California Licensed Appeals RN

Job Summary

Providing overall management and communication of clinically-based appeals, the per diem California Licensed Appeals RN will advocate for reimbursement of services in a remote capacity while ensuring compliance and patient-focused care.

Key responsibilities

• Manage and communicate appeals between Providence Health and Services and outside payers
• Support advocacy for reimbursement of services provided to patients
• Ensure compliance and uniformity in patient-focused activities related to appeals

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