• RN UM Clinical Appeals Nurse Remote

    Molina Healthcare (MI)
    …proficiency. **Preferred Qualifications** * Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified ... chief medical officer, physicians, and member/provider inquiries/appeals. * Provides training , leadership and mentoring for less experienced appeals nurses and… more
    Molina Healthcare (11/14/25)
    - Related Jobs
  • Wound Care Medical Director (MD/DO)

    Munson Healthcare (Traverse City, MI)
    …Physician to ensure compliance with the foregoing and with quality assurance and medical audit programs of the Health System. + Clinical Advice and Supervision . The ... and procedures relating to the Program. + The qualifications, training , level of competence and degree of clinical skill...AWC and HBOT services. + Complete all documentation and coding on the date of service using EHR, complying… more
    Munson Healthcare (09/16/25)
    - Related Jobs