Remote Appeals RN — Case Manager (Hospital Denials)
Providence
- Remote job
Providence California Regional Services is seeking an Appeals RN in Case Management for a remote per diem position. This 8-hour day shift role focuses on managing clinically-based appeals and coordinating reimbursement conversations with external payers. The Care Management Recovery Advocate (CMRA) will provide overall management and communication of appeals between Providence Health and Services, California Region, and outside payers. #J-18808-Ljbffr Providence
- ...95 - Fairfax East Registered Nurse (RN) Clinical Denials and Appeals Inova 8095 - Fairfax East is looking... ...team. This role will be Full-Time Remote, Monday-Friday (8-Hours per Day);... ...licensed experience in a clinical or hospital setting required Certification: Registered...Remote workFull timeMonday to FridayFlexible hours
- ...Case Manager, RN- Utilization Review Under the general supervision... ..., participate in denial management, and... ...alignment with Tampa General Hospital's mission, vision,... ...authorization, denial, and appeal processes. Ability to... ...collaboration in a remote or hybrid work environment...Remote workFull timeMonday to FridayShift work
$36 - $40 per hour
...our own path. We’re a remote-first staffing and... ...in mid-Revenue Cycle management within the healthcare... ...small, community-based hospitals to the largest healthcare... .... If you are an Appeals and Denials Nurse looking for a new... ...Our requirements: RN or FMG: CDIP, CCDS, CCS...Remote workPermanent employmentFull timeWork visa$40.12 - $62.19 per hour
...Work Schedule: This is a remote role that requires... ...SUMMARY: The Inpatient Care Manager, in collaboration with... ...services and minimize denials of payment among a patient... ...Care Integrator or RN Case Manager. Credentials... ...parking About Northwest Hospital Northwest Hospital...Remote workWeekend work- ...Registered Nurse Case Manager Inova Fairfax Medical... ...opportunities. Inova Fairfax Hospital is proud to announce... ...work schedules, and remote and hybrid career... ...Registered Nurse (RN) Case Manager 1 Job... ..., readmission rates, denials and appeals. Collects, analyzes and...Remote workFull timePart timeReliefRelocation packageMonday to FridayFlexible hoursWeekend work
- Inova Health System is seeking a Registered Nurse (RN) for Clinical Denials and Appeals. This full-time remote role supports denials and appeals across facilities, with start times between 7:30 AM-9:00 AM ET. The role requires a bachelor’s or associate degree with RN license...Remote jobFull time
- Inova Health System is seeking a dedicated Registered Nurse (RN) Clinical Denials and Appeals to join the team as a Full-Time Remote role. The position supports review of denied claims, development and submission of timely appeals, and collaboration across UR, Coding, Billing...Remote jobFull time
$98.52 per hour
Onsite or Remote - Fully On‑Site Work Schedule: 10... ...of concurrent and post‑hospital care. You are also... ...Health Nursing staff) CA RN License and BLS... ...Recent experience in case management, utilization management... ...misconduct; or have filed an appeal of a finding of...Remote workHourly payDaily paidShift workWeekend work$65.53 - $84.75 per hour
...Monica, CA, USA Onsite or Remote Fully On-Site Work... ...concurrent and post-hospital care. We’re also... ...Health Nursing staff) CA RN License and BLS certification... ...Recent experience in case management, utilization... ...misconduct; or have filed an appeal of a finding of...Remote workHourly payMonday to Friday- ...Job Title Appeals RN in Case Management - REMOTE position Job Description This position is Per Diem... ...patient care experience in an acute hospital setting. ~4 years Experience as a... ...certification Experience working with denials and appeals in/for an acute care...Remote jobDaily paidLocal areaDay shift
$40.5 - $64.8 per hour
...Description **This is a remote casual position... ...Gratz Griffin Lake Forest Hospital. This position is to... ...or 6p to 6a. ** The Case Manager, RN (PT)reflects the mission... ...of Medicare discharge appeal rights within the... ...assistance. Supports Denials Lead RN on Appeals insurance...Remote workHourly payDaily paidWork experience placementCasual workLocal areaRelocation packageFlexible hoursRotating shiftWeekend workWeekday work- ...Insurance Support-Utilization Case Manager Mass General Brigham... ...and preventing denials and the department expert... ...relates to supporting hospital admissions; providing UR... ...~ Registered Nurse (RN) License for the State... ...and Schedule: Fully remote Per Diem shifts will...Remote workHourly payDaily paidWork at officeMonday to FridayShift workWeekend workDay shift
- Aspirion is seeking a Denials Appeals Specialist to analyze denied claims, draft compelling appeal... ..., and communicate with carriers and hospital teams to resolve claims.... ...support revenue integrity and cash flow. Remote US-based role with growth opportunities...Remote job
- ...Travel Rn Specialty Case Manager ConVerdia Health Staffing- Staffing temporary and permanent jobs across the nation, ConVerdia Health Staffing assists RNs, LPNs, CNAs, Allied Healthcare professionals, Therapists, Physicians, and more. Work one on one with one of our...Remote workPermanent employmentTemporary work
