- Crossroads Hospice & Palliative Care (Dayton, OH)
- …listens, grows, and ultimately makes a profound difference in our community. Registered Nurse Clinical Director Qualifications: + Bachelor's degree ... processes + Proficient in basic PC skills. Microsoft Word and Excel Registered Nurse Clinical Director Responsibilities: + Provide regular communication… more
- Molina Healthcare (OH)
- …decisions for appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical /medical ... 4 weeks Monday-Thursday and Wed - Saturday._** **JOB DESCRIPTION** **Job Summary** Clinical Appeals is responsible for making appropriate and correct clinical … more
- Molina Healthcare (Akron, OH)
- **JOB DESCRIPTION** **Job Summary** Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate ... to ensure appropriate reimbursement to providers. **Job Duties** + Performs clinical /medical reviews of retrospective medical claim reviews, medical claims and… more