**Nurse Appeals RN**

**Locations:** Woodland Hills, CA and Costa Mesa, CA

**Virtual** : This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law

The **Nurse Appeal (CA)** is responsible for investigating and processing and medical necessity appeals requests from members and providers.

**How you will make an impact:**

+ Conducts investigations and reviews of member and provi...