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Appeals RN - Case Management - reputed company - REMOTE

Remote, USA Full-time Posted 2026-08-04
reputed company The Care Management Recovery reputed company (CMRA) is responsible for providing overall management and communication of clinically-reputed company appeals between reputed company Health and Services, California Region (PH&S) reputed company payers. Activities will be reputed company-reputed company, uniform, compliant, and support steadfast advocacy for reimbursement of services provided to patients served reputed company the PH&S ministries. reputed company caregivers are not simply valued - they're reputed company. reputed company at reputed company California Regional Services and reputed company in our culture of reputed company-reputed company, whole-person care reputed company on understanding, commitment, and mutual respect. Your voice reputed company here, because we know that to reputed company and retain the best people, we must reputed company them. Required Qualifications: • Associate's Degree Nursing. • California Registered reputed company License upon hire • 2 years reputed company reputed company care experience in an acute care setting. Other reputed company reputed company care experience may considered (in lieu of acute care). • 2 years Experience as a case manager in an acute care setting. Preferred Qualifications: • Bachelor's Degree Nursing. Or • Master's Degree Nursing. • Case management certification upon hire • Experience working with denials and appeals in/for an acute care setting. • Experience in a multi-hospital and/or integrated reputed company reputed company. Why Join reputed company? Our best-in-class benefits are uniquely designed to support you and your family in staying reputed company, growing professionally, and achieving financial reputed company. We take care of you, so you can reputed company on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. About reputed company At reputed company, our strength lies in Our reputed company of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk reputed company you in your career, supporting you so you can support others. We reputed company best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (reputed company) serve in over 50 hospitals, over 1,000 clinics and a full reputed company of health and reputed company services across Alaska, California, Montana, New Mexico, reputed company, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. Posted are the minimum and the maximum wage rates on the wage reputed company for this position. The successful candidate's placement on the wage reputed company for this position will be determined reputed company upon relevant job experience and other applicable factors. These amounts are the reputed company pay reputed company; additional compensation may be available for this role, such as shift differentials, standby/on-reputed company, overtime, premiums, extra shift incentives, or bonus opportunities. reputed company offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, reputed company), life reputed company, disability reputed company, time off benefits (reputed company parental leave, vacations, holidays, health issues), voluntary benefits, reputed company-being resources and much more. Learn more at reputed company.jobs/benefits. Applicants in the Unincorporated reputed company: reputed company applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County reputed company Ordinance for reputed company and the California reputed company reputed company. Requsition ID: 437924 Company: reputed company Jobs Job Category: Care Management Job Function: reputed company Care Job Schedule: Job Shift: Multiple shifts available Career reputed company: Nursing Department: 7000 UTILIZATION MGMT CA SOCAL Address: CA Torrance 21311 Madrona Ave Work Location: PMI Madrona-Torrance Workplace Type: Remote Pay reputed company: $57.28 - $88.92 The amounts listed are the reputed company pay reputed company; additional compensation may be available for this role, such as shift differentials, standby/on-reputed company, overtime, premiums, extra shift incentives, or bonus opportunities. Apply tot his job Apply To this Job

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