Molina Healthcare
RN Medical Review & Utilization Auditor
Molina Healthcare, Columbus, Ohio, United States, 43224
A healthcare services provider in Columbus, Ohio, is seeking a clinical nurse for medical claims and appeals review. This role requires expertise in clinical guidelines and regulatory requirements. The ideal candidate must be an active RN with at least 2 years of clinical nursing experience, including utilization review. Responsibilities include facilitating claim reviews, resolving complaints, and supporting peers. Competitive hourly pay ranges from $29.05 to $67.97, reflecting experience and skills.
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