• Clinical Appeals Nurse

    Molina Healthcare (Tacoma, WA)
    … 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
    Molina Healthcare (05/16/25)
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  • RN Medical Claim Review Nurse

    Molina Healthcare (Tacoma, WA)
    …resource for Utilization Management, Chief Medical Officers, Physicians, and Member/Provider Inquiries/ Appeals . + Provides training and support to clinical ... state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
    Molina Healthcare (05/21/25)
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  • Quality Improvement Coordinator - Behavioral…

    Centene Corporation (Tacoma, WA)
    …Administration required. Experience in Behavioral Healthcare field required. Registered Nurse ( RN ), Licensed Clinical Social Worker (LCSW), Licensed ... or Healthcare Administration required **Experience in Behavioral Healthcare field preferred:** Registered Nurse ( RN ) certification, Licensed Mental Health… more
    Centene Corporation (03/29/25)
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