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Appeals & Grievances RN: Clinical Reviewer & Advocate

Wollborg Michelson Recruiting

Wollborg Michelson Recruiting is looking for a Commercial Appeals and Grievance Registered Nurse (RN) in Oakland, California. This nurse will review and process member-generated appeals, ensuring quality access to healthcare while collaborating with medical teams to provide clear determinations. Applicants must possess a valid RN license and have at least 2 years of managed care experience. Proficiency in Excel and Microsoft Office is essential, along with excellent communication and analytical skills. #J-18808-Ljbffr

Vacancy posted 21 hours ago
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