Remote RN: Medical Review & Claims Specialist

Molina Healthcare in Columbia, SC, is seeking a Medical Review Nurse to ensure the accuracy of medical claims and compliance with regulations. The role includes conducting clinical reviews, validating medical records, and addressing escalated complaints. Candidates should have an active RN license and at least 2 years of clinical nursing experience, including experience in utilization review, and familiarity with coding. Molina offers a range of benefits and a competitive hourly salary from $29.05 to $67.97.
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