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Healthcare Nursing RN Nurse Clinical Nurse Specialist

Remote RN Clinical Appeals Nurse – Utilization & Appeals

Remote / Online - Candidates ideally in
Lexington, Fayette County, Kentucky, 40598, USA
Listing for: Molina Healthcare
Remote/Work from Home position
Listed on 2026-01-09
Job specializations:
  • Nursing
    Healthcare Nursing, RN Nurse, Clinical Nurse Specialist
Salary/Wage Range or Industry Benchmark: 80168 - 141371 USD Yearly USD 80168.00 141371.00 YEAR
Job Description & How to Apply Below
A healthcare provider is seeking a Remote RN Clinical Appeals Nurse in Lexington, Kentucky. The role involves evaluating clinical appeals, ensuring compliance with guidelines, and mentoring junior team members. Candidates must have an active RN license and at least 3 years of clinical nursing experience. This position offers a competitive salary range of $80,168 - $141,371 annually, with comprehensive benefits.

Ideal candidates will possess strong communication and critical-thinking skills.
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