Care Review Clinician, PA (RN) - Transplant Team - Compact License
Molina Healthcare
Seattle, WA
1 month ago
$26.41 - $61.79
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Job Description
Molina Healthcare seeks an experienced Utilization Review RN for its Transplant Team. This role involves reviewing prior authorization requests for transplants and requires strong analytical and multitasking skills. Ideal candidates will have relevant experience and be proficient in Microsoft Office tools.
Key Responsibilities
Assess services for members to ensure optimum outcomes and compliance with regulations
Analyze clinical service requests against evidence-based guidelines
Conduct prior authorization reviews
Process requests within required timelines
Collaborate with multidisciplinary teams
Required Qualifications
Active, unrestricted State Registered Nursing (RN) license
Completion of an accredited Registered Nurse (RN)
1-3 years of hospital or medical clinic experience
Preferred Qualifications
Experience in utilization review or case management for transplants