Care Review Clinician - NM or TX Residency - Compact license RN/LVN

Molina
Albuquerque, NM
Job Description
Molina Healthcare Services is seeking a Care Review Clinician (RN/LVN) to review prior authorization requests for Medicaid recipients. The role involves assessing service requests, ensuring compliance, and coordinating care across behavioral health and long-term care. The position requires strong analytical skills, computer proficiency, and collaboration with multidisciplinary teams. This role is for those with a compact license in New Mexico or Texas.

Requirements

  • Completion of an accredited Registered Nurse, Licensed Vocational Nurse, or Licensed Practical Nurse Program OR a bachelor’s or master’s degree in a healthcare field.
  • Active and unrestricted State Registered Nursing, Licensed Vocational Nurse, or Licensed Practical Nurse license.
  • Excellent computer and multitasking skills.

Benefits

  • Competitive benefits and compensation package
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