• RN Clinical Appeals

    Molina Healthcare (Dallas, TX)
    JOB DESCRIPTION **Job Summary** The RN Clinical Appeals Nurse provides support for internal appeals clinical processes - ensuring that appeals ... health, pharmacy, etc.), or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted… more
    Molina Healthcare (01/02/26)
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  • Nurse Appeals - Litigation & Legal…

    Elevance Health (Grand Prairie, TX)
    ** Nurse Appeals - Litigation & Legal...Review requests. + Acts as a resource for both clinical and non- clinical teams, by managing and ... necessary and is dependent on court hearing schedules. The ** Nurse Appeals - Litigation & Legal Support**...would provide an equivalent background. + Current active unrestricted RN license to practice as a health professional within… more
    Elevance Health (12/22/25)
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  • Care Review Clinician ( RN )

    Molina Healthcare (Dallas, TX)
    For this position we are seeking a ( RN ) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity ... (Team will work on set schedule) Looking for a RN with experience with appeals , claims review,...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
    Molina Healthcare (12/24/25)
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  • Director Care Transition

    Texas Health Resources (Frisco, TX)
    …management growth inclusive of supervisory and leadership experience Required Licenses and Certifications RN - Registered Nurse Upon Hire Required Or LMSW ... with outpatient care management. Directs the activities of the Care Transition Managers ( RN & SW). Serves as a content expert on the following: Compliance with… more
    Texas Health Resources (12/17/25)
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