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Impactful Nurse Manager, Appeals & Quality Review

Job in San Francisco, San Francisco County, California, 94199, USA
Listing for: San Francisco Health Plan
Full Time position
Listed on 2026-01-17
Job specializations:
  • Nursing
    Director of Nursing
Salary/Wage Range or Industry Benchmark: 140000 - 152000 USD Yearly USD 140000.00 152000.00 YEAR
Job Description & How to Apply Below
A managed care health plan in San Francisco is seeking an Appeals & Quality Review Nurse Manager to oversee quality review functions and ensure compliance. You will lead a team, manage clinical grievances, and apply clinical judgment to complex cases. The ideal candidate has a BSN, an active California RN license, and 3+ years in a managed care environment. This position offers competitive compensation of $140,000 to $152,000 annually and generous benefits including health insurance, retirement plans, and paid time off.
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