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Last updated: April 29, 2024
Appeals and Grievance Specialist RN Salary
in Stockton, California
This page is a promotion for ERI’s Assessor Series and is not intended for professional use.
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$105,460 (USD)
Average Salary
$51/hr
Average Hourly
$1,846
Average Bonus
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Last updated: April 29, 2024
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Salary Recap
The average pay for an Appeals and Grievance Specialist RN is $105,460 a year and $51 an hour in Stockton, California, United States. The average salary range for an Appeals and Grievance Specialist RN is between $72,346 and $128,872. On average, a Bachelor's Degree is the highest level of education for an Appeals and Grievance Specialist RN. This compensation analysis is based on salary survey data collected directly from employers and anonymous employees in Stockton, California.
ERI's compensation data are based on salary surveys conducted and researched by ERI. Cost of labor data in the Assessor Series are based on actual housing sales data from commercially available sources, plus rental rates, gasoline prices, consumables, medical care premium costs, property taxes, effective income tax rates, etc.
Find actuarial salary survey data and benchmark salary and pay.
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Salary Potential
Salary Potential
Estimated salary in 2029:
$118,460
5 Year Change:
12 %
Shift Differentials
Shift Differentials
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About Stockton, California
Stockton Cost of Living Score:
Description:
Stockton is a city in and the county seat of San Joaquin County in the Central Valley of the U.S. state of California. Stockton is the most populous city in the county, the 11th-most populous city in California and the 58th-most populous city in the United States. Stockton's population in 2020 was 320,804. It was named an All-America City in 1999, 2004, 2015, and again in 2017 and 2018. The city is located on the San Joaquin River in the northern San Joaquin Valley. It lies at the southeastern corner of a large inland river delta that isolates it from other nearby cities such as Sacramento and those of the San Francisco...
Job Summary
Description:
- Evaluates and resolves clinical appeals, grievances, and external reviews received from members or providers, including review of pre-service and post-service appeals, utilizing understanding of clinical department operations and claims processing procedures.
- Communicates and interacts with external partners, including providers, medical groups, Independent Practice Associations, and other external vendors.
- Reviews medical records related to grievances and appeals, provides monitoring of cases involving medical decisions and quality or care or service, and prepares and performs clinical reviews.
- Logs grievances and appeals; obtains medical records as needed; and provides clinical reviews, write-ups, and recommendations.
- Develops correspondence communicating acknowledgement and resolution to enrollees and providers, following appeal time frames.
- Requires RN license.
Appeals and Grievance Specialist RN Job Listings for
No listings found
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Salary Recap
The average pay for an Appeals and Grievance Specialist RN is $105,460 a year and $51 an hour in Stockton, California, United States. The average salary range for an Appeals and Grievance Specialist RN is between $72,346 and $128,872. On average, a Bachelor's Degree is the highest level of education for an Appeals and Grievance Specialist RN. This compensation analysis is based on salary survey data collected directly from employers and anonymous employees in Stockton, California.
ERI's compensation data are based on salary surveys conducted and researched by ERI. Cost of labor data in the Assessor Series are based on actual housing sales data from commercially available sources, plus rental rates, gasoline prices, consumables, medical care premium costs, property taxes, effective income tax rates, etc.
Find actuarial salary survey data and benchmark salary and pay.
Powered by ERI's Database
Who We Are
ERI Economic Research Institute compiles the best salary, cost-of-living, and executive compensation survey data available.
View our ProductsJob Statistics
Appeals and Grievance Specialist RN Job Prevalence in the United States
Job family: Registered Nurses
Job family population: 3,072,700
Estimated population of Appeals and Grievance Specialist RN jobs: 23,660
Rate of error: 0.3%
Take the guess work out of setting pay
Determine competitive salary levels, compare employee compensation with market benchmarks, and get instant access to reliable salary survey data online.
About Stockton, California
Stockton Cost of Living Score:
Description:
Stockton is a city in and the county seat of San Joaquin County in the Central Valley of the U.S. state of California. Stockton is the most populous city in the county, the 11th-most populous city in California and the 58th-most populous city in the United States. Stockton's population in 2020 was 320,804. It was named an All-America City in 1999, 2004, 2015, and again in 2017 and 2018. The city is located on the San Joaquin River in the northern San Joaquin Valley. It lies at the southeastern corner of a large inland river delta that isolates it from other nearby cities such as Sacramento and those of the San Francisco...
Job Summary
Description:
- Evaluates and resolves clinical appeals, grievances, and external reviews received from members or providers, including review of pre-service and post-service appeals, utilizing understanding of clinical department operations and claims processing procedures.
- Communicates and interacts with external partners, including providers, medical groups, Independent Practice Associations, and other external vendors.
- Reviews medical records related to grievances and appeals, provides monitoring of cases involving medical decisions and quality or care or service, and prepares and performs clinical reviews.
- Logs grievances and appeals; obtains medical records as needed; and provides clinical reviews, write-ups, and recommendations.
- Develops correspondence communicating acknowledgement and resolution to enrollees and providers, following appeal time frames.
- Requires RN license.
Appeals and Grievance Specialist RN Job Listings for
No listings found
Who We Are
ERI Economic Research Institute compiles the best salary, cost-of-living, and executive compensation survey data available.
View our ProductsTake the guess work out of setting pay
Determine competitive salary levels, compare employee compensation with market benchmarks, and get instant access to reliable salary survey data online.
You May Also Like
White Papers
National Compensation Forecast April 2024
Review compensation trends and get guidance on expected total salary increases for the upcoming year with ERI's National Compensation Forecast.
Read More
Planning Compensation Incentives That Maximize Workforce Engagement
Improve employee engagement and performance by implementing compensation incentive plans into your strategy.
Read More
Planning Global Compensation Budgets for 2024 - March Updated
Learn about global compensation trends and salary increases for 2024, so you can make more informed salary planning decisions.
Read More