• Medical Claim Review…

    Molina Healthcare (Orlando, FL)
    …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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  • Registered Nurse

    MyFlorida (Orlando, FL)
    REGISTERED NURSE Date: Feb 20, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... more
    MyFlorida (01/22/25)
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  • Clinical Appeals Nurse (RN): Texas and New…

    Molina Healthcare (Orlando, FL)
    …Managed Care Experience in the specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service and Support, ... more
    Molina Healthcare (02/09/25)
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  • Medical Director (Marketplace)

    Molina Healthcare (Orlando, FL)
    …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 (02/06/25)
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  • Denials Management RN Specialist Remote

    AdventHealth (Altamonte Springs, FL)
    …all Inpatient and Outpatient clinical services across the system, as well as review and correct charge errors. The ability to effectively communicate with command of ... more
    AdventHealth (01/27/25)
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