RN II Jobs (Hybrid work)

Appeals and Grievances Nurse Specialist RN II needed in Los Angeles. This role investigates and resolves complex clinical member and provider complaints, ensuring compliance with CMS and regulatory guidelines. Requires an active CA RN license, 5+ years of clinical experience, and 2+ years in Medi...

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...