• RN UM Care Review

    Molina Healthcare (Worcester, MA)
    …managed care , or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... JOB DESCRIPTION Job Summary The Care Review Clinician, IP Provides support...with a MA RN licensure. Candidates with UM Medical Review background and experience using… more
    Molina Healthcare (10/01/25)
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  • Per Diem Clinical Appeal Nurse

    Fallon Health (Worcester, MA)
    …Degree in nursing, or equivalent. **License:** Active and unrestricted licensure as a Registered Nurse in Massachusetts. **Experience:** Three to five years of ... cares. We prioritize our members-always-making sure they get the care they need and deserve. Founded in 1977 in...expectations. Under the direction of the Director, the Appeal Nurse represents, manages and oversees second level appeal cases… more
    Fallon Health (09/22/25)
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