Molina Healthcare
RN Medical Review & Utilization Auditor
Molina Healthcare, Detroit, Michigan, United States, 48228
A leading healthcare organization in Detroit is seeking an experienced clinical nurse to support medical claim reviews and appeals. The successful candidate will facilitate clinical reviews, validate records, and ensure compliance with regulations. Qualifications include an active RN license and at least 2 years of nursing experience, with a focus on utilization review or medical claims. This role offers a competitive hourly wage and the opportunity to impact member care positively.
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