• Medical Review Nurse ( RN )- Remote

    Molina Healthcare (Buffalo, NY)
    …and/or coding experience, or equivalent combination of relevant education and experience. + Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION **Job Summary** Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal… more
    Molina Healthcare (01/09/26)
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  • Commercial Review Specialist I

    SUNY Upstate Medical University (Syracuse, NY)
    …preparing regulatory notices for delivery to the patient Minimum Qualifications: NYS Licensed/ Registered (or eligible) RN , Bachelor's Degree in Nursing, and a ... Job Summary: The UR-CR Specialist I is primarily responsible for ensuring that...minimum of three years post RN licensure acute care nursing experience, or Associate's Degree… more
    SUNY Upstate Medical University (11/18/25)
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