Appeals RN - Care Management Full-time - REMOTE

Manage and communicate clinically-based appeals between Providence Health and Services and external payers in California. Oversee patient-focused, uniform, and compliant advocacy to secure reimbursement for services provided within PH&S ministries. Requires an Associate's Degree in Nursing, a California RN license, four years of direct patient care experience, and four years of case management experience in an acute hospital setting. Preferred qualifications include a Bachelor's or Master's degree, case management certification, and specific experience working with denials and appeals in acute care. This remote, full-time role supports the mission of caring for everyone, especially the most vulnerable in our communities.