• Appeals Audit Specialist - McLaren…

    McLaren Health Care (Mount Pleasant, MI)
    …the role to support the clinical team. 3. Collaborates with the Denials Appeals RN to ensure payer appeal/filing deadlines are met and achieve optimal ... other related duties as required and directed. **Qualifications:** **_Required:_** + Registered Health Information Technician (RHIT), Licensed Practical Nurse more
    McLaren Health Care (11/11/25)
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  • Medical Review Nurse ( RN )- Remote

    Molina Healthcare (Sterling Heights, MI)
    …and/or coding experience, or equivalent combination of relevant education and experience. + Registered Nurse ( RN ). License must be active and unrestricted ... a clinical resource for utilization management, CMOs, physicians and member/provider inquiries/ appeals . + Provides training and support to clinical peers. +… more
    Molina Healthcare (01/09/26)
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