• Clinical Appeals Nurse (RN)

    Molina Healthcare (Sterling Heights, MI)
    …for appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical /medical ... For this position we are seeking a (RN) Registered Nurse who must be licensed for the state they...with internet connectivity of high speed required **Job Summary** Clinical Appeals is responsible for making appropriate… more
    Molina Healthcare (08/02/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (Warren, MI)
    …resource for Utilization Management, Chief Medical Officers, Physicians, and Member/Provider Inquiries/ Appeals . + Provides training and support to clinical ... Medical Surgical, or Pediatrics. Advanced Practice Nursing. Billing and coding experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Clinical … more
    Molina Healthcare (08/08/25)
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