Remote RN: Medical Review & Claims Specialist

Molina Healthcare in Dayton, Ohio is seeking a Medical Review Nurse. The ideal candidate will provide support for medical claim reviews ensuring compliance with regulations. Responsibilities include conducting medical necessity reviews, validating claims, and acting as a clinical resource. Must be a Registered Nurse with at least 2 years of clinical experience. Preferred qualifications include various healthcare certifications. Compensation ranges from $29.05 to $67.97 hourly based on experience.
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