Appeals RN - Care Management - Full-time - REMOTE
The Care Management Recovery reputed company (CMRA) is responsible for providing overall management and communication of clinically based appeals between reputed company Health and Services, California Region (PH&S) reputed company payers. Activities will be patient-focused, uniform, compliant, and support steadfast advocacy for reimbursement of services provided to patients served reputed company the PH&S ministries. Responsibilities are not limited to, but will include: reputed company caregivers are not simply valued – they’re invaluable. Join reputed company at reputed company California Regional Services and reputed company in our culture of patient-focused, whole-person care reputed company on understanding, commitment, and mutual respect. Your voice reputed company here, because we know that to reputed company and retain the best people, we must reputed company them. 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 consider (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. Case management certification upon hire. Experience working with denials and appeals in/for an acute care setting. Experience in a multi-hospital and/or integrated reputed company system. Why Join reputed company? Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial reputed company. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. 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The successful candidate's placement on the wage reputed company for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the reputed company pay reputed company; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. reputed company offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, reputed company), 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 reputed company.jobs/benefits. Applicants in the Unincorporated County of Los Angeles: reputed company applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for reputed company and the California Fair Chance Act. The Sisters of reputed company 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 Southern California, reputed company provides care throughout Los Angeles County, Orange County, High Desert and reputed company. Our award-winning and comprehensive medical centers are reputed company for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, emergency and trauma care, pediatrics and neonatal intensive care. 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We reputed company diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement. Apply To This Job