Appeals RN - Care Management - Full-time - REMOTE

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. Required Qualifications Associate's Degree in Nursing. California Registered Nurse License upon hire. 2 years direct patient care experience in an acute care setting. Other direct patient care experience may be considered. 2 years experience as a case manager in an acute care setting. Preferred Qualifications Bachelor's Degree in Nursing. Master's Degree in Nursing. Case management certification upon hire. Experience working with denials and appeals in or for an acute care setting. Experience in a multi-hospital and/or integrated healthcare system. Benefits 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, paid parental leave, vacations, holidays, health issues, voluntary benefits, well-being resources, and more. Equal Opportunity Employer Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement. #J-18808-Ljbffr