• Medical Claim Review

    Molina Healthcare (Rochester, NY)
    …Minimum 3 years clinical nursing experience. + Minimum one year Utilization Review and/or Medical Claims Review . + Minimum two years of experience in ... more
    Molina Healthcare (01/25/25)
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  • Registered Nurse - Risk Manager

    Veterans Affairs, Veterans Health Administration (Canandaigua, NY)
    …with assigned responsibility for: Enterprise Risk Management activities, Protected Peer Review for Quality Management, Institutional Disclosure, Tort Claim ... more
    Veterans Affairs, Veterans Health Administration (02/13/25)
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  • Clinical Appeals Nurse (RN): Texas and New…

    Molina Healthcare (Rochester, NY)
    …Managed Care Experience in the specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service and Support, ... more
    Molina Healthcare (02/09/25)
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  • Medical Director (Medicare)

    Molina Healthcare (Rochester, NY)
    …retrospective reviews of claims and appeals and resolves grievances related to medical quality of care. + Attends or chairs committees as required such as ... more
    Molina Healthcare (02/09/25)
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  • Medical Director (Marketplace)

    Molina Healthcare (Rochester, NY)
    …retrospective reviews of claims and appeals and resolves grievances related to medical quality of care. + Attends or chairs committees as required such as ... more
    Molina Healthcare (02/06/25)
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