Appeals RN - Case Management - Per Diem - REMOTE

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    "ShortDescriptionStr": "The Care Management Recovery Advocate (CMRA) is responsible for providing overall management and communication of clinically-based appeals between Providence Health and Services, California Region (PH&S) outside payers. Activities will be patient-focused, uniform, compliant, and support steadfast advocacy for reimbursement of services provided to patients served within the PH&S ministries. ",
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    "ExternalDescriptionStr": "<p>The Care Management Recovery Advocate (CMRA) is responsible for providing overall management and communication of clinically-based appeals between Providence Health and Services, California Region (PH&amp;S) outside payers. Activities will be patient-focused, uniform, compliant, and support steadfast advocacy for reimbursement of services provided to patients served within the PH&amp;S ministries.&nbsp;</p>\n<p>Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence California Regional Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.</p>\n<p><strong>Required Qualifications:</strong></p>\n<ul>\n <li>Associate's Degree Nursing.&nbsp;</li>\n <li>California Registered Nurse License upon hire</li>\n <li>2 years&nbsp;Direct patient care experience in an acute care setting. Other direct patient care experience may considered (in lieu of acute care).</li>\n <li>2 years&nbsp;Experience as a case manager in an acute care setting.</li>\n</ul>\n<p><strong>Preferred Qualifications:</strong></p>\n<ul>\n <li>Bachelor's Degree Nursing. Or</li>\n <li>Master's Degree&nbsp;Nursing.&nbsp;&nbsp;&nbsp;&nbsp;</li>\n <li>Case management certification upon hire</li>\n <li>Experience working with denials and appeals in/for an acute care setting.</li>\n <li>Experience in a multi-hospital and/or integrated healthcare system.</li>\n</ul>\n<p><strong>Why Join Providence?</strong></p>\n<p>Our&nbsp;<a href=\"https://nam11.safelinks.protection.outlook.com/?url=https%3A%2F%2Fprovidence.jobs%2Fbenefits%2F&amp;data=05%7C01%7Cethelleah.torres1%40providence.org%7C6da11282629946c936bc08dbf64b1e78%7C2e3190869a2646a3865f615bed576786%7C0%7C0%7C638374574718197112%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&amp;sdata=CHUc7JRL0t6AAExYx6UfCEVEH8gfmaw9cEOZ4wX0%2BZU%3D&amp;reserved=0\" target=\"_blank\" rel=\"nofollow\">best-in-class benefits</a>&nbsp;are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our&nbsp;<a href=\"https://providence.jobs/mission/\" target=\"_blank\" rel=\"nofollow\">Mission</a>&nbsp;of caring for everyone, especially the most vulnerable in our communities.</p>",
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