Care Manager, Appeals Registered Nurse (RN) – Utilization Management

Job overview

The Care Manager, Appeals Registered Nurse (RN) – Utilization Management role is described as remote in the opening of the posting, while the detailed workplace field lists onsite at PMI Madrona in Torrance, CA. The posting describes per diem work with eight-hour day shifts. Compensation is $57.28–$88.92 per hour. The role supports Providence California Regional Services and its patient-focused care mission. The Care Management Recovery Advocate manages communication and coordination of clinically based appeals between Providence’s California Region and outside payers. The work supports patient-focused, compliant advocacy for reimbursement of services provided to patients across Providence ministries.

What you'll do

• Manage and communicate clinically based appeals between Providence Health and Services, California Region, and outside payers
• support compliant, patient-focused advocacy for reimbursement of services.

What we're looking for

Skills & competencies

care manager

registered nurse

appeals

utilization management

providence

torrance ca

remote stated in opening

onsite workplace field

per diem

eight-hour day shifts

$57.28–$88.92/hr

california rn license

case management

Work arrangement

• Weekend coverage required

Benefits & perks

• Providence lists a comprehensive benefits package including 401(k), medical, dental, vision, life and disability insurance, time off, voluntary benefits, and well-being resources.

Why this role

Providence lists a comprehensive benefits package, including retirement savings, health coverage, insurance, time off, voluntary benefits, and well-being resources.

About the employer

Providence Health and Services is hiring for this role. Industry: Direct Health and Medical Insurance Carriers. Sector: 52.