- Molina Healthcare (Covington, KY)
- … Nurse in good standing. **Preferred Education** Completion of an accredited Registered Nurse (RN) Program or a bachelor's degree in Nursing. **Preferred ... as well as Molina Healthcare business needs. In addition, the Delegation Oversight Nurse will assist the Delegation Oversight Manager with additional duties of… more
- Molina Healthcare (Covington, KY)
- …outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/medical reviews of previously denied cases ... assess the appropriateness of service provided, length of stay and level of care . + Applies appropriate criteria on PAR and Non-PAR (contracted and non-contracted)… more