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Grievance & Appeals Nurse Specialist - Remote

Remote / Online - Candidates ideally in
Orange, Orange County, California, 92856, USA
Listing for: CalOptima
Remote/Work from Home position
Listed on 2026-10-01
Job specializations:
  • Nursing
    Public Health Nurse, Clinical Nurse Specialist
Job Description & How to Apply Below

Cal Optima Health is seeking a Grievance & Appeals Nurse Specialist to manage medical appeals and state hearing reviews across all lines of business. You will prepare case narratives, coordinate with providers and maintain clear communication with members and state agencies.

This role supports a full telework arrangement with in-person attendance at the Orange, CA office as needed. Required qualifications include an active California RN license, 5 years in health care/managed care, and the

For the Grievance & Appeals Nurse Specialist
- Remote position at Cal Optima, we are reviewing applications now.

We are currently recruiting a Grievance & Appeals Nurse Specialist
- Remote for our team in Orange, CA, United States.

This is an excellent position to take on the Grievance & Appeals Nurse Specialist
- Remote role at Cal Optima.

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