Clinical Review Nurse - UM & Post-Appeals (RN)
$29.05 - $67.97 per hourMolina Healthcare of Illinois
Molina Healthcare in Scottsdale, Arizona is seeking a clinical nurse to oversee the medical review process, ensuring claims and records meet necessary guidelines. The successful candidate will facilitate medical reviews, validate reimbursement claims, and support clinical decision-making based on expert judgment. Applicants must possess an active RN license and have experience in clinical nursing and utilization review. Additionally, familiarity with coding and regulatory standards is essential. The role offers a competitive pay range of $29.05 - $67.97 per hour, based on experience and location. #J-18808-Ljbffr
Vacancy posted 20 hours ago
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