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CLINICAL APPEALS NURSE (RN) TEXAS AND NEW MEXICO - NOW HIRING

The Clinical Appeals Nurse (RN) performs clinical/medical reviews of previously denied cases in which a formal appeals request has been made or upon request by another Molina department to reduce the likelihood of a formal appeal...

CompanyMolina Healthcare
AddressHouston, TX
CategoryEducation/Training
Job typeFull-time, Part-time
Date Posted 4 days ago See detail

Clinical Appeals Nurse (RN) TEXAS and NEW MEXICO - Now Hiring

Molina Healthcare

Houston, TX

The Clinical Appeals Nurse (RN) performs clinical/medical reviews of previously denied cases in which a formal appeals request has been made or upon request by another Molina department to reduce the likelihood of a formal appeal...

Registered Nurse Clinical Denials & Appeals Reviewer

Administrative Regional Training Cntr

Buffalo, NY

$36.19 - $54.29 an hour

Registered Nurse with a current New York State license Bachelor of Science Nursing degree Holds, or will obtain within one (1) year of hire, one of the following (or similar) credentials: Certified Documentation Specialist, Certif...

AR Clinical Appeals Nurse - Hybrid

Uofl Health

Louisville, KY

Ensures clinical interventions are appropriate for the admitting diagnosis and reflects the standard of care as defined by the medical staff and health system. Utilizes clinical knowledge and defined standards of care to proactive...

Nurse Appeals (RN)

Elevance Health

HENDERSONVILLE, TN

Conducts investigations and reviews of member and provider medical necessity appeals. Reviews prospective, inpatient, or retrospective medical records of denied services for medical necessity. Extrapolates and summarizes medical...