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RN Clinical Claims Review – Utilization & Appeals

Job in Lincoln, Lancaster County, Nebraska, 68511, USA
Listing for: Molina Healthcare
Full Time position
Listed on 2026-02-02
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 provider is seeking a Clinical Support Specialist in Lincoln, Nebraska, to support medical claim reviews and ensure compliance with regulatory requirements. Candidates must have at least 2 years of clinical nursing experience, including utilization review, and possess an active RN license. Key responsibilities include facilitating clinical reviews, validating claims, and resolving complaints. A competitive hourly pay range of $29.05 - $67.97 is offered, along with an attractive benefits package.
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