Blue Shield of CA
Senior RN, Medicare Appeals & Grievances Lead
Blue Shield of CA, Rancho Cordova, California, us, 95741
A leading health organization based in Rancho Cordova, CA, is seeking a Medicare Appeals RN Senior. This role involves clinically reviewing member appeals and grievances related to Medicare and Medi-Cal. The ideal candidate will have a Bachelor's degree in Nursing and at least 5 years of experience in healthcare. Strong knowledge of Medicare guidelines, medical necessity, and coding is essential. Join a team dedicated to developing leaders and promoting continuous learning.
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