L.A. Care Health Plan - United States, Nursing, Hybrid work

Lead RN for Appeals & Grievances in Los Angeles. Leverage 8+ years of clinical managed care experience to mentor a team and resolve complex cases. Ensure regulatory compliance and improve audit outcomes for Medicare/Medicaid members. Enjoy benefits like PTO, tuition reimbursement, and wellness pr...

Appeals and Grievances Nurse Specialist RN II needed in Los Angeles. Investigate and resolve complex clinical member complaints and benefit coordination issues for a managed care health plan. Requires an active California RN license, 5+ years clinical experience, and 2+ years in Medicare/Medicaid...