Remote Care Manager RN - Appeals & Case Management

Agence PROvidence; Oregon; Hybrid; USD 85,000 - 110,000; Full time

Job summary

Providence California Regional Services is seeking a Care Manager RN for a remote, full-time position. The CMRA coordinates clinically based appeals between Providence Health and Services and external payers, with a patient-focused, advocacy-driven approach.

Required qualifications include an Associate's Degree in Nursing and a California RN license, plus four years of direct patient care in acute care and four years in case management.

Qualifications

• Associate's Degree in Nursing.
• California RN 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.

Responsibilities

• Coordinate clinically based appeals between Providence Health and Services and external payers.
• Advocate for reimbursement of services provided to patients.
• Provide patient-focused care coordination and communication within the acute care setting.

Skills

Nursing

Case management

Direct patient care

Acute care

Education

Associate's Degree in Nursing

Job description

Providence California Regional Services is seeking a Care Manager RN for a remote, full-time position. The CMRA coordinates clinically based appeals between Providence Health and Services and external payers, with a patient-focused, advocacy-driven approach.

Required qualifications include an Associate's Degree in Nursing and a California RN license, plus four years of direct patient care in acute care and four years in case management.