Molina Healthcare 14 Nursing Jobs in Utah
Improving health and lives through quality and affordable healthcare.
Open Positions (14)
Showing 1-10 of 14Job Summary Are you a dedicated Registered Nurse with a passion for improving the lives of individuals in need? Join our multidisciplinary team as a Care Manager for Long-Term Services and Supports (LTSS) and make a difference in the lives of members with high-need potential. In this role, you'll c...
Utilization Management Care Review Registered Nurse Join our passionate team as a Utilization Management Care Review Registered Nurse, where you will be integral in enhancing our clinical member services review processes. In this exciting role, you will ensure that services provided are both medica...
Job Description Job Summary As a Clinical Review Nurse, you will play a vital role in ensuring that medical claims and internal appeals are reviewed thoroughly in accordance with state and federal regulations, as well as Molina's policies. Your expertise will contribute significantly to the strate...
Medical Claims Reviewer Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and medically appropriate clinical guidelines. Contributes to overarching strategy to pro...
JOB DESCRIPTION We are looking for a dedicated Registered Nurse (RN) with an active license to join our team as a Behavioral Health Care Review Nurse. Your expertise will be instrumental in providing prior authorization for both outpatient and inpatient services within the Medicaid behavioral healt...
Utilization Management Care Review Registered Nurse Join our passionate team as a Utilization Management Care Review Registered Nurse, where you will be integral in enhancing our clinical member services review processes. In this exciting role, you will ensure that services provided are both medica...
Job Summary Join our dedicated team as a Nurse Reviewer, where you will play a crucial role in supporting medical claim and internal appeal reviews. Your expertise will ensure compliance with relevant state and federal regulations, Molina policies, and clinical guidelines, all while contributing to...
Job Summary Join our dedicated team as a Registered Nurse Utilization Management Clinician, where you will make a meaningful impact on healthcare quality and deliver exceptional services to our members. In this critical role, you will assess the necessity and appropriateness of care in line with es...
JOB DESCRIPTION Job Summary Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need potential. Strives to e...
JOB DESCRIPTION Job Summary Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and medically appropriate clinical guidelines. Contributes to overarching strategy t...
About Molina Healthcare
Molina Healthcare is a leading health care provider dedicated to improving the health and lives of its members. With over 30 years of experience, Molina specializes in delivering high-quality and affordable health care solutions. The company focuses on addressing the unique needs of its members by offering a range of services designed to promote overall well-being and access to essential health care. Molina's commitment to quality and affordability sets it apart in the industry, making it a trusted choice for many seeking comprehensive health care coverage.