Grievance & Appeals Nurse Specialist
Location: Los Angeles
Posted on: November 9, 2024
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Job Description:
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.
Keywords: , Glendora , Grievance & Appeals Nurse Specialist, Healthcare , Los Angeles, California
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