Molina Healthcare
Illinois
Medical Review Nurse (RN)- Post Appeals (must be licensed in Illinois)
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- Location
- Illinois
- Work type
- Remote
- Compensation
- $63,440 - $123,698/yr
- Posted
- 1 week ago
- Apply on
- hckd.fa.us2.oraclecloud.com
About this role
Active unrestricted RN license in Illinois; 2+ years clinical nursing including 1+ year utilization review, claims review, or coding; knowledge of ICD-10, CPT, HCPC; Microsoft Office proficiency; U.S. residency and work authorization.
What you'll do at Molina Healthcare:
- reviewing medical necessity
- validating claims
- preparing appeal cases
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