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Healthcare Nursing

Remote RN Care Review Clinician – UM & Outcomes

Remote / Online - Candidates ideally in
Augusta, Richmond County, Georgia, 30910, USA
Listing for: Molina Healthcare
Remote/Work from Home position
Listed on 2026-02-04
Job specializations:
  • Healthcare
    Healthcare Nursing
Job Description & How to Apply Below
A national healthcare company is seeking a skilled RN Care Review Clinician to support clinical member services in verifying medical necessity and compliance with guidelines. Responsibilities include assessing services for cost-effectiveness, analyzing clinical requests, and collaborating with teams to ensure optimal member outcomes. The role requires an active Registered Nurse license and strong knowledge of Utilization Management. This is a remote position with work hours Monday to Friday, including rotating weekends and holidays.
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