Remote RN Appeals Clinician - Patient Care Advocate
Cambia Health Solutions
- Remote job
Cambia Health Solutions is seeking an Appeals Clinician I to work remotely from within Oregon, Washington, Idaho or Utah. You will review and resolve member and provider appeals using clinical expertise and policy guidelines, supported by RN licensure and a BSN. This role requires strong communication and collaborative decision-making with physician advisors. The position offers competitive pay ranges and comprehensive benefits, with a focus on patient-centered outcomes and sustainable health #J-18808-Ljbffr Cambia Health Solutions
- Cambia Health Solutions is seeking an Appeals Clinician I to join our Clinical Services team. This role conducts... ...-clinical staff on clinical cases, supporting patients’ access to quality care. The position supports a remote work model across Oregon, Washington, Idaho,...Remote job
- ...Specialists is seeking a full-time RN Navigator to join our team in Highlands... ..., CO. This role offers hybrid, remote, or in-office arrangements and focuses on patient advocacy alongside clinical nursing expertise. You’ll coordinate care plans, assess patient needs, and ensure...Remote jobFull timeWork at office
$44 - $95 per hour
...interdisciplinary team. The role involves providing therapeutic care to patients, coordinating their care, and educating both patients and... ...candidate will possess a Bachelor's Degree in Nursing and relevant RN experience. The position offers an hourly rate ranging from $4...SuggestedHourly pay- PharmaCord LLC is seeking a Remote Registered Nurse (RN) Case Manager to enhance patient care through education and advocacy. This role involves collaborating with patients to facilitate their treatment journey while ensuring they understand their prescribed therapies and...Remote job
- A leading provider in pharmaceutical patient support services seeks a Remote Registered Nurse (RN) Case Manager based in Arizona. In this role, you will engage with... ...committed to compassion and patient-focused care, alongside competitive compensation and benefits. #J...Remote job
- A leading provider of pharmaceutical patient support services seeks a Remote Registered Nurse (RN) Case Manager. In this role, you will serve as a vital resource for... ...their treatment process and overcoming barriers to care. If you have clinical nursing experience and a...Remote job
- A leading patient support services provider is seeking a Nurse Advocate in North Carolina to assist patients throughout their treatment journey. The ideal candidate... ...will have clinical nursing experience and an active RN licensure. Responsibilities include educating...Remote workFlexible hours
- Houston Methodist is seeking an RN II to provide professional nursing care, conduct comprehensive assessments, and educate patients across diverse populations. The role includes collaboration with physicians and the interprofessional team to ensure safe, high-quality outcomes...
$50k
...build a world in which every patient gets the care they need. Valeris works on... ..., please visit As a Nurse Advocate you are responsible for contact... ...: Must have active RN licensure in current state of... ...Bachelor's degree preferred. Remote work eligibility is subject...Remote jobFull timeTemporary workWork at officeImmediate startWork from homeHome office$20 - $22 per hour
...high-volume work of chronic care – monitoring patients, surfacing risks, and coordinating action – so clinicians can focus on the decisions that... ...re hiring a Patient Success Advocate to deliver comprehensive... ...participating in the Cadence remote monitoring program across various...Remote workHourly payLocal areaWork from homeHome officeMonday to FridayAfternoon shift- ...professionals. This role involves ensuring clinicians are prepared and appropriately... .... With a focus on quality and patient safety, the Clinical Nurse... ...candidate must hold an active RN license and have at least 5 years of experience in acute care settings, alongside strong...Remote jobPart time
$30 - $33 per hour
This position is fully remote with work permitted within the state of California... ...more than 100,000 people get the care they need. Today, we offer a range... ...certified doctors, advanced practice clinicians, nurses, and patient care advocates, is just a text message away. We’re...Remote workPart timeWork experience placementCurrently hiringShift workWeekend work- Valeris is seeking a Patient Support Nurse to engage patients from enrollment... ...Qualifications include active RN licensure, 2-3 years of... ...35 wpm with high accuracy. Remote work eligibility is considered... ...adherence to SOPs and patient care excellence. #J-18808-Ljbffr Valeris...Remote job
- Valeris is seeking a Patient Support Nurse to engage with program patients from enrollment through treatment,... ...coordinating coverage with payers. The role requires active RN licensure and 2-3 years of nursing experience; remote work eligibility is considered based on criteria...Remote work
$17.5 - $21 per hour
