Senior RN: Member Appeals & Grievances | Hybrid
Listed on 2026-10-11
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Healthcare
Healthcare Administration
Blue Shield of CA is seeking a RN Senior for the Medi-Cal Member Appeals and Grievances team. You will clinically review member appeals and grievances arising from preservice, post-service, or claim denials, with oversight of Medi-Cal grievances.
This role requires independent clinical judgment and collaboration with Medical Directors to address PQI/QOS/QOC cases within set timelines. Hybrid virtual work is available; occasional office visits may be required based on business needs.
We have an opening for a Senior RN:
Member Appeals & Grievances | Hybrid in Redding, CA, United States within Bio & Pharmacology & Health, Other.
Full responsibilities and requirements are described in the listing above.
Learn more about the Senior RN:
Member Appeals & Grievances | Hybrid role in the description above.
We appreciate your interest in this position.
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