Molina Healthcare
RN Medical Review & Utilization Auditor
Molina Healthcare, Buffalo, New York, United States, 14266
A leading healthcare organization is seeking a Clinical Review Specialist to support medical claims and internal appeals. The role requires a Registered Nurse (RN) with at least 2 years of clinical experience, including utilization review. Responsibilities include facilitating clinical reviews, validating claims, and resolving escalated complaints. The position offers a competitive hourly compensation, with a pay range from $29.05 to $67.97, alongside a comprehensive benefits package.
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