[Hiring] Care Manager RN - Appeals @Providence

Role Description

Care Manager RN - REMOTE position. This position is Part time 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.

Qualifications

• Associate's Degree in Nursing
• California Registered Nurse License upon hire
• 4 years of Direct patient care experience in an acute hospital setting
• 4 years of experience as a case manager in an acute hospital setting

Requirements

• Bachelor’s Degree in Nursing or Master’s Degree in Nursing (preferred)
• Case Management Certification upon hire (preferred)
• Experience working with denials and appeals in/for an acute care setting (preferred)
• Experience in a multi-hospital and/or integrated healthcare system (preferred)

Benefits

• Comprehensive benefits package
• 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