Remote RN Care Manager - Appeals & Reimbursement

Agence PROvidence; Oregon; Hybrid; USD 95,000 - 120,000; Full time

Job summary

Providence California Regional Services is seeking a Care Manager RN for a remote, full-time position. The role offers 8-hour day shifts and focuses on managing clinically based appeals between Providence Health and Services and outside payers, with patient-centered advocacy for reimbursement.

The CMRA works to ensure compliant, uniform communication, supporting a team committed to care excellence. Requirements include an RN license in California, an associate degree in nursing, and several

Qualifications

• Associate's Degree in Nursing required.
• California RN license required upon hire.
• 4 years of direct patient care 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 outside payers.
• Ensure patient-focused, uniform and compliant communication while advocating for reimbursement.

Skills

Direct patient care

Case management

RN licensing

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 role offers 8-hour day shifts and focuses on managing clinically based appeals between Providence Health and Services and outside payers, with patient-centered advocacy for reimbursement.

The CMRA works to ensure compliant, uniform communication, supporting a team committed to care excellence. Requirements include an RN license in California, an associate degree in nursing, and several