• Medical Review Nurse

    Molina Healthcare (Provo, UT)
    … and/or coding experience, or equivalent combination of relevant education and experience. + Registered Nurse ( RN ). License must be active and unrestricted ... 6 PM (Team will work on set schedule) Looking for a RN with experience with appeals, claims review , and medical coding. **Job Summary** Provides support for … more
    Molina Healthcare (09/06/25)
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  • Registered Nurse Medical

    Intermountain Health (Heber City, UT)
    **Job Description:** Full Time, Nights position - Heber Valley Hospital The Registered Nurse ( RN ) is a professional caregiver who assumes responsibility and ... implementing, and evaluating the care of patients. The staff RN utilizes the nursing process by use of technology,...**Minimum Qualifications** + Current license to practice as a Registered Nurse in state of practice. Valid… more
    Intermountain Health (11/06/25)
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  • RN UM Clinical Appeals Nurse Remote

    Molina Healthcare (Provo, UT)
    …health, pharmacy, etc.), or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... **JOB DESCRIPTION** **Job Summary** The Clinical Appeals Nurse ( RN ) provides support for internal...specific programs supported by the plan such as utilization review , medical claims review , long-term… more
    Molina Healthcare (11/14/25)
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  • Care Review Clinician ( RN )

    Molina Healthcare (Provo, UT)
    For this position we are seeking a ( RN ) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity ... a RN with experience with appeals, claims review , and medical coding. JOB DESCRIPTION Job...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
    Molina Healthcare (11/01/25)
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  • Care Review Clinician ( RN )

    Molina Healthcare (Provo, UT)
    For this position we are seeking a ( RN ) Registered Nurse who must be licensed for the state they reside This role will be doing Utilization review for ... authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted… more
    Molina Healthcare (11/13/25)
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  • RN UM Care Review Clinician Remote

    Molina Healthcare (Provo, UT)
    …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION **Job Summary** The RN Care Review Clinician provides support...care unit, or in a telemetry type setting. UM medical review experience highly preferred. Work Hours:… more
    Molina Healthcare (11/13/25)
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  • RN Care Review Clinician Remote

    Molina Healthcare (Provo, UT)
    …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION **Job Summary** The Care Review Clinician ( RN ) provides support for...requests within required timelines. * Refers appropriate cases to medical directors (MDs) and presents them in a consistent… more
    Molina Healthcare (11/13/25)
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  • Care Review Clinician, PA ( RN )

    Molina Healthcare (Provo, UT)
    …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... clinic experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. **Preferred… more
    Molina Healthcare (10/18/25)
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  • Care Review Clinician ( RN )

    Molina Healthcare (Provo, UT)
    …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
    Molina Healthcare (11/13/25)
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  • Care Review Clinician ( RN )

    Molina Healthcare (Provo, UT)
    …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
    Molina Healthcare (11/13/25)
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  • RN ER Nights

    HCA Healthcare (Orem, UT)
    …Trauma Nursing Core Course must be obtained within 1 year of employment start date + ( RN ) Registered Nurse + Advanced Cardiac Life Spt, or ACLS Instructor, ... and continue to learn! **Job Summary and Qualifications** The Registered Nurse coordinates and delivers high quality,...RN ER Nights opening. Our team will promptly review your application. Highly qualified candidates will be contacted… more
    HCA Healthcare (10/30/25)
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  • RN Labor and Delivery Nights PRN

    HCA Healthcare (Orem, UT)
    …especially under pressure.** **Qualifications:** + **Current State of Utah or Compact Registered Nurse License.** + **American Red Cross or American Heart ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...personal growth, we encourage you to apply for our RN Labor and Delivery PRN opening. We review more
    HCA Healthcare (11/14/25)
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  • RN Or

    HCA Healthcare (Payson, UT)
    …Cardiac Life Support must be obtained within 30 days of employment start date + ( RN ) Registered Nurse + Associate Degree At Mountain View Hospital ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...to you, we encourage you to apply for our RN OR opening. Our team will promptly review more
    HCA Healthcare (10/31/25)
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  • Perinatal Nurse Navigator

    HCA Healthcare (Orem, UT)
    …Certifications** + Basic Cardiac Life Support (preferred if remote position) - Required + Registered Nurse - Currently licensed as a registered professional ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...compelling, we encourage you to apply for our Perinatal Nurse Navigator opening. We promptly review all… more
    HCA Healthcare (11/08/25)
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  • Supervisor, Clinical Data Acquisition (Remote)

    Molina Healthcare (Provo, UT)
    …related field or equivalent experience, OR completion of any of the following programs: + Registered Nurse ( RN ) or State Licensed Vocational Nurse (LVN), ... in support of annual HEDIS project management and ongoing review of medical records submitted by providers....OR completion of any of the following programs: + Registered Nurse ( RN ) or State… more
    Molina Healthcare (10/24/25)
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  • Investigator, Coding Special Investigative Unit…

    Molina Healthcare (Provo, UT)
    …Microsoft Excel (edit/save spreadsheets, sort/filter) **Required License, Certification, Association** Licensed registered nurse ( RN ), Licensed practical ... CPT guidelines, internal policies, and contract requirements. This position completes a medical review to facilitate a referral to law enforcement or for payment… more
    Molina Healthcare (10/22/25)
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  • Cardiac Device Tech II

    HCA Healthcare (Orem, UT)
    …advanced and comprehensive knowledge of cardiac device therapy. Under the direction of a Nurse Manager, RN , or Medical Director they will provide thorough, ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...status and accurately document device analysis in EMR for review . + Educate patients on all aspects of their… more
    HCA Healthcare (10/12/25)
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