Remote rn jobs in Warren, Michigan - Page 2Crear alertas

Under minimal supervision, reviews and screens the appropriateness of services, the utilization of hospital resources and the quality of patient care rendered.Combines clinical, business, regulatory knowledge, and skill to reduce significant financial risk and exposure caused by concurrent and retro

Job Description** Job Summary Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and medically appropriate clinical guidelines. To all current Molina employees

Job Description** Job Summary Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and medically appropriate clinical guidelines. To all current Molina employees