Providence Health & Services
Appeals RN - Care Manager *Full-Time Remote*
4 days agoWhat's your preference?
Job Description
- Req#: 370446
- Associate's Degree in 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.
- Bachelor's Degree in Nursing. Or
- Master's Degree in 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
Appeals RN - Care Manager to join our Utilization Management group for Providence Little Company of Mary in Torrance, CA. This is a Remote Full-Time position that will work 8-hour day shifts. No weekends or holidays required. (Working from Home 100%)
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.
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.
Required qualifications:
Preferred qualifications:
Why Join Providence?
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.
About the company
Providence Health & Services is a not-for-profit, Catholic health care system operating multiple hospitals across seven states, with headquarters in Renton, Washington. The Providence affiliate family includes: Covenant Health, Facey Medical Group, Kadlec, Pacific Medical Centers and Swedish Health Services.
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