Remote Utilization Review RN — Clinical Claims Expert

Molina Healthcare is hiring in Town of Texas, Wisconsin for a role supporting medical claim reviews and appeals. Ideal candidates will have substantial clinical nursing experience, particularly in utilization review, and must hold an active RN license. Key duties include facilitating claim reviews, validating medical records, and preparing case presentations for hearings. The position offers a competitive hourly pay range of $29.05 to $67.97 along with comprehensive benefits. Molina Healthcare is committed to equal opportunity employment.
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