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. Responsibilities are not limited to, but will include:
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.
- California Registered Nurse License upon hire.
- 2 years direct patient care experience in an acute care setting. Other direct patient care experience may consider (in lieu of acute care).
- 2 years experience as a case manager in an acute care setting.
Preferred Qualifications:
- Bachelor’s Degree in Nursing or,
- Master’s Degree in Nursing.
- Case management certification upon hire.
- 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 ” target=”_blank” rel=”nofollow”>Mission of caring for everyone, especially the most vulnerable in our communities.
The Sisters of Providence and Sisters of St. Joseph of Orange have deep roots 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, Providence provides care throughout Los Angeles County, Orange County, High Desert and beyond.
Our award-winning and comprehensive medical centers are known 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 full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care, and even our own Providence High School.
Providence is proud to be an ” target=”_blank” rel=”nofollow”>diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.