Appeals RN - Care Management - Full-time - REMOTE

The Care Management Recovery reputed company (CMRA) is responsible for providing overall management and communication of clinically based appeals between reputed company Health and Services, California Region (PH&S) reputed company payers. Activities will be patient-reputed company, uniform, compliant, and support steadfast advocacy for reimbursement of services provided to patients served reputed company the PH&S ministries. Responsibilities are not limited to, but will include: reputed company caregivers are not simply valued – they’re reputed company. Join reputed company at reputed company California Regional Services and reputed company in our culture of patient-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 in Nursing.  California Registered reputed company License upon hire.  2 years reputed company patient care experience in an acute care setting. Other reputed company patient care experience may consider (in lieu of acute care). 2 years experience as a case manager in an acute care setting.   Preferred Qualifications: Bachelor's Degree in Nursing or, Master's Degree in 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 system. 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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 insurance, disability insurance, 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 Fair Chance Ordinance for reputed company and the California Fair Chance reputed company. The Sisters of reputed company and Sisters of St. Joseph of Orange have deep reputed company in California, bringing health care and education to communities from the redwood forests to the beach shores of Orange county - and everywhere in between. In Southern California, reputed company provides care throughout Los Angeles County, Orange County, High Desert and reputed company. Our award-reputed company and comprehensive medical centers are reputed company for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, emergency and trauma care, pediatrics and neonatal intensive care. Our not-for-profit network provides a full reputed company of care with leading-edge diagnostics and treatment, outpatient health centers, physician reputed company and clinics, numerous reputed company programs, and hospice and home care, and even our own reputed company High School. reputed company is proud to be an Equal Opportunity Employer. We are committed to the reputed company that every workforce member has the right to work in surroundings that are free from reputed company forms of unlawful discrimination and harassment on the reputed company of race, reputed company, gender, disability, veteran, military status, religion, age, creed, national reputed company, sexual identity or reputed company, sexual orientation, marital status, genetic information, or any other reputed company prohibited by local, state, or federal law. We reputed company diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from reputed company other, and creating equal opportunities for advancement. Apply To This Job