• Clinical Appeals Nurse

    Molina Healthcare (Cincinnati, OH)
    … decisions for appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical ... **JOB DESCRIPTION** **Job Summary** Clinical Appeals is responsible for making...these guidelines. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
    Molina Healthcare (08/15/25)
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  • Utilization Management Specialist Pharmacy…

    Cleveland Clinic (Beachwood, OH)
    …Current valid license in the State of Ohio as a Registered Nurse ( RN ) + Three years equivalent full-time clinical experience as a Registered Nurse ... healthcare organizations in the world. In the Utilization Management Specialist , Pharmacy role, you will play a vital part...Graduate of an accredited school of nursing as a Registered Nurse ( RN ) in the… more
    Cleveland Clinic (08/15/25)
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