...provide innovative dental implant care to patients across the United States.... ...6 months to 1 year previous remote work experience with... ....50/hourProspective Patient Advocates are remote inside phone sales... ...independent practice owners and clinicians, the team is united by a single...Remote jobWork experience placementWork at officeWork from homeFlexible hoursShift workWeekend work- ...provider is seeking a Nurse Advocate to facilitate patient experience from enrollment through... ...candidates will have active RN licensure and 2-3 years of... ...This position may allow for remote work depending on business... ...focused on patient-centric care and adherence to company...Remote job
- UnitedHealthcare is hiring a Clinical Appeals RN for remote work Monday-Friday, with alternating Saturdays. The role analyzes appeals and grievances, acts as a clinical liaison, and supports resolution with facilities, providers, and plans. We offer a flexible schedule,...Remote jobHourly payWork at officeMonday to FridayFlexible hours
- ...of outcomes-driven care for individuals... ...Somatus is helping patients across the country... ...a combination of remote days and visits to... .... The CHW‑Patient Advocate will work as an extension... ...the guidance of RN Care Manager and... ...with Somatus clinicians. After an individual...Remote work
$16 - $28.85 per hour
...Continue with Google About Optum AZ is seeking a Patient Services Advocate to join our team in Phoenix, AZ. Optum is a clinician-led care organization that is changing the way... .... Seasonal Customer Care Representative, Remote Customer Care - Amazon Pharmacy Health Navigator...Remote workHourly payMinimum wage16 hoursFull timeWork experience placementSeasonal workWork at officeLocal areaMonday to FridayShift work- PharmaCord LLC is seeking a Remote Registered Nurse Case Manager to facilitate patient journeys through therapy. The role involves patient education, identifying barriers... ...environment. Candidates should possess a valid RN license and have clinical nursing experience,...Remote work
- United States Digital Space LLC is seeking licensed LPNs/LVNs to join as remote Patient Advocates for Medicare members. You will support patients across their care journey from home, deciphering complex cases and guiding them toward wellness goals with empathy and precision...Remote jobFull timePart timeFor contractors
- Solace is seeking licensed LPNs and LVNs to join a remote Patient Advocate role serving Medicare members across the United States. This is a 109... ...visits. You will leverage your clinical background to design care plans, untangle complex health scenarios, and address social...Remote jobFull timePart timeFor contractorsFlexible hours
- Memorial Healthcare System seeks a dedicated nurse/advocate to guide patients and families through the continuum of care. You will liaise among patients, families, clinicians, and community resources to ensure access to appropriate services and timely information. The role...
- ...Part-Time Quality Management Specialist, RN to advance hospital-wide quality and... ...initiatives. You will partner with leaders, clinicians, patients, and families to identify improvement opportunities and promote evidence-based care. Responsibilities include leading...Part time
- Astrana Health is seeking a Care Manager I - LPN to join Health Services. This remote role is based in the Maryland area and requires LVN/LPN licensure... ...will develop care plans, coordinate services, and advocate for patients within Medicare/Medicaid frameworks. The...Remote job
- Valeris is seeking a Nurse Advocate to facilitate patient engagement from enrollment through treatment, addressing barriers to therapy and ensuring a... ...navigate insurance benefits. Qualifications include active RN licensure and 2-3 years of nursing experience. The role requires...Remote job
$30 - $38 per hour
Job Summary The Patient Care Advocate II (LPN/LVN) is a licensed, field-based member of WellBe’s interdisciplinary geriatric care team who delivers... ...to effectively interact with patients, families, and remote healthcare professionals. Ability to work independently and...Remote workLocal area- Solace is seeking licensed LPNs/LVNs to become remote Patient Advocates for Medicare members. This flexible, 1099 independent contractor role lets... ...via video or phone, building patient relationships and care plans across diverse communities. You’ll leverage your clinical...Remote jobFull timePart timeFor contractorsFlexible hours
- Valeris is seeking a Nurse Advocate in North Carolina to support patients throughout their therapy journey. This role involves identifying barriers to successful... ...options. The ideal candidate must have an active RN license, 2-3 years of nursing experience, and the ability...Remote job
- Bookmark Medical is hiring a Care Coordinator for a hybrid role combining remote and in-person work. You will partner with clinicians to close care gaps, identify patients for Annual Wellness Visits, and support quality care across the care team. The role emphasizes patient...Remote work
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