California Licensed Care Manager RN
Job Summary
Providing overall management and communication of clinically based appeals, the full-time California Licensed Care Manager RN will work remotely during day shifts, focusing on patient advocacy for reimbursement of services within the healthcare system.
Key responsibilities
- Manage and communicate clinically based appeals between Providence Health and Services and outside payers
- Ensure patient-focused and compliant activities that advocate for reimbursement of services
- Collaborate with healthcare teams to support effective care management practices
Required qualifications
- Associate's Degree in Nursing
- California Registered Nurse License upon hire
- 4 years of direct patient care experience in an acute hospital setting
- 4 years of experience as a case manager in an acute hospital setting
Complete Job Description
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