Grievance & Appeals Nurse Specialist - Los Angeles California

Location: Los Angeles, California
Posted On: 01/29/2025

This Grievance & Appeals Nurse Specialist Position Features:



* Registered Nurse Apply Only

* Clinical Nursing 3-5 years; Managed Care-

3 years; Medicare

*BSN or BA in Health Care or a related

field a plus.



The Grievance & Appeals Nurse Specialist provides direct assistance to member's with health care access or

benefit coordination issues, ensuring that clinical grievances, complaints and complex issues are investigated

and resolved to the member's satisfaction in a manner consistent with guidelines. or commercial insurance. The successful candidate must be organized and a team player with excellent

communication skills, able to work effectively with various internal departments/service areas, plan partners, participating provider groups, and other external agencies. We are an equal employment opportunity employer and will consider all qualified candidates without regard to disability or protected veteran status. More...

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