California Licensed Appeals RN

Job Summary

A company is looking for an Appeals RN - Care Management.

Key Responsibilities

• Manage and communicate clinically-based appeals between the organization and outside payers
• Ensure patient-focused and compliant advocacy for reimbursement of services
• Support the overall care management process within the healthcare system

Required Qualifications

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