• Clinical Appeals Nurse…

    Molina Healthcare (Cincinnati, OH)
    … 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)
    - Related Jobs

  • Clinical Audit and Appeals…

    Intermountain Health (Columbus, OH)
    **Job Description:** The RCO Audit & Appeals RN Consultant is responsible for consulting on clinical Appeals and Audits for Intermountain Health. The ... Audit/ Appeals RN Consultant will execute clinical audits of...institution. Education is verified + Current licensure as a registered nurse required. + Experience in Microsoft… more
    Intermountain Health (09/08/25)
    - Related Jobs

  • Denials and Appeals Nurse

    Dayton Children's Hospital (Dayton, OH)
    …Coaching Skills preferred Education Requirements: Bachelors: Nursing (Required) Certification/License Requirements: [Lic] RN : Registered Nurse ( RN ) - ... functions as an internal liaison for members of the clinical team, clinical and operational leadership in...Completion of accredited BSN program required Certifications + Licensed Registered Nurse in Ohio required + Current… more
    Dayton Children's Hospital (09/05/25)
    - Related Jobs

  • Medical Claim Review Nurse ( RN )

    Molina Healthcare (Akron, OH)
    …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)
    - Related Jobs

  • Infusion Referral Nurse Sr- REMOTE

    Prime Therapeutics (Columbus, OH)
    …visa or residency sponsorship **Additional Qualifications** + Registered Nurse ( RN ). + 5 years of post-degree clinical experience. + Experience in ... these cases in web-based application and spreadsheets. + Supports clinical services such as the appeals program....+ Associates - Nursing + Bachelors - Nursing + RN - Registered Nurse , State… more
    Prime Therapeutics (09/04/25)
    - Related Jobs