Appeals and Grievances - RN, Consultant (Medicare)
BSCCalifornia, United States • Long Beach, California, United States • El Dorado Hills, California, United States • Lodi, California, United States • Oakland, California, United States • Redding, California, United States • San Diego, California, United States • Los Angeles, California, United States
Posted May 1, 2026
Full Time
About the Company
BSC is an emerging corporate communications firm specializing in strategic messaging, public relations, and media outreach. With a strong focus on developing tailored communication strategies for businesses across various industries, BSC aims to enhance brand visibility and reputation through effective storytelling and impactful campaigns.
Job Description
The Medicare Appeals and Grievances team is responsible for clinically reviewing member appeals and grievances. The Medicare Appeals and Grievances RN Lead will lead a team of nurses who will perform first level appeal reviews using National Coverage Determination (NCD) guidelines, Local Coverage Determination (LCD) Guidelines, and nationally recognized sources. The ideal candidate will have previous leadership experience, an active CA license, and higher-level certifications are highly desirable.
Requirements
- Previous leadership experience
- Active CA license from Board of Registered Nurses
- Higher-level certifications are highly desirable
Benefits
- Paid Time Off
- 401k Matching