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Healthcare Nursing

RN Medical Review & Appeals Specialist

Job in Savannah, Chatham County, Georgia, 31441, USA
Listing for: Molina Healthcare
Full Time position
Listed on 2026-02-01
Job specializations:
  • Healthcare
    Healthcare Nursing
Salary/Wage Range or Industry Benchmark: 29.05 - 67.97 USD Hourly USD 29.05 67.97 HOUR
Job Description & How to Apply Below
A healthcare provider in Savannah is seeking a Clinical Nurse Reviewer to support medical claim and appeals review activities, ensuring compliance with regulatory requirements. The role involves clinical reviews, member case evaluations, and training clinical peers. Candidates must have an active RN license and significant nursing experience, including utilization review and claims auditing. A competitive compensation package is provided, reflecting the candidate's experience and skills, with a pay range of $29.05 - $67.97 hourly.
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