Utilization Review RN - Medical Claims & Coding Expert
Listed on 2026-10-15
-
Nursing
RN Nurse, Healthcare Nursing
Molina Healthcare is seeking an experienced utilization review nurse in Arizona to review documentation for medical necessity and appropriate level of care. The role involves applying MCG/Inter Qual guidelines, billing rules, and Molina policies to validate records and support correct reimbursement.
The position requires 2+ years of clinical nursing experience with UR, active RN license, ICD-10/CPT/HCPCS knowledge, and strong analytical skills.
Consider building your career as a Utilization Review RN
- Medical Claims & Coding Expert at Molina Healthcare.
We are currently recruiting a Utilization Review RN
- Medical Claims & Coding Expert for our team in Avondale, AZ, United States.
This is a genuine position to take on the Utilization Review RN
- Medical Claims & Coding Expert role at Molina Healthcare.
As a Utilization Review RN
- Medical Claims & Coding Expert, you will play an important part at Molina Healthcare in Avondale, AZ, United States.
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