Medical Review Nurse (LVN/LPN)
Molina Healthcare is looking for a Remote Medical Review Nurse to handle utilization and medical claims reviews. This position is 100% remote within the United States for qualified LPNs or LVNs.
Work this role from any clinic, anywhere in the country — as long as your license, certifications and ID documents are current and valid for the employer's required state(s).
The Medical Review Nurse will perform clinical reviews of healthcare services to ensure medical necessity and appropriateness of care. This role requires at least 2 years of clinical nursing experience and 1 year in utilization or medical claims review. You will analyze medical records and apply clinical criteria to determine coverage decisions.
Listed on molinahealthcare. Free to read, free to apply yourself.
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