Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Appeals RN - Care Management - Part- time - REMOTE

$68.96 - $107.05 per hour

Providence

Description

Manages specific patients throughout their admission to ensure the availability of sufficient clinical and medical center resources. Communicates on a daily basis with medical staff, medical center personnel and outside resources to ensure the appropriate utilization of resources according to clinical and financial standards. Monitors the medical record for variances to clinical and financial standards and intervenes to achieve the optimum outcome for the patient and the medical center.

Providence caregivers are not simply valued - they're invaluable. Join our team at Santa Rosa Memorial Hospital 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:

  • Coursework/Training: Environmental Orientation due within 30 days of hire.
  • Coursework/Training: Case Management Competency due within 90 days of hire.
  • Coursework/Training: General Nurse Competency due within 30 days of hire.
  • Upon hire: California Registered Nurse License
  • 2 years acute nursing experience, with evidence of progressive clinical experience preferred, Or Case management experience.

Preferred Qualifications:

  • Bachelor's Degree in Nursing upon hired, must obtain BSN within 3 years of date of hire.
  • Upon hire: CCM
  • 3 years acute nursing experience, with evidence of progressive clinical experience preferred, Or Case management experience.

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 Providence

At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

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.

Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

About the Team

The Sisters of Providence and Sisters of St. Joseph of Orange have deep roots in California, bringing health care and education to communities from the redwood forests to the beach shores of Orange county - and everywhere in between. In Northern California, Providence provides health care services to Eureka, Fortuna, Healdsburg, Napa, Petaluma and Santa Rosa.

Our award-winning and comprehensive medical centers are known for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, emergency and trauma care, pediatrics and neonatal intensive care. Our not-for-profit network also provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care.

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.

Requsition ID: 439694

Company: Providence Jobs

Job Category: Care Management

Job Function: Clinical Care

Job Schedule: Part time

Job Shift: Day

Career Track: Nursing

Department: 7820 CASE MANAGEMENT

Address: CA Santa Rosa 1165 Montgomery Dr

Work Location: Santa Rosa Memorial Hospital

Workplace Type: Remote

Pay Range: $68.96 - $107.05

The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Vacancy posted 6 days ago
Similar jobs that could be interesting for youBased on the Appeals RN - Care Management - Part- time - REMOTE in Santa Rosa, CA vacancy
  •  ...RN CASE MANAGER – CARE MANAGEMENT DEPARTMENT - University of New Mexico Hospital...  ...Care Management *Full Time *Part Time   Receive 17%...  ...provide provider support, appeals and denials and work directly...  ...interaction. · Primarily a remote work from home position... 
    Part time
    Remote work
    Full time
    Relief
    Work from home
    Relocation package
    Monday to Friday
    Night shift
    Day shift
    Afternoon shift
    Weekday work

    University of New Mexico - Hospitals

    Edgewood, NM
    12 hours ago
  • $45.29 - $84.11 per hour

     ...Northwell Health PART TIME- 20 hours per week...  ...physicians. Northwell cares for more than...  ...better. Hybrid/Remote Summary: The purpose...  ...and trending all appeals and communicating...  ...with the Denials Management team. # Assists...  ...Required: Current RN License in Connecticut... 
    Part time
    Remote work
    Hourly pay
    Daily paid
    Shift work
    Night shift
    Rotating shift

    Nuvance Health

    United States
    12 hours ago
  •  ...- TurnPoint in Marietta, Georgia is hiring a Part-Time Registered Nurse Care Coordinator. This role offers flexible remote work, with required in-home assessments for clients...  ...include conducting nursing assessments, managing caregiver directions, and ensuring smooth... 
    Part time
    Remote work
    Work from home
    Flexible hours

    Hunter Super Techs - TurnPoint

    Marietta, GA
    12 hours ago
  •  ...A healthcare management company is seeking a remote RN Care Coach to provide care for Medicare patients with chronic conditions. Ideal candidates will possess...  ...management, and coordinating preventive care. This part-time role requires 20 to 25 hours per week and offers... 
    Part time
    Remote work

    CircleLink Health

    Washington DC
    4 days ago
  •  ...is seeking passionate, tech-savvy registered nurses for a remote part-time RN Care Coach position, requiring about 20-25 hours per week. Responsibilities...  ..., providing health education, and coaching on self-management. Ideal candidates should possess a current RN license, 3+... 
    Part time
    Remote work

    CircleLink Health

    Raleigh, NC
    3 days ago
  • $32.18 - $48.68 per hour

     ...CorVel Corporation is hiring a Telephonic Case Manager in California for a remote part-time position. The Case Manager will coordinate care plans and resources for ill or injured...  ...Candidates are required to have a California RN License and must have at least 3 years of... 
    Part time
    Remote work
    Hourly pay

    CorVel

    Nacogdoches, TX
    2 days ago
  • $15 per hour

     ...CircleLink Health is seeking a Remote RN Care Coach to work part-time, helping patients enrolled in Medicare's Chronic Care Management Program. This role involves monthly calls to provide education, coordinate care, and support self-management strategies. Ideal candidates... 
    Part time
    Remote work
    Flexible hours

