Expired Clinical Appeals Specialist jobs in Rancho Cordova, CA
Rancho Cordova, CA
$87K-$131K / yr.
Your Role The 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 Appeals and Grievances RN Senior will report to the Manager of the Appeals and Grievances team. In this role...
Rancho Cordova, CA
$25,652-$100,261/year (est.)
24221 Job Summary The Appeals and Grievance Clinical Specialist II is responsible for performing advanced and complicated case review of the appropriateness of medical care and service provided to members requiring considerable clinical judgment, independent analysis and detailed knowledge of...
Rancho Cordova, CA
$25,652-$100,261/year (est.)
Kelly Healthcare Resources has an immediate need for an Appeals and Grievances RN Clinical Specialist. The following locations are available: Rancho Cordova or Woodland Hills, CA. RN APPEALS AND GRIEVANCES CLINICAL SPECIALIST Job Summary: The Appeals and Grievances Clinical RN Specialist II is...