- Molina Healthcare (Grand Rapids, MI)
- …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 (Grand Rapids, MI)
- …Managed Care Experience in the specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service and Support, ... more
- Trinity Health (Grand Rapids, MI)
- …* Routinely meets with HR Leaves and Workers Compensation Team to review claim status and consult on complex claims . * Supports planning, training and ... more
- Molina Healthcare (Grand Rapids, MI)
- …retrospective reviews of claims and appeals and resolves grievances related to medical quality of care. + Attends or chairs committees as required such as ... more
- Molina Healthcare (Grand Rapids, MI)
- …retrospective reviews of claims and appeals and resolves grievances related to medical quality of care. + Attends or chairs committees as required such as ... more