    CircleLink Health

    New York, NY
    1 day ago
  •  ...The University of Rochester is seeking a part-time nurse to coordinate medical care for high-risk patients in a remote setting. You will play a crucial role in developing and implementing care plans, overseeing ambulatory care, and working collaboratively with multiple... 
    Part time
    Remote work

    001 University of Rochester

    New York, NY
    3 days ago
  • A healthcare company is seeking a Remote RN Care Coach to work part-time, serving Medicare patients in chronic care management. Responsibilities include patient calls, education, and care coordination to promote better health outcomes. Candidates must hold a Multistate... 
    Part time
    Remote work

    CircleLink Health

    Denver, CO
    4 days ago
  •  ...Remote Registered Nurse (RN) – Principal Care Management (PCM) Join Elaya Health – Improving Specialty Care in Nursing Homes Remote Position Full Time / Part Time Available Work From Home Competitive Compensation Elaya Health is a leading provider of... 
    Part time
    Remote work
    Full time
    Flexible hours

    Elaya Health

    United States
    5 days ago
  • $2,386 per week

     ...Registered Nurse (RN) | Case Manager Location: Jackson, MS Agency...  ...documented evidence from a health care provider of a past severe...  ...REQUIREMENT - Remote process must allow 10 days,...  ...which consists of 15 full-time and 17 part-time Social workers.INTERVIEW... 
    Part time
    Remote work
    Full time
    Contract work
    Local area
    Immediate start
    Shift work
    Weekend work

    Mindlance Health

    Jackson, MS
    5 days ago
  •  ...Elaya Health is seeking a Remote Registered Nurse (RN) for Principal Care Management services. This fully remote position offers full-time or part-time flexibility. As an RN, you'll review patient charts, coordinate care, and ensure compliance with CMS guidelines. Ideal... 
    Part time
    Remote work
    Full time

    Elaya Health

    Passaic, NJ
    3 days ago
  • "Home Health RN - Flexible Schedule Make a Meaningful Impact in...  ...high-quality, patient-centered care within the comfort of patients...  ...patient needs, often managing complex medical conditions. The...  ...LVNs. Maintain accurate and timely clinical documentation. Monitor... 
    Part time
    Remote work
    Immediate start
    Flexible hours

    Choice Health At Home

    United States
    5 days ago
  •  ...McLeod Health is looking for a part-time Registered Nurse to coordinate patient care progression in a remote role. Responsibilities include ensuring high quality and efficient patient services, communicating with payers, and documenting necessary information for the care... 
    Part time
    Remote work

    McLeod Health

    Columbia, SC
    19 hours ago
  • $38.17 - $57.25 per hour

     ...Nurse Appeals-RN (California) Nurse Appeals RN Locations...  ...to work virtually full-time, except for required in...  .../grievances/quality of care issues and is a...  ...years of experience in a managed care healthcare setting...  ...onsite will be discussed as part of the hiring process.... 
    Remote work
    Full time
    Temporary work
    Work at office
    Local area
    1 day per week

    Elevance Health

    United States
    3 days ago
  •  ...Line is seeking a Registered Nurse for a part-time or full-time role in Denver, Colorado. The...  ...candidate will coordinate and oversee medical care for individuals with intellectual and...  ...communication skills and a current Colorado RN license are necessary. This position allows... 
    Part time
    Remote work
    Full time
    Work from home
    Flexible hours

    BEELINE GMBH

    Denver, CO
    3 days ago
  •  ...the Registered Nurse (RN) - Mother/Baby role at...  ...implementation of a plan of care. The plan is based upon...  ...mission, values, and management of patient care...  ...Employment type Employment type Part-time Job function Job...  ...Specialist - Part Time - Remote Clinic - Registered Nurse... 
    Part time
    Remote work
    Full time
    Relocation package

    WakeMed

    Raleigh, NC
    3 days ago
  • $50k

     ...Overview Acute Care (5A) and Family...  ...nutritional support, pain management, antibiotics...  ...respiratory care, remote telemetry, prepping...  ...Covered 100% for full-time employees and 88% for...  ..., prorated for part-time ~ Holidays...  ...registered nurse (RN) provides compassionate... 
    Part time
    Remote work
    Full time
    3 days per week

    Oregon Health & Science University

    Portland, OR
    12 hours ago
  • $80k - $90k

     ...Performant and we are now part of the Machinify...  ...Review Clinical Appeals Auditor (RN) is responsible...  ...for real-time intervention, preventing...  ...activity as assigned by management. Monitors,...  ...such as Millimen Care Guidelines (MCG) or...  ...independently in remote setting with minimum... 
    Remote work
    For contractors
    Immediate start
    Work from home
    Home office
    Flexible hours
    Shift work

