California Licensed Appeals RN

Job Summary

A company is looking for an Appeals RN - Care Manager for a full-time remote position.

Key Responsibilities

• Manage and communicate clinically-based appeals between the organization and outside payers
• Ensure patient-focused, compliant advocacy for reimbursement of services provided
• Support overall care management activities within the Utilization Management group

Required Qualifications

• Associate's Degree in Nursing
• California Registered Nurse License upon hire
• 2 years of direct patient care experience in an acute care setting
• 2 years of experience as a case manager in an acute care setting