Remote Appeals & Grievances Specialist (RN/LPN/DH)
Healthfirst
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 issues, and ensuring compliance with regulations. Ideal candidates should have experience in clinical practice and knowledge of Utilization Review Guidelines. The position offers a competitive salary and an opportunity to work with a dynamic team. #J-18808-Ljbffr
Vacancy posted 4 days ago
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WE’RE HIRING: REMOTE REGISTERED NURSE (RN) 100% REMOTE | MONDAY-FRIDAY | $59-$60/HR We are looking for experienced Registered Nurses for a... ...Utilization Management experience Prior Authorization experience Grievance & Appeals experience preferred, but not required #J-18808-Ljbffr...Remote workMonday to Friday$102.18k
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...and next steps. Our partner is looking for an Appeals Specialist I based in the United States. This fully remote role offers the opportunity to support members... ...and complaints. You’ll investigate claims, grievances, disputes, and reconsideration requests while ensuring...Remote workPermanent employmentFull timeContract workMonday to Friday- ...Looking for qualified Unit Manager (RN or LPN) to join our team! Location: Middleton Oaks... ...Work with families and staff to address grievances and maintain resident rights. Assist... ...adults. From telemedicine services and remote health monitoring to advanced diagnostic...Remote workFull timeLocal areaMonday to FridayShift workNight shiftDay shiftAfternoon shift
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