Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Remote RN Care Manager — Appeals & Reimbursement Specialist

Santa Barbara Cottage Hospital

New York, NY
  • Remote job

Providence California Regional Services is seeking a Care Manager RN for a remote per diem role with 8-hour day shifts. The position focuses on managing and communicating clinically-based appeals between PH&S and outside payers, emphasizing patient-centered, compliant advocacy for reimbursement. Ideal candidates will have an RN license in California, an acute-care setting background, and case management experience to support denials and appeals within a complex healthcare system. #J-18808-Ljbffr Santa Barbara Cottage Hospital

Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Remote RN Care Manager — Appeals & Reimbursement Specialist in New York, NY vacancy
  •  ...Phothera is seeking a Denials & Appeals Specialist to own the appeals process for denied and underpaid claims,...  ...necessity and payer policy alignment to maximize reimbursement and patient access. While the role is fully remote, candidates based in or near Beachwood, OH are... 
    Remote work
    Reimbursement

    Phothera Phototherapy

    Cleveland, OH
    4 days ago
  • $28 - $35 per hour

     ...Location: Remote (U.S.) Preferred Location: Candidates...  ...To: Revenue Cycle Manager Lucas James...  ...opportunity for a Denials & Appeals Specialist. This is a...  ...payer follow-up, and reimbursement recovery. The ideal...  ...improve patient access to care. About Phothera... 
    Remote work
    Reimbursement
    Hourly pay
    Work at office
    Local area

    Phothera Phototherapy

    Cleveland, OH
    3 days ago
  •  ...denials by submitting appeal letters and required documentation...  ...to obtain the maximum reimbursement under the insurance...  ...denial overturned. Remote: Although this...  ...and/or reporting to management when assistance is needed...  ...Knowledge of managed care industry including... 
    Remote work
    Reimbursement

    Quadax

    Cleveland, OH
    3 days ago
  • $31.25 - $33.65 per hour

     ...Appeals Specialist Remote GeneDx delivers personalized and actionable health...  ...as the standard of care. GeneDx is at the forefront...  ...documented appeals to maximize reimbursement for specialized laboratory...  ...trends, report findings to management, and collaborate with... 
    Remote work
    Reimbursement
    Work at office
    Work from home
    Home office

    GeneDx

    United States
    5 days ago
  • A healthcare service provider is seeking an Appeals and Grievances Clinical Specialist to manage member complaints and clinical case resolutions. This is a 100% remote role requiring an RN, LPN, or Dental Hygienist license. Responsibilities include developing cases, researching... 
    Remote work

    Healthfirst

    United States
    1 day ago
  • Guardant Health, Inc. is seeking a Reimbursement Specialist II to drive payment for services and optimize billing processes. You will partner...  ...through the reimbursement lifecycle. Responsibilities include appealing denials, evaluating EOBs, and communicating with payers.... 
    Remote job
    Reimbursement

    Guardant Health, Inc.

    Spring, Montgomery County, TX
    2 days ago
  • $25 - $31 per hour

     ...activities associated with appeal analysis, decision-...  ..., medical policy and reimbursement policies, regulatory...  ...effectively with coding specialists, appeal nurses,...  ...standards for all work. Manage a defined caseload within...  ...Type This is a fully remote position. Application... 
    Remote work
    Reimbursement
    Contract work
    Temporary work
    Work experience placement

    TEKsystems

    Happy Valley, OR
    2 days ago
  • $25 - $31 per hour

     ...activities associated with appeal analysis, decision-...  ..., medical policy and reimbursement policies, regulatory...  ...effectively with coding specialists, appeal nurses,...  ...standards for all work. Manage a defined caseload within...  ...Type This is a fully remote position.... 
    Remote work
    Reimbursement
    Contract work
    Temporary work
    Work experience placement

    TEKsystems

    Portland, OR
    2 days ago
  • $40 - $42 per hour

     ...IMCS Group Dedicated Manager Leading Service...  ...Clinical - LTSS Service Care Manager Duration: 6...  ...(if needed) is reimbursed) Shift Type: 8.00 A...  ...include 80% travel. Remote role. Will require...  ...resolving complaints and appeals. Required Skills/...  ...health records • RN and/or LCSW - (... 
    Remote work
    Reimbursement
    Contract work
    Work at office
    Shift work
    Night shift

    IMCS Group

    Rocky Mount, NC
    3 days ago
  •  ...Plano, TX, seeks an experienced Registered Nurse (RN) to move beyond bedside care into utilization management and clinical review. You will analyze denied claims...  ...cases, and develop high-quality clinical appeals with peer-to-peer support. Collaborating with physicians... 
    Reimbursement

    ERISA Recovery, Inc.

