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Utilization Management RN — CMS​/NQCA Compliance

Job in Buffalo, Erie County, New York, 14201, USA
Listing for: Florida Blue Group
Full Time position
Listed on 2026-06-06
Job specializations:
  • Nursing
    Healthcare Nursing
Salary/Wage Range or Industry Benchmark: 77600 - 126100 USD Yearly USD 77600.00 126100.00 YEAR
Job Description & How to Apply Below

Florida Blue Group is seeking a highly skilled Registered Nurse (RN) as a Utilization Management Compliance Specialist in New York. The role involves ensuring compliance with CMS and NQCA guidelines, evaluating risks, and implementing solutions for adherence to standards.

Candidates should have over 5 years of experience and an active RN license. The position offers a salary range of $77,600 - $126,100 with comprehensive benefits including medical, dental, and retirement savings plans.

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