Remote Care Manager RN – Clinical Appeals & Care Coordination

Agence PROvidence; Torrance (CA); A distancia; USD 73.000 - 123.000; Jornada completa

Descripción de la vacante

Providence Jobs is seeking a Care Manager RN for a remote, full-time position with day shifts in Torrance, CA. The role focuses on managing clinical appeals between Providence Health and Services and external payers, advocating for reimbursement and maintaining patient-focused care.

The candidate will join a team dedicated to comprehensive, compliant care coordination across California regions, with strong emphasis on collaboration, accurate documentation, and adherence to policies.

Formación

• RN case management experience in acute hospital settings.
• 4 years of direct patient care in an acute hospital setting.
• 4 years of case management experience in acute hospital setting.

Responsabilidades

• Coordinate clinically based appeals between Providence Health and Services and external payers.
• Advocate for reimbursement of services provided to Providence patients.
• Communicate effectively with care teams to ensure patient-focused care and compliant processes.
• Support organizational goals through accurate documentation and collaboration.

Conocimientos

Case management

Direct patient care

Educación

Associate's Degree in Nursing

California Registered Nurse License

Descripción del empleo

Providence Jobs is seeking a Care Manager RN for a remote, full-time position with day shifts in Torrance, CA. The role focuses on managing clinical appeals between Providence Health and Services and external payers, advocating for reimbursement and maintaining patient-focused care.

The candidate will join a team dedicated to comprehensive, compliant care coordination across California regions, with strong emphasis on collaboration, accurate documentation, and adherence to policies.