Care Review Clinician, Prior Auth (RN)
Molina Healthcare•Saint Petersburg, FL
401d•$54,933 - $128,523
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About The Position
The Care Review Clinician, Prior Auth (RN) at Molina Healthcare is responsible for assessing, facilitating, planning, and coordinating integrated care delivery for members with high need potential. This role involves ensuring quality care that is medically appropriate and cost-effective, while adhering to state and federal regulations. The clinician will analyze clinical service requests, conduct prior authorization reviews, and collaborate with multidisciplinary teams to promote the Molina Care Model.
