Molina Healthcare is seeking a Care Review Clinician for remote work serving the OH Medicaid population. The role requires strong behavioral health assessment and prior authorization experience, with licensure in OH or a valid compact license.
The individual will verify medical necessity, align services with guidelines and insurance policies, and collaborate with multidisciplinary teams to optimize care while ensuring compliance and cost-effectiveness.
#J-18808-LjbffrRemote RN Utilization Review - Behavioral Health in workfromhome at Unknown Company
- Typical pay
- $71,760–$123,760
For context, most registered nurses earn between $71,760–$123,760 a year according to Bureau of Labor Statistics wage data. What this particular role pays is set by the employer — check the description above.
This position is listed as full time and able to be worked remotely.