Appeals RN - Care Management Per Diem Remote
About The Position
Appeals RN - Care Manager Remote. This position is Per Diem and will work 8-hour, Day shifts. The Care Management Recovery Advocate (CMRA) is responsible for providing overall management and communication of clinically-based appeals between Providence Health and Services, California Region (PH&S) outside payers. Activities will be patient-focused, uniform, compliant, and support steadfast advocacy for reimbursement of services provided to patients served within the PH&S ministries. Responsibilities are not limited to, but will include: Providence caregivers are not simply valued - they're invaluable. Join our team at Providence California Regional Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.
Requirements
- Associate's Degree Nursing.
- Upon hire: California Registered Nurse License.
- 2 years Direct patient care experience in an acute care setting. Other direct patient care experience may considered (in lieu of acute care).
- 2 years Experience as a case manager in an acute care setting.
Nice To Haves
- Bachelor's Degree in Nursing. Or Master's Degree Nursing.
- Upon hire: Case management certification.
- Experience working with denials and appeals in/for an acute care setting.
- Experience in a multi-hospital and/or integrated healthcare system.
Benefits
- Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.
- Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.
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What This Job Offers
Job Type
Part-time
Industry
Hospitals
Education Level
Associate degree
Number of Employees
5,001-10,000 employees
