Utilization Review Nurse Appeals & Medical Claims
Molina Healthcare of Illinois
Molina Healthcare is seeking a Registered Nurse for clinical review in Miami, Florida. This role involves ensuring medical necessity for claims, handling appeals, and validating medical records according to state and federal guidelines. The ideal candidate will have 2+ years in clinical nursing, including experience in utilization review. Skills in coding and regulatory compliance are essential. A competitive benefits package is offered, reflecting Molina's commitment to quality care. #J-18808-Ljbffr
Vacancy posted 1 day ago
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