Remote RN: Medical Review & Utilization Auditor
$29.05 - $67.97 per hourMolina Healthcare
Molina Healthcare is seeking a Clinical Review Nurse to review medical documentation ensuring medical necessity and appropriate billing. This role includes managing appeals for authorizations, validating medical claims, and working with various stakeholders to ensure compliance with regulations. The ideal candidate will have at least two years of nursing experience including utilization review, an active RN license, and strong analytical skills. This position offers competitive pay and benefits, with a pay range of $29.05 - $67.97 per hour. #J-18808-Ljbffr
Vacancy posted 3 hours ago
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