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Remote Utilization Review RN - Medical Claims & Appeals

Molina Healthcare of Illinois

Molina Healthcare, Inc. is hiring a full-time Licensed Medical Review Nurse to conduct reviews of medical documentation while working remotely. This role involves managing appeals and validating claims to ensure medical necessity and compliance with guidelines. Ideal candidates will have at least 2 years of clinical nursing experience, including utilization review, and a valid RN license in Florida or Kentucky. Strong analytical skills and proficiency in coding are preferred. #J-18808-Ljbffr

Vacancy posted 9 hours ago
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