Clinical Review Nurse - UM & Post-Appeals (RN)
$29.05 - $67.97 per hourMolina Healthcare of Illinois
Molina Healthcare is seeking a clinical nurse responsible for reviewing documentation for medical necessity and appropriate care levels. The role involves appeals facilitation, claims auditing, and ensuring accurate billing under coding regulations. The ideal candidate will have a minimum of 2 years of clinical nursing experience, specifically in utilization review, and must hold an active RN license. Key skills include analytical thinking, problem-solving, and effective communication. This position is located in Cincinnati, Ohio, with a competitive pay range from $29.05 to $67.97 hourly. #J-18808-Ljbffr
Vacancy posted 2 days ago
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