• RN Clinical Appeals Nurse…

    Molina Healthcare (Nampa, ID)
    JOB DESCRIPTION **Job Summary** The RN Clinical Appeals Nurse provides support for internal appeals clinical processes - ensuring that appeals ... regulatory requirements, Molina policies and procedures, and medically appropriate clinical guidelines. Assesses appropriateness of services, length of stay and… more
    Molina Healthcare (01/02/26)
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  • Care Review Clinician (RN)

    Molina Healthcare (Idaho Falls, ID)
    …for a RN with experience with appeals , claims review, and medical coding . JOB DESCRIPTION Job SummaryProvides support for clinical member services review ... For this position we are seeking a (RN) Registered Nurse who must hold a compact license. This is...that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members… more
    Molina Healthcare (12/24/25)
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