Care Review Clinician: Utilization & Outcomes (FL)
Molina Healthcare in Tampa, Florida is looking for a dedicated clinical member services reviewer to ensure medically necessary services align with established guidelines. Key responsibilities include analyzing service requests, verifying eligibility, and ensuring compliance with state and federal regulations. The ideal candidate has at least 2 years of healthcare experience, strong communication skills, and proficiency in Microsoft Office. The role offers an hourly pay range of $24 to $46.81. #J-18808-Ljbffr
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