A healthcare organization seeks a Clinical Reviewer to support medical claims and appeals review activities. This role involves conducting clinical reviews, resolving complaints, and assisting in complex claims. Candidates must have an active RN license and at least 2 years of nursing experience, including utilization review and coding. Strong analytical skills and proficiency in coding systems are essential. The position offers competitive hourly pay based on experience, along with a comprehensive benefits package. #J-18808-Ljbffr Molina Healthcare
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