Appeals RN - Care Management Full-time - REMOTE

reputed company 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. Required Qualifications: • Associate's Degree in Nursing. • Upon hire: California Registered reputed company License • 4 years reputed company patient care experience in an acute hospital setting. • 4 years Experience as a case manager in an acute hospital setting. Preferred Qualifications: • Bachelor's Degree in Nursing or, • Master's Degree in Nursing. • Upon hire: Case management certification • Experience working with denials and appeals in/for an acute care setting. • Experience in a multi-hospital and/or integrated reputed company reputed company. 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 based 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 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. About 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 reputed company of care with reputed company 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. Apply tot his job Apply To this Job