• Medical Claim Review

    Molina Healthcare (Salt Lake City, UT)
    …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)
    - Save Job - Related Jobs - Block Source
  • Clinical Appeals Nurse (RN): Texas and New…

    Molina Healthcare (West Valley City, UT)
    …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)
    - Save Job - Related Jobs - Block Source
  • Medical Director (Medicare)

    Molina Healthcare (West Valley City, UT)
    …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 (02/09/25)
    - Save Job - Related Jobs - Block Source
  • Medical Director Specialty Medical

    Molina Healthcare (West Valley City, UT)
    …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 (02/07/25)
    - Save Job - Related Jobs - Block Source
  • Case Manager RN

    CVS Health (Salt Lake City, UT)
    …wellness through integration. + Through the use of clinical tools and information/data review (eg, assessments, claims , etc..) conducts an evaluation of member's ... more
    CVS Health (02/08/25)
    - Save Job - Related Jobs - Block Source
  • Special Investigation Unit Manager Clinical…

    CVS Health (Salt Lake City, UT)
    …Direct and oversee complex reviews. Ensure timely and accurate reporting of review findings and coordinate with investigative to take appropriate action. Conducts ... more
    CVS Health (12/25/24)
    - Save Job - Related Jobs - Block Source