• Medical Director - Medicaid N. Central

    Humana (Olympia, WA)
    …participation in care management. The clinical scenarios arise from outpatient, inpatient or post-acute care environments. The Medical Director will have discussions ... duties include, but may not be limited to, an overview of coding practices and clinical documentation, grievance and appeals processes (including pharmacy), and… more
    Humana (10/25/25)
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  • Care Review Clinician (RN)

    Molina Healthcare (Vancouver, WA)
    …a (RN) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity of high speed required Work Schedule ... for a RN with experience with appeals, claims review, and medical coding . JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment… more
    Molina Healthcare (11/01/25)
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