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

Molina Healthcare of Illinois

Molina Healthcare in Charleston, SC seeks an experienced clinical professional to perform thorough reviews of medical documentation. The role requires strong analytical skills, attention to detail, and the ability to navigate state and federal guidelines effectively. Responsibilities include facilitating medical reviews, validating claims, and training peers. A minimum of 2 years nursing experience is essential, alongside an active RN license. Competitive benefits and compensation are offered. #J-18808-Ljbffr

Vacancy posted 1 day ago
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