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Medicare Appeals RN Lead; Hybrid — CA Licensed Nurse
Job in
Redding, Shasta County, California, 96001, USA
Listed on 2026-07-22
Listing for:
Blue Shield of CA
Full Time
position Listed on 2026-07-22
Job specializations:
-
Nursing
RN Nurse
Job Description & How to Apply Below
Blue Shield of California is seeking an RN Lead for the Medicare Appeals and Grievances team. You will lead a nursing team performing first-level appeal reviews using NCD/LCD guidelines and recognized medical sources.
Responsibilities include ensuring medical necessity reviews and coding accuracy, plus quality audits and process reviews. Ideal candidates hold a CA RN license, a BSN or higher, and have 7+ years of relevant experience with supervisory exposure.
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