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Molina Healthcare

RN Medical Review & Utilization Auditor

Molina Healthcare, Syracuse, New York, United States

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A leading healthcare company in Syracuse is seeking a qualified Registered Nurse to support medical claims and appeals review activities. The role requires at least 2 years of clinical nursing experience, strong analytical skills, and proficiency in coding. Responsibilities include conducting clinical reviews of medical claims, addressing escalated utilization management issues, and ensuring compliance with healthcare guidelines. Join us for a competitive pay and benefits package in a dynamic work environment. #J-18808-Ljbffr