Clinical Review Nurse - UM & Post-Appeals (RN)

Molina Healthcare of Illinois

Molina Healthcare in Louisville, KY, is seeking a Clinical Reviewer to utilize clinical knowledge for validating medical claims and ensuring compliance with state and federal regulations. This role involves conducting medical reviews of authorization appeals, working closely with medical directors, and ensuring the accuracy of billing and coding. Ideal candidates should possess a valid RN license, at least 2 years of nursing experience, and a strong understanding of healthcare coding. Molina offers a competitive compensation package and values equal opportunity in the workplace. #J-18808-Ljbffr Molina Healthcare

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Vacancy posted 4 days ago

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