• Molina Healthcare (Bronx, NY)
    JOB DESCRIPTION Job Summary The Care Review Clinician RN provides support for clinical member services review assessment processes. Responsible for ... experience. Candidates with MCO experience are highly preferred. The Care Review Clinician must be...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
    job goal (12/02/25)
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  • Molina Healthcare (Yonkers, NY)
    For this position we are seeking a ( RN ) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity ... least 2 years experience, including experience in hospital acute care , inpatient review , prior authorization, managed ...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
    job goal (12/02/25)
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  • Molina Healthcare (Yonkers, NY)
    …managed care , or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... unit (ICU) or emergency room. Previous experience in managed care Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG… more
    job goal (12/02/25)
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  • Molina Healthcare (Yonkers, NY)
    …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... clinic experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. **Preferred… more
    job goal (12/02/25)
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  • Molina Healthcare (Yonkers, NY)
    …managed care , or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
    job goal (12/01/25)
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  • Molina Healthcare (Corona, NY)
    …required for internal meetings. JOB QUALIFICATIONS Required Education Completion of an accredited Registered Nurse ( RN ). Required Experience 1-3 years of ... medical clinic experience. Required License, Certification, Association Active, unrestricted State Registered Nursing ( RN ) license in good standing. Preferred… more
    job goal (12/02/25)
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  • Utilization Review Clinician

    Centene Corporation (New York, NY)
    …Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State ... preferred. Experience working with providers and healthcare teams to review care services related to mental health... only: LMSW, LCSW, LMHC, LPC, LMFT, LMHP or RN required Pay Range: $26.50 - $47.59 per hour… more
    Centene Corporation (11/08/25)
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  • Professional, Behavioral Health

    MVP Health Care (Tarrytown, NY)
    At MVP Health Care , we're on a mission to create a healthier... clinician (LMSW, LCSW, LMHC, etc.) or Licensed Registered Nurse ( RN ) required + New ... to join #TeamMVP. If you have a passion for healthcare, improving access to care , enhancing quality and compliance this is the opportunity for you. **What's in it… more
    MVP Health Care (11/17/25)
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