RN Utilization Review & Medical Appeals Specialist

Molina Healthcare in Des Moines seeks a qualified Registered Nurse (RN) for clinical review responsibilities that ensure medical necessity for claims and appeals processing. The ideal candidate will have a minimum of 2 years clinical experience and proficiency in ICD-10 and CPT coding. This position emphasizes strong analytic, communication, and problem-solving skills. Molina offers a competitive compensation package within a supportive environment focused on quality care. #J-18808-Ljbffr