Job Summary
The Care Management Recovery Advocate is responsible for overseeing and facilitating clinically-oriented appeals between the healthcare system and external payers. This role emphasizes patient-centered advocacy to ensure compliance and promote the reimbursement process for services offered within healthcare ministries.
Responsibilities
- Manage and facilitate appeals regarding patient care between the health system and outside payers.
- Advocate for patients while ensuring compliance with relevant regulations and policies.
- Support the reimbursement of healthcare services provided within the organization.
Qualifications
- Associate’s Degree in Nursing.
- Current California Registered Nurse License.
- At least 4 years of direct patient care experience.
- A minimum of 4 years of case management experience in an acute hospital environment.
Providence provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
