Senior RN, Medicare Appeals & Grievances Lead

A prominent healthcare organization in California seeks a Medicare Appeals RN Senior to conduct clinical reviews of appeals and grievances for members. The candidate will need a Bachelor's in Nursing, a current RN license, and at least 5 years of nursing experience. Key responsibilities include ensuring compliance with Medicare/CMS guidelines and providing thorough reviews of medical and pharmacy benefits. This position supports professional growth within a leadership-centric culture. #J-18808-Ljbffr