RN- Care Review Clinician- Utilization Review (Remote- CA License Req)
San Francisco or Los Angeles or San Jose or San Diego or Sacramento or Long Beach or California
$30-$59/hrRemoteFull Time
Molina HealthcareNYSE: MOH: Provides managed health insurance through government-sponsored benefit programs.
2+ YOEActive unrestricted RN license in state of practice (CA required for this posting), 2+ years clinical experience (acute care/prior authorization/managed care), UM/prior authorization experience preferred, Microsoft Office proficiency, strong communication and critical-thinking skills.
University of California, San Diego: A public research university providing higher education and healthcare.
5+ YOEBachelor's in nursing, active California RN, 5+ years relevant experience including IPA/MSO or Health Plan/HMO experience, prior authorization and UM knowledge, supervisory experience, strong communication and analytical skills.