RN Utilization Review & Appeals Nurse
Molina Healthcare of Illinois
Molina Healthcare in Albany, NY, is seeking a clinical review specialist to ensure medical necessity and appropriate care levels. Candidates must have at least 2 years of clinical nursing experience and hold an active RN license. Responsibilities include reviewing medical claims, facilitating appeal processes, and resolving issues related to long-term services and supports. The role necessitates strong analytical and communication skills, familiarity with medical coding, and proficiency in Microsoft Office. A competitive benefits and compensation package is offered. #J-18808-Ljbffr
Vacancy posted 22 hours ago
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