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.
#J-18808-LjbffrRemote RN: Utilization Review Clinician (UM) in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.