    Plano, TX
    1 day ago
  •  ...Job Description Appeals Specialist (LPN, RN, or Therapist) Location...  ...network / Hybrid-Remote options available)...  ...clinical appeals, audit management, and medical records...  ...payers to protect reimbursement and ensure documentation...  ..., and managed care disputes. Gather clinical... 
    Remote work
    Reimbursement
    Full time

    RegalCare

    Holyoke, MA
    8 days ago
  • $52k - $79.04k

     ...Appeals Specialist | Tyson & Mendes Are you a detail-oriented billing professional...  ...invoice reductions, managing appeals, and working...  ...receive a monthly technology reimbursement of $60 Paid parental leave...  ...recruiters/agencies #li-remote Pay Range $25—$38... 
    Remote work
    Reimbursement
    Hourly pay
    Full time
    Work at office

    Tyson & Mendes LLP

    Remote
    1 day ago
  • $65k - $85k

     ...Concierge Home Care | Remote Opportunity | Growth Opportunities | Increased...  ...Utilization Review Specialist (RN) to join our remote home health...  ...Ensure coding accuracy and reimbursement integrity Collaborate with Branch Directors, Clinical Managers, and field clinicians... 
    Remote work
    Reimbursement
    Monday to Friday
    Weekend work
    Weekday work

    Concierge Home Care

    United States
    2 days ago
  • Centene is seeking a registered nurse care manager to develop, assess, and facilitate complex care management...  ...in Wayne and Macomb counties, with the option to work remotely from home the remaining time. Mon-Fri, 8am-5pm; mileage reimbursement applies. #J-18808-Ljbffr Meridian
    Remote job
    Reimbursement
    Local area
    Work from home

    Meridian

    Detroit, MI
    1 day ago
  •  ...The Denial Mitigation-Appeal Specialist II RN serves in a key role...  ...documentation for acute care inpatient services...  ...determines if escalation to manager or payer is next step...  ...opportunity to work remotely after 90 days when...  ...in order to optimize reimbursement. Evaluates... 
    Remote work
    Reimbursement
    Full time

    Baptist

    Remote
    3 days ago
  •  ...Health has a long tradition of providing world-class care to the people of the Mid-South, living out our...  ...throughout the region. Organization: Utilization Management Job Summary: Facilitates optimal reimbursement through accurate certification and complete chart... 
    Remote work
    Reimbursement
    Full time
    Temporary work
    Work experience placement
    Live out
    Flexible hours

    Vanderbilt University Medical Center

    Tennessee
    2 days ago
  • $44.9 - $67.37 per hour

     ...Rochester State MN Remote NO Department...  ...than any other care provider according...  ...: Delta Dental or reimbursement account for...  ...Membrane Oxygenation) Specialist operates and...  ...the ECMO pump and manage the ECMO patient,...  ...least one year of RN experience in an applicable... 
    Remote work
    Reimbursement
    Full time
    Flexible hours
    Night shift
    Weekend work
    Day shift
    Afternoon shift

    Mayo Clinic

    Rochester, MN
    9 days ago
  • $75k - $85k

     ...doctors for delivering high-value care in both in-person and...  ...DMV, MD Highly Preferred The RN Care Manager will work closely with Primary...  ...Technical Requirements (for remote workers only, not applicable...  ...are eligible for expense reimbursement to offset this cost. Privia... 
    Remote work
    Reimbursement
    Work at office
    Local area
    Home office

    Privia Health

    Annapolis, MD
    2 days ago
  • $71.1k - $97.8k

    Become a part of our caring community As a RN Care Manager, you will enjoy a true work-life balance with no...  ...with new member assignments Work remotely from your home and travel...  ...least 100/300/100 limits. Mileage reimbursement is provided for work-related travel... 
    Remote work
    Reimbursement
    Full time
    Contract work
    Temporary work
    Apprenticeship
    Work at office
    Work from home
    Home office
    Monday to Friday
    Shift work
    Weekend work

    Humana

    New York, NY
    14 hours ago
  • $75k

     ...with patients and helping them manage complex chronic conditions?...  ...Health Center is looking for an RN Care Manager to carry a caseload...  ...at a Thundermist location. Remote cross-coverage with other sites...  ...Hospital Indemnity Wellness Reimbursement up to $200/year PTO starting... 
    Remote work
    Reimbursement
    Full time
    Local area
    Monday to Friday
    Flexible hours

