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Specialized Roles:
RN Nurse

RN Medical Review & Appeals Specialist

Job in Rock Island, Rock Island County, Illinois, 61202, USA
Listing for: Molina Healthcare
Full Time position Listed on 2026-11-04
Job specializations:
  • Nursing
    RN Nurse
Salary/Wage Range or Industry Benchmark: 42000 - 82000 USD Yearly USD 42000.00 82000.00 YEAR

Job Description & How to Apply Below

Molina Healthcare is seeking an experienced Registered Nurse to perform utilization review and medical necessity assessments. You will review documentation against state and federal guidelines, apply coding knowledge to ensure proper reimbursement, and participate in appeals across prospective, retrospective, and concurrent cases.

The role requires at least 2 years of clinical nursing experience, including utilization review, and a strong grasp of ICD-10, CPT, and HCPCS codes.

This role, RN Medical Review & Appeals Specialist at Molina Healthcare, could be your next opportunity.

This posting is for the RN Medical Review & Appeals Specialist role at Molina Healthcare, based in Rock Island, IL, United States.

We are looking to fill the RN Medical Review & Appeals Specialist position at Molina Healthcare in Rock Island, IL, United States.

The RN Medical Review & Appeals Specialist role at Molina Healthcare is now open for applications in Rock Island, IL, United States.

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