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Care Review Clinician - Utilization & Care Coordination FL

Molina Healthcare

Molina Healthcare is seeking a clinical reviewer to support member services in assessing specialty care requests. The role ensures services are medically necessary, aligned with guidelines and policies, and that members achieve outcomes through integrated care. The position requires residing in Florida and contributing to cost-effective care strategies. Responsibilities include reviewing requests, determining benefits and eligibility, and coordinating with medical directors and teams to uphold #J-18808-Ljbffr Molina Healthcare

Vacancy posted 1 day ago
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