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Healthcare Nursing RN Nurse

Remote RN Clinical Appeals Nurse – Utilization & Appeals

Remote / Online - Candidates ideally in
Grand Rapids, Kent County, Michigan, 49528, USA
Listing for: Molina Healthcare
Remote/Work from Home position
Listed on 2026-01-06
Job specializations:
  • Nursing
    Healthcare Nursing, RN Nurse
Job Description & How to Apply Below
A health management organization is seeking a remote RN Clinical Appeals Nurse to manage internal clinical appeal processes. The role involves evaluating medical claims and ensuring compliance with regulatory guidelines. Candidates should possess a valid RN license and at least three years of nursing experience, preferably with a focus in managed care. The position offers competitive pay and a comprehensive benefits package.
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