• Clinical Appeals Nurse…

    Molina Healthcare (Fort Worth, TX)
    … decisions for appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical ... **JOB DESCRIPTION** **Job Summary** Clinical Appeals is responsible for making...these guidelines. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
    Molina Healthcare (08/15/25)
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  • Clinical Liaison - NeuroTransitional Center…

    Select Medical (Dallas, TX)
    …and valid state licensure or eligibility for state licensure as a Registered Nurse , Physical Therapist, Occupational Therapist, or Speech Language Pathologist ... joint venture with Select Medical & Baylor Scott & White Health Dallas, TX ** Clinical Liaison ( RN strongly preferred)** **Full-Time, Monday through Friday 8am -… more
    Select Medical (09/04/25)
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  • Medical Claim Review Nurse ( RN )

    Molina Healthcare (Fort Worth, TX)
    …hours 6 AM to 6 PM (Team will work on set schedule) Looking for a RN with experience with appeals , claims review, and medical coding. **Job Summary** Utilizing ... resource for Utilization Management, Chief Medical Officers, Physicians, and Member/Provider Inquiries/ Appeals . + Provides training and support to clinical … more
    Molina Healthcare (09/06/25)
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