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Healthcare Administration Healthcare Management

Clinical Appeals RN - Medical Review & Utilization Expert

Job in Columbus, Muscogee County, Georgia, 31900, USA
Listing for: Molina Healthcare
Full Time position
Listed on 2026-02-01
Job specializations:
  • Healthcare
    Healthcare Administration, Healthcare Management
Salary/Wage Range or Industry Benchmark: 60000 - 80000 USD Yearly USD 60000.00 80000.00 YEAR
Job Description & How to Apply Below
A healthcare organization is seeking a Clinical Nurse to provide support for medical claim and internal appeals reviews. This role requires an active RN license and at least 2 years of clinical nursing experience, with an emphasis on utilization review. Candidates must possess a strong knowledge of coding systems and demonstrate excellent analytic and decision-making skills. Molina Healthcare offers a competitive salary and benefits package, emphasizing cost-effective member care.
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