Providence
10,000+ employees
Founded 1856
💼 Consulting
🛡️ Insurance
🏥 Healthcare
Consulting • Insurance • Healthcare
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.
Appeals RN, Care Management, Per Diem
🔥 0 minutes ago
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Providence
10,000+ employees
Founded 1856
💼 Consulting
🛡️ Insurance
🏥 Healthcare
Consulting • Insurance • Healthcare
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
• Manage and communicate clinically-based appeals between Providence Health and Services, California Region and outside payers • Ensure appeals activities are patient-focused, uniform, and compliant • Advocate for reimbursement of services provided to patients served within PH&S ministries • Support overall Care Management Recovery Advocate (CMRA) activities • Work per diem, 8-hour day shifts
🎯 Requirements
• Associate's Degree in Nursing • Upon hire: California Registered Nurse License • 4 years direct patient care experience in an acute hospital setting • 4 years experience as a case manager in an acute hospital setting • Preferred: Bachelor’s Degree in Nursing or Master's Degree in Nursing • Preferred upon hire: Case management certification • Preferred experience working with denials and appeals in/for an acute care setting • Preferred experience in a multi-hospital and/or integrated healthcare system
🏖️ Benefits
• Retirement 401(k) Savings Plan with employer matching • Health care benefits (medical, dental, vision) • Life insurance • Disability insurance • Paid parental leave • Vacation time • Holidays/time off benefits • Voluntary benefits • Well-being resources • Additional compensation may be available, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities
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