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Appeals Coordinator

IEHP

IEHP is seeking a Grievance & Appeals Nurse, RN to coordinate care with IPAs, hospitals, and IEHP teams, ensuring cases are processed per policy and regulatory standards. The role emphasizes quality of care and timely grievance resolution within DMHC/DHCS/CMS guidelines. The G&A Nurse will triage cases, support QA initiatives, and engage with internal and external stakeholders to improve outcomes and reporting requirements. #J-18808-Ljbffr

Vacancy posted 2 days ago
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