• Care Review Clinician, PA ( RN )…

    Molina Healthcare (Madison, WI)
    …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... experienced Utilization Review RN in United States who has a compact , multi-state license. This team reviews the prior authorization requests for transplants;… more
    Molina Healthcare (03/07/25)
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  • Care Manager RN (Delaware) Remote

    Highmark Health (Madison, WI)
    …+ Experience in UM /CM/QA/Managed Care **LICENSES or CERTIFICATIONS** **Required** + United States Registered Nurse ( RN ) license + Delaware RN license ... 6 months of employment, unless the home state license is part of the compact **Preferred** + Certification in Utilization Management or a related field **SKILLS** +… more
    Highmark Health (02/20/25)
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