Appeals RN – Care Management

🕒 June 15

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Logo of Providence

Providence

10,000+ employees

Founded 1856

⚕️ Healthcare Insurance

Healthcare Insurance

Providence is a not-for-profit health system committed to providing a wide range of medical services, including primary care, urgent care, pediatrics, maternity care, cancer treatment, and specialized services like neurosurgery and orthopedics. They offer both in-person and virtual care through clinics and a mobile app, ensuring patients can access healthcare conveniently. With a mission rooted in compassion, dignity, and justice, Providence emphasizes serving those who are vulnerable and strives for excellence in healthcare delivery. They are involved in research and innovation, including genomic profiling and clinical trials to improve patient outcomes.

📋 Description

• Provide overall management and communication of clinically-based appeals • Advocate for reimbursement of services provided to patients • Engage in patient-focused and compliant activities

🎯 Requirements

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

🏖️ Benefits

• Health care benefits (medical, dental, vision) • Life insurance • Disability insurance • Time off benefits (paid parental leave, vacations, holidays, health issues) • Retirement 401(k) savings plan with employer matching • Voluntary benefits • Well-being resources

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