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Remote Clinical Review Nurse - Grievances/Appeals; RN/LVN
Remote / Online - Candidates ideally in
Huntington Beach, Orange County, California, 92615, USA
Listed on 2026-02-16
Huntington Beach, Orange County, California, 92615, USA
Listing for:
Clever Care Health Plan
Remote/Work from Home
position Listed on 2026-02-16
Job specializations:
-
Healthcare
Healthcare Administration, Healthcare Nursing
Job Description & How to Apply Below
A leading healthcare organization in California is seeking a Clinical Review Nurse to evaluate medical records and clinical documentation related to claims and grievances. This role requires strong clinical judgment and knowledge of Medicare Advantage regulations. The ideal candidate will have a nursing background with relevant experience in Appeals and Grievances management. The position offers a competitive wage ranging from $38.46 to $48.00 per hour based on experience, with opportunities for growth in a rapidly expanding firm.
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