RN Clinical Claims Review – Utilization & Appeals
Job in
City of Syracuse, Syracuse, Onondaga County, New York, 13201, USA
Listed on 2026-02-07
Listing for:
Molina Healthcare
Full Time
position Listed on 2026-02-07
Job specializations:
-
Healthcare
Job Description & How to Apply Below
A healthcare organization in Syracuse is seeking a qualified Registered Nurse for medical claim and appeals review activities. The role requires at least 2 years of clinical nursing experience, with 1 year in utilization review. Strong knowledge of ICD-10 and CPT coding is essential. Responsibilities include facilitating clinical reviews, resolving complaints, and presenting cases. The organization offers a competitive benefits package and compensation ranging from $29.05 to $67.97 per hour, depending on experience and qualifications.
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