiple systems and accurately document interactions.
	- Effective communication skills are necessary for collaborating with team members and engaging with members over the phone.
	- Flexibility to work some weekends and holidays is important, as the department operates year-round.
                            

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Registered Nurse - Remote Eligible

Molina Healthcare

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✨ About The Role

⚡ Requirements

Registered Nurse - Remote Eligible

About Molina Healthcare