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Clinical Nurse Specialist Healthcare Nursing

Remote RN Clinical Appeals Nurse – Utilization & Appeals

Remote / Online - Candidates ideally in
Cedar Rapids, Linn County, Iowa, 52404, USA
Listing for: Molina Healthcare
Remote/Work from Home position
Listed on 2026-01-06
Job specializations:
  • Nursing
    Clinical Nurse Specialist, Healthcare Nursing
Job Description & How to Apply Below
A leading healthcare provider is seeking an RN Clinical Appeals Nurse to support internal appeals clinical processes. The role involves performing clinical reviews of denied cases, reevaluating service appropriateness, and presenting cases during hearings. Candidates should have an active RN license and at least 3 years of nursing experience in managed care, with strong knowledge of clinical guidelines and coding.

Competitive compensation and benefits package offered, based in Cedar Rapids, IA.
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