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RN Clinical Claims Review – Utilization & Appeals

Job in Jacksonville, Duval County, Florida, 32290, USA
Listing for: Molina Healthcare
Full Time position
Listed on 2026-02-04
Job specializations:
  • Healthcare
    Healthcare Administration, Healthcare Management
Job Description & How to Apply Below
A prominent healthcare provider in Jacksonville is seeking a Clinical Nurse to support medical claims and internal appeals reviews. Essential qualifications include a minimum of 2 years in clinical nursing, specifically in utilization review and an active RN license. The role involves validating claims, conducting clinical reviews, and ensuring compliance with healthcare regulations. Offering a competitive benefits package, this position emphasizes critical thinking, communication, and analytical skills.
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