    Performant

    United States
    4 days ago
  •  ...the lives of the elder care community of St. Paul Elder...  ...We are looking for an RN with experience in...  ...Description Hospice RN Case Manager is part of a collaborative,...  ...Compensation We have a part-time position that requires...  ...Location Hybrid remote in Kaukauna, WI 54130 #J... 
    Part time
    Remote work
    Flexible hours
    Weekend work

    St. Paul Elder Services

    Kaukauna, WI
    4 days ago
  • $90k

     ...and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of...  ...Assistance for clinical staff FREE Online RN to BSN and MSN degree programs! Tuition Reimbursement for all full and part-time staff Dependent Tuition Reimbursement... 
    Part time
    Remote work
    Full time
    Relocation package
    Flexible hours

    Metropolitan Jewish Health System

    United States
    3 days ago
  • $40 per hour

     ...Overview On-Call Registered Nurse (RN) Remote 1099 Contractor job at CircleLink Health...  ...complications. We’re building a world-class Care Management platform to enable providers while...  ...(RN) to join our team in a remote, part-time, on-call capacity. This is a great opportunity... 
    Part time
    Remote work
    Price work
    Full time
    For contractors
    Work from home
    Monday to Friday
    Flexible hours
    Shift work
    Weekend work
    Afternoon shift

    Carlsbad Tech

    New York, NY
    2 days ago
  •  ...Coding Denial and Appeals Specialist Apply...  ..., patient care, community service...  ...the revenue cycle management of Rev Cycle Mid-Service...  ...corrections to support timely revenue. Coding...  ...hybrid or mobile/remote work mode are at...  .../Remote Full/Part Time Full-Time... 
    Part time
    Remote work
    Full time
    Temporary work

    University of Michigan

    Ann Arbor, MI
    3 days ago
  • $57.28 - $88.92 per hour

     ...Description The Care Management Recovery Advocate (CMRA) is responsible...  ...communication of clinically based appeals between Providence Health and...  ..., disability insurance, time off benefits (paid parental leave...  ...Hills Workplace Type: Remote Pay Range: $57.28 - $88.9... 
    Remote work
    Minimum wage
    Full time
    Local area
    Shift work

    Providence

    Mission Hills, CA
    1 day ago
  •  ...is hiring an Inpatient Case Manager, RN! Up to $5K Sign On Bonus...  ...Hospital - Hampton, VA Part-time & Day shift~ Expected...  ...of comprehensive care management, services, and quality...  ...positions that are available as remote work, Sentara Health employs... 
    Part time
    Remote work
    Temporary work
    Relocation package
    Shift work
    Day shift

    Sentara Health

    Hampton, VA
    2 days ago
  • $70 per hour

     ...Company Description Executive Home Care provides non-medical home care services to customers...  ...Executive Home Care is seeking a part-time RN Home Care Supervisor for our location in...  ...NJ location, with some flexibility for remote work. The majority of your time will be... 
    Part time
    Remote work
    Work at office
    Flexible hours
    1 day per week

    Executive Home Care of Southern Ocean/Morristown

    Toms River, NJ
    3 days ago
  •  ...Newport News. Job Type: Full-Time/Part-Time. Overview Are you a...  ...Registered Nurse (RN) looking to provide high-quality care in a warm and supportive...  ...distributing work, performance management, training new staff, and...  ...telemedicine services and remote health monitoring to... 
    Part time
    Remote work
    Full time
    Local area
    Shift work
    Night shift
    Day shift
    Afternoon shift

    EmergencyMD

    Newport News, VA
    4 days ago
  • $3,500 per month

     ...Join to apply for the RN- Registered Nurse role...  ...at Monarch Healthcare Management 1 year ago Be among the...  .... Sign on Bonus: Full-time $7,500 & Part-time $3,500 Schedule...  ...and supervises tenant care ensuring the highest quality...  ...Management Nurse RN - Remote RN Assistant Director... 
    Part time
    Remote work
    Full time
    Temporary work
    Relocation package
    Weekend work

    Monarch Healthcare Management

    New Prague, MN
    4 days ago
  •  ...Services is seeking a Contract Care Coordinator Assessor to...  .... The role involves remote work with some travel in...  ...Social Worker or RN license, ideally with experience in case management for disabled or geriatric populations. This part-time/full-time position offers... 
    Part time
    Remote job
    Full time
    Contract work
    Flexible hours

    Bluestone-Physician-Services

    Stillwater, MN
    5 days ago
  •  ...Registered Nurse - RN Looking for qualified Registered...  ...Lake Job Type: Full-Time, Part-Time Are you a...  ...provide high-quality care in a warm and supportive...  ...work, performance management, training new staff, and...  ...telemedicine services and remote health monitoring to advanced... 
    Part time
    Remote work
    Full time
    Local area
    Shift work
    Night shift
    Day shift
    Afternoon shift

    Avardis Health

    Charlotte, NC
    3 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Appeals RN - Care Management - Part- time - REMOTE. Be the first to apply!