$2,747 per week
...Registered Nurse (RN) | Case Manager Location: Anchorage, AK Agency: Atlas MedStaff... ...since a lot of our team has been working remote since the pandemic), but you are part of... ...Life and Dependent Life coverage as well as In Hospital Cash Plans. 30401484EXPPLAT...Remote workHourly payFull timeContract workWork at officeShift workWeekend work- ...RN - Case Manager Shift: 08:00 AM - 04:00 PM; shift days: Monday thru Friday (8 hour shift x 5 days). No call requirements Location... ...BSN ~ Active CA RN license ~ AHA BLS ~2 years clinical hospital RN experience; hospital based case management experience; community...Remote workCasual workMonday to FridayShift work
- ...and patient safety, including an “A” Hospital Safety Grade from The Leapfrog Group,... ...Joe’s. Job Summary The Clinical Denial Appeals Coordinator supports the Revenue Cycle... ...role partners with patients, physicians, case managers, payers, and other healthcare...Remote workWork at office
$92,289.6 - $120,577.6 per week
...by the DNV that includes two hospitals, an outpatient center,... ...inpatient and outpatient clinical appeals for denied hospital claims.... ...reimbursement and reduce avoidable denials. MINIMUM REQUIREMENTS... ...in utilization review, case management, clinical appeals, CDI, or denial...Full timeTemporary workPart timeWork at officeFlexible hours- ...RN - Case Manager Pride-Health offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental... ...(accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance...Remote workLocal area
$43.38 - $74.94 per hour
...Site: Cooley Dickinson Hospital, Inc. Mass General Brigham relies... .... Job Summary The Case Manager is responsible for assessing,... ...Credentials Registered Nurse [RN - Massachusetts] required... ...and Franklin counties. Remote Type Onsite Work...Remote workHourly payWork from homeFlexible hoursShift work- ...experience more days out of the hospital and healthier at home.... .... Performs care management functions on-site or... ...arises. This is a fully remote role where compact... ...Qualifications: ~ Active RN license in current... ...experience Telephonic case management experience...Remote workHome officeAfternoon shift
- ...is now hiring an Inpatient Case Manager . This is Responsible and accountable... ...Directly support those in-hospital patients identified in need... ...Integrated Care Management, RN, Registered Nurse, ACM, CCM,... ...that are available as remote work, Sentara Health employs...Remote workTemporary workLocal areaImmediate startShift work
$58.23 - $94.99 per hour
...Hospital Case Manager RN Join a team that shares your calling At MultiCare, you're more than just a job title — you're part of a team built on trust that cares for each other, our patients and our communities. Belonging here means living our mission and values every...Remote workDaily paidContract workLocal areaShift work$37.49 - $56.23 per hour
...RN Case Manager Robbinsdale, MN Posting Date: Jul 10 2026 Requisition Number... .... Our health system encompasses two hospital locations in Robbinsdale and Maple... ...Rotation Call Requirement: None Remote or On-site: On-site FLSA Status: Exempt...Remote workFull timeContract workPart timeFor contractorsFor subcontractorWork at officeShift workWeekend work- ...of programs including, remote patient monitoring, behavioral health management, and chronic care management... ...Registered Nurse Case Manager to work within and... ...interdisciplinary team, the RN Case Manager works under... ..., Critical Illness, and Hospital Indemnity. Paid...Remote workFull timeTemporary workWork at officeVisa sponsorshipFlexible hours
- CVS Health is seeking a talented RN Case Manager to join our remote team. You will telephonically support fully and self-insured members, apply clinical... .... The role requires at least 5 years of RN experience, hospital exposure, and US licensure in a compact state or...Remote job
$31 - $38 per hour
...healthcare organization in the United States is hiring an RN to coordinate wellness and disease management for members with chronic conditions. The ideal... ...benefits, and the opportunity to impact members' health positively. #J-18808-Ljbffr Santa Barbara Cottage HospitalRemote jobHourly pay- ...Job Summary and Qualifications The Case Manager’s primary duties are to provide Utilization... ...to review and, as appropriate, appeal denials received from payers. Coordinates the... ...and contractual rules; previous UR or hospital Case Management experience. One to three...Temporary workFlexible hours
- ...We are actively seeking a dedicated RN Case Manager to join our dynamic Case Management... ...coverage of inpatient and outpatient hospital services, including observation is preferred... ...~ Understanding of the third party denial and appeal process is preferred. ~ Requires...Monday to FridayRotating shiftDay shift
- ...We are actively seeking a dedicated RN Case Manager to join our dynamic Case Management and... ...coverage of inpatient and outpatient hospital services, including observation is... ...~ Understanding of the third party denial and appeal process is preferred. ~ Requires knowledge...Monday to FridayRotating shiftDay shift
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