护理经理 RN - 利用管理（全职 日班）
Care Manager RN - Utilization Management (Full time Day)
Care Manager RN - 远程职位。此职位为全职，工作时间为8小时，白班。
Care Management Recovery Advocate (CMRA) 负责在 Providence Health and Services, California Region (PH&S) 与外部保险公司之间提供基于临床的申诉的整体管理与沟通。工作内容以患者为中心，统一、合规，并支持对 PH&S 教区所提供的服务报销的坚定倡导。
Providence 的护理人员不仅仅是被重视——他们无可替代。加入 Providence California Regional Services 的团队，在以理解、承诺和相互尊重为基础的以患者为中心的全面护理文化中茁壮成长。你的声音在这里很重要，因为我们知道，要激励并留住最优秀的人才，必须赋予他们权力。
所需资格：
- 护理学副学士学位。
- 入职时需持有加利福尼亚州注册护士执照
- 在急性医院环境中具有4年直接患者护理经验。
- 在急性医院环境中具有4年病案管理员经验。
优选资格：
- 护理学学士学位或，
- 护理学硕士学位。
- 入职时需持有病案管理认证
- 具有在急性护理环境中处理拒绝和申诉的经验。
- 具有在多家医院和/或整合医疗系统工作的经验。
为何加入 Providence？
我们的顶级福利专为支持你和你的家庭保持健康、职业成长和实现财务安全而设计。我们照顾你，这样你就可以专注于实现我们关爱每个人，特别是我们社区中最弱势群体的使命。
最初发布于 Himalayas
查看英文原文
Care Manager RN - REMOTE position. This position is Full time and will work 8- hour, Day shifts.
The Care Management Recovery Advocate (CMRA) is responsible for providing overall management and communication of clinically-based appeals between Providence Health and Services, California Region (PH&S) outside payers. Activities will be patient-focused, uniform, compliant, and support steadfast advocacy for reimbursement of services provided to patients served within the PH&S ministries.
Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence California Regional Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.
Required Qualifications:
- Associate's Degree in Nursing.
- Upon hire: California Registered Nurse License
- 4 years Direct 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 healthcare system.
Why Join Providence?
Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.
Originally posted on Himalayas