Remote RN Care Manager — Appeals & Reimbursement Specialist
Santa Barbara Cottage Hospital
- 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
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$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 workReimbursementHourly payWork at officeLocal area- ...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 workReimbursement
$31.25 - $33.65 per hour
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...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 workReimbursementContract workTemporary workWork experience placement$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 workReimbursementContract workTemporary workWork experience placement$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 workReimbursementContract workWork at officeShift workNight shift- ...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
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...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 workReimbursementHourly payFull timeWork at office$65k - $85k
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- ...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 workReimbursementFull time
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...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 workReimbursementWork at officeLocal areaHome office$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 workReimbursementFull timeContract workTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to FridayShift workWeekend work$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 workReimbursementFull timeLocal areaMonday to FridayFlexible hours$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 workReimbursementHourly payFull timePart timeWork at officeFlexible hours- ...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 jobReimbursement
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...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 workReimbursementHourly payFull timeWork at officeFlexible hoursShift work$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 workReimbursementLong term contract$51k - $74.88k
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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 workReimbursementFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday- ...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 workReimbursementPart timeMonday to Friday
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