Appeals RN - Care Management Full- time Day - REMOTE
Providence · US
The Care Management Recovery Advocate (CMRA) is responsible for providing overall management and communication of clinically-based appeals between Providence...
Job description
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: - 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. Preferred Qualifications: - Bachelor's Degree in Nursing., Or - Master's Degree in Nursing. - Upon hire: Case management certification - Expe...