CalOptima Health seeks a Grievance & Appeals Nurse Specialist to join our mission-driven team. You will conduct clinical reviews, support member concerns, and coordinate with providers and stakeholders to ensure timely, compliant decisions.
This full telework role in California requires CA RN or LVN licensure and 5 years of healthcare/managed care experience, plus strong communication, analysis, and multi-project leadership to help improve access to care.
#J-18808-LjbffrRemote Grievance & Appeals Nurse Specialist in orange at Unknown Company
This position is listed as full time and onsite.