Lead RN - Medicare Appeals & Grievances
Blue Shield of California
Blue Shield of California is seeking a Medicare Appeals and Grievances RN Lead in Rancho Cordova, CA. This role involves leading a team of nurses in clinical review of member appeals and grievances, ensuring compliance with National Coverage Determination and Local Coverage Determination guidelines. The ideal candidate will have leadership experience, an active CA nursing license, and relevant higher-level certifications. This position promotes professional growth and fosters high-performing teams. #J-18808-Ljbffr Blue Shield of California
Vacancy posted 3 days ago
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Rancho Cordova, CA3 days ago - ...Medicare Appeals And Grievances Rn Lead The Medicare Appeals and Grievances team is responsible for clinically reviewing member appeals and grievances that are the result of either a preservice, post service or claim denial. The Medicare Appeals and Grievances RN Lead...SuggestedFull timeContract workPart timeWork at officeLocal areaWork from homeHome office2 days per week
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