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Care Review Clinician (BH Licensed)
Molina Healthcare
📍
United States, United States
Location
United States
Posted
June 27, 2026
Commute
Local Area
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Job Description
JOB DESCRIPTION
_This position primarily follows standard working hours of 8:00 AM to 5:00 PM._ **_However, occasional holiday coverage is required, typically limited to approximately 2–4 hours as needed._** _There are no regular weekend or non-standard shift requirements beyond this limited holiday coverage._
_Candidates must hold a valid Washington State license as either a Behavioral Health Clinician or a Registered Nurse (RN) specializing in psychiatric care. Ensuring appropriate licensure at the state level is a mandatory qualification for this role._
Job Summary
Provides support for member clinical service review processes specific to behavioral health. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations, and ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to pr...
_This position primarily follows standard working hours of 8:00 AM to 5:00 PM._ **_However, occasional holiday coverage is required, typically limited to approximately 2–4 hours as needed._** _There are no regular weekend or non-standard shift requirements beyond this limited holiday coverage._
_Candidates must hold a valid Washington State license as either a Behavioral Health Clinician or a Registered Nurse (RN) specializing in psychiatric care. Ensuring appropriate licensure at the state level is a mandatory qualification for this role._
Job Summary
Provides support for member clinical service review processes specific to behavioral health. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations, and ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to pr...