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Healthcare Nursing

RN Care Review: Utilization & Outcomes Advocate

Job in Rock Hill, York County, South Carolina, 29732, USA
Listing for: Molina Healthcare
Full Time position
Listed on 2026-02-05
Job specializations:
  • Healthcare
    Healthcare Nursing
Job Description & How to Apply Below
A leading healthcare provider in South Carolina is looking for a qualified Registered Nurse to support clinical member services by verifying medical necessity and adherence to clinical guidelines. This role involves assessing services, analyzing clinical requests, and managing prior authorizations. Candidates should have at least 2 years of relevant experience and strong organizational, problem-solving, and communication skills. Molina Healthcare offers competitive compensation and a comprehensive benefits package.
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