• Medical Claim Review

    Molina Healthcare (Dayton, OH)
    …Minimum 3 years clinical nursing experience. + Minimum one year Utilization Review and/or Medical Claims Review . + Minimum two years of experience in ... more
    Molina Healthcare (01/25/25)
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  • Investigator, Coding SIU (Remote)

    Molina Healthcare (Dayton, OH)
    claims with corresponding medical records to determine accuracy of claims payments. + Review of applicable policies, CPT guidelines, and provider ... more
    Molina Healthcare (01/21/25)
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  • Case Manager RN- Field (Delaware, Franklin,…

    CVS Health (Union, OH)
    …paid holidays, and flexibility as you coordinate the care of your members. Nurse Case Manager is responsible for telephonically and/or face to face assessing, ... more
    CVS Health (01/23/25)
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  • Case Manager RN- Field (Hamilton, Butler, Warren…

    CVS Health (Franklin, OH)
    …holidays, and flexibility as you coordinate the care of your members. + Nurse Case Manager is responsible for telephonically and/or face to face assessing, planning, ... more
    CVS Health (01/16/25)
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  • ADA Accommodation Specialist

    Sedgwick (Dayton, OH)
    …the ADA process for claimants requesting accommodations under the ADAAA; to review complex medical information for temporary and permanent accommodation ... more
    Sedgwick (01/31/25)
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