Care Utilization Review Clinician
Molina Healthcare, Inc.
Molina Healthcare is seeking a skilled reviewer to support clinical member services review processes. You will assess services for medical necessity, analyze requests against guidelines, and determine prior authorization and financial responsibility for Molina and its members. You will work within a multidisciplinary team to ensure quality, cost-effective care and adherence to UM policies. This role requires healthcare experience, strong organizational skills, and excellent communication. #J-18808-Ljbffr Molina Healthcare, Inc.
Vacancy posted 3 days ago
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