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Blue Shield of CA

Senior RN, Medicare Appeals & Grievances Lead

Blue Shield of CA, Rancho Cordova, California, us, 95741

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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. #J-18808-Ljbffr