• Grievance & Appeals Nurse

    Elevance Health (Mason, OH)
    ** Nurse Appeals -Licensed Nurse **...entities, and serves as a subject matter expert for appeals , grievances, and quality of care issues. ... necessary and is dependent on court hearing schedules. The Nurse Appeals is responsible for investigating and...which would provide an equivalent background. .Current active unrestricted RN license to practice as a health professional within… more
    Elevance Health (12/12/25)
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  • RN Medical Review Nurse Remote

    Molina Healthcare (OH)
    …will be supporting our Appeals and Grievances department. We are seeking a Registered Nurse with previous Appeals experience. The candidate must have ... Nurse provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state...or equivalent combination of relevant education and experience. + Registered Nurse ( RN ). License must… more
    Molina Healthcare (12/03/25)
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  • Care Review Clinician ( RN )

    Molina Healthcare (Dayton, OH)
    For this position we are seeking a ( RN ) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity ... (Team will work on set schedule) Looking for a RN with experience with appeals , claims review,...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
    Molina Healthcare (11/23/25)
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