• RN Clinical Appeals…

    Molina Healthcare (Tacoma, WA)
    … 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 (10/04/25)
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  • Clinical Program Coordinator RN…

    Providence (WA)
    …in the collaboration and management of patient care + Current unencumbered Registered Nurse License in state of residency **Preferred qualifications for ... must empower them.** **Providence Health Plan is calling a Clinical Program Coordinator RN , Medicare / Medicaid...Nursing or Health Education + Upon Hire: Current unencumbered Registered Nurse License in Oregon + Within… more
    Providence (08/23/25)
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  • Medical Claim Review Nurse ( RN )

    Molina Healthcare (Vancouver, WA)
    …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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