- Molina Healthcare (Akron, OH)
- … decisions for appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical ... **JOB DESCRIPTION** **Job Summary** Clinical Appeals is responsible for making...these guidelines. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
- Elevance Health (Independence, OH)
- …provide an equivalent background. Preferred Skills, Capabilities and Experiences: + Licensed Registered Nurse ( RN ) or Licensed Independent Social Worker ... you make an impact:** + Accountable for implementing and overseeing clinical management functions for members receiving LTSS, including assessments, service… more