Appeals and Grievances - RN, Senior (Medi-Cal)
Is this the right opportunity for you?
Explore more jobs, compare advertised salaries and see which skills employers want.
Explore careersSearch for a different role
More Healthcare jobs →Description
Description Your Role The Medi-Cal Member Appeals and Grievances team is responsible for clinically reviewing member appeals and grievances that are the result of either a preservice, post-service or claim denial.
The Medi-Cal Appeals and Grievances RN Senior will report to the Appeals and Grievances Manager.
In this role you will perform accurate and timely clinical review of Member-initiated appeals.
The RNs perform first level appeal reviews for members utilizing Milliman Care Guidelines, an…
Get similar jobs in United States by email
We'll email you when new jobs similar to this one appear.
Similar jobs
Explore more Healthcare jobs in United States.
Finding similar jobs…
Adzuna