Appeals and Grievances - RN, Consultant (MediCare) opportunity at Blue Shield Of California in Rex, GA in the Healthcare sector. This position offers $62,817 – $62,817/yr. This is a full-time position. Apply directly on the employer's site via Posito — no account required.

Appeals and Grievances - RN, Consultant (MediCare)

Blue Shield Of California
📍 Rex, GA 💼 Healthcare 💵 $62,817 – $62,817/yr Full-time
Pay
$62,817 – $62,817/yr
Job type
Full-time
Location
Rex, GA
Category
Healthcare
Posted
Yesterday
Expires
2026-09-20
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Full job description

Job Description The Medicare 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 Medicare Appeals and Grievances RN Lead will report to the Appeals and Grievances Manager. In this role you will be leading a team of nurses who will be responsible for performing first level appeal reviews for members utilizing the National Coverage Determination (NCD) guidelines, Local Cover…

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