Remote Care Review Clinician (RN/LPN)

Molina Healthcare is seeking a Care Review Clinician (RN or LPN) for a remote, full-time position operating 8a-5p Pacific Time, Monday through Friday. You will support clinical member services review processes, verify medical necessity, and ensure alignment with established guidelines and policies to promote quality and cost-effective care.

In this role you will collaborate with multidisciplinary teams to drive member outcomes, perform prior authorization reviews, and adhere to utilization