    Thundermist Health

    Brooklyn, NY
    14 hours ago
  • $36.21 - $65.09 per hour

     ...Care Coordinator Position Purpose: Performs care management duties to assess and coordinate all...  ...are seeking an RN with a passion for...  ...Land, TX; Mileage reimbursement is provided for...  ...identify providers, specialists, and/or community...  ...to work with remote, hybrid, field or... 
    Remote work
    Reimbursement
    Hourly pay
    Full time
    Part time
    Work at office
    Flexible hours

    Centene

    Katy, TX
    6 days ago
  •  ...a Nurse Auditor for a fully remote role. The position supports the billing and reimbursement services team and runs regular...  ...audits to justify level of care. You will prepare appeal letters when records do not...  ...reviews. Ideal candidates hold RN or LVN licensure with... 
    Remote job
    Reimbursement

    Elevate Patient Financial Solutions®

    New York, NY
    2 days ago
  • $86.76k - $219.75k

     ...profit, we support patient care, research, teaching, and...  ...SUMMARY OVERVIEW STATEMENT RN CARE COORDINATOR (CASE MANAGER) BWH CARE CONTINUUM...  ...continued days of stay, and reimbursement. 1. Identifies patients...  ...40hr variable rotation Remote Type Onsite Work Location... 
    Remote work
    Reimbursement
    Hourly pay
    Full time
    Work at office
    Flexible hours
    Shift work

    Mass General Brigham

    Boston, MA
    1 day ago
  • $70k - $80k

     ...seeking a Clinical Appeals Nurse for a fully remote healthcare-based opportunity...  ...Registered Nurse (RN) license in the...  ..., utilization management principles, and appeals...  ...support of coverage or reimbursement determinations....  ...Insurance, Managed Care, NCQA, Regulatory Compliance... 
    Remote work
    Reimbursement
    Long term contract

    ZP Group

    Raleigh, NC
    4 days ago
  • $51k - $74.88k

     ...The Appeals & Grievances (A&G) unit processes member...  ...and complete care. Appeals Specialist is the subject matter...  ...State regulations. They manage their own caseload...  ...This position is 100% Remote M-F 8am-5pm or 8:30...  ...and maximize reimbursement Additional duties... 
    Remote work
    Reimbursement
    Full time
    Temporary work
    Work experience placement

    HF Management Services

    New York, NY
    10 days ago
  • $71.1k - $97.8k

    Become a part of our caring community The RN, Field Care Manager Nurse 2 (Maternal-Child Health) assesses and evaluates...  ...the designated work location is a remote home office when not conducting...  ...throughout Louisiana. Mileage Reimbursement for Travel: Mileage reimbursement... 
    Remote work
    Reimbursement
    Full time
    Temporary work
    Apprenticeship
    Work at office
    Work from home
    Home office
    Monday to Friday

    Humana

    Many, LA
    4 days ago
  •  ...Job Title:  Revenue Cycle Management Specialist I Reports to:  Revenue...  ...Part-Time Work Setting:  Remote Position Overview:...  ...claim resolution, accurate reimbursement, and departmental workflow...  ...Submit corrected claims, appeals, or additional documentation... 
    Remote work
    Reimbursement
    Part time
    Monday to Friday

    Heritage Behavioral Health Center

    Decatur, IL
    2 days ago
  •  ...probation period until cleared to work remote - employee must reside in Ohio.**Job Description...  ...or charges.* Reviews claims denials and appeals to identify coding errors. Performs...  ...-party payors to ensure billing and reimbursement accuracy. Assists customers and staff with... 
    Remote work
    Reimbursement
    Full time
    Trial period
    Flexible hours
    Day shift

    Nationwide Children's Hospital

    Eastern, KY
    2 days ago
  •  ...RN Case Manager You can make a difference in the lives of others! At Heart to Heart Hospice, we provide "compassionate care from our hearts to yours." Our employees enhance the lives of patients...  ...% employer matching ~ Tuition reimbursement ~ Company car for qualifying... 
    Remote work
    Reimbursement
    Full time
    Local area

    Heart to Heart Hospice

    Pearsall, TX
    2 days ago
  •  ...Utilization Review Case Manager The University of Miami Health...  ...Review Case Manager to work Remote. The incumbent conducts initial...  ...the patient. He/she monitors care and acts as a liaison between...  ...Maintains knowledge regarding payer reimbursement policies and clinical... 
    Remote work
    Reimbursement
    Full time
    Work experience placement
    Worldwide

    University of Miami Health System

    United States
    2 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote RN Care Manager — Appeals & Reimbursement Specialist. Be the first to apply!