Remote RN: Medical Review & Claims Specialist

Molina Healthcare is seeking a Medical Review Nurse in Jackson, MS. The role requires at least 2 years of clinical nursing experience, including expertise in utilization review and medical claims. Key responsibilities include conducting medical claim reviews, resolving escalated complaints, and serving as a clinical resource for various stakeholders. Registered Nurse license in the state of practice is essential. The position offers a competitive pay range of $29.05 - $67.97 hourly, plus benefits.
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