Remote RN: Medical Review & Claims Specialist

Molina Healthcare seeks a Medical Review Nurse in Rochester, NY. The role involves reviewing medical claims for accuracy and compliance with regulations. Candidates require an active RN license with at least 2 years of nursing experience, including expertise in utilization review and medical claim assessments. Strong analytical skills and proficiency in Microsoft Office are essential. The position offers a competitive compensation of $29.05 - $67.97 hourly along with comprehensive benefits.
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