About this role
Appeals & Grievances Nurse at Western Health Advantage. Location: Sacramento, California, United States. Role: reviewing appeals, preparing summaries, coordinating care Requirements: BSN and active CA RN license, 3+ years utilization/case management or appeals & grievances experience in managed care, certification in utilization management or case management preferred, intermediate Microsoft Excel/Word, strong clinical assessment and communication skills. Category: Healthcare Services - Nursing Seniority: Mid Level Tools: Microsoft Excel, Microsoft Word Certifications: rn, cphm, cmcn, ccm, quality management Commitment: Full Time Workplace: Hybrid Languages: English