RN Grievance and Appeals
$59 - $60 per hourPhaxis
WE’RE HIRING: REMOTE REGISTERED NURSE (RN)
100% REMOTE | MONDAY-FRIDAY | $59-$60/HR
We are looking for experienced Registered Nurses for a fully remote opportunity. REQUIREMENTS: Active New York State RN license required Candidates can live outside New York as long as they hold an active NY RN license Medicare and Medicaid experience preferred Managed Care experience Utilization Management experience Prior Authorization experience Grievance & Appeals experience preferred, but not required #J-18808-Ljbffr PhaxisVacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the RN Grievance and Appeals in New York, NY vacancy
- 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...SuggestedRemote work
Healthfirst
New York, NY1 day ago $81.1k - $116.48k
Appeals and Grievances Clinical Specialist - RN, LPN or Dental Hygienist - 100% Remote Join to apply for the Appeals and Grievances Clinical Specialist - RN, LPN or Dental Hygienist - 100% Remote role at Healthfirst . Position Summary: The Appeals & Grievances (A&G) unit...SuggestedRemote jobFull timeMonday to FridayShift work- Molina Healthcare is seeking a claims appeals specialist to support member and provider disputes, appeals, and grievances in accordance with CMS standards. The role emphasizes research, documentation, and timely responses. Required experience includes managed care claims...Suggested
- Point32Health, Inc. is seeking an Appeals and Grievance Coordinator to manage day-to-day tasks within the A&G department. You will process mail, assign cases, and support analysts while ensuring compliance with regulatory timelines. The role requires 1-2 years of relevant...SuggestedRemote jobWork from home
- At Molina Healthcare, the Claims Appeals Specialist provides support for handling member and provider complaints, aligning with CMS... ...role focuses on researching and resolving appeals, disputes, and grievances with timely communications to authorized representatives. The...Suggested
- MJHS in New York, NY seeks an A&G Coordinator to investigate and respond to member and provider appeals and grievances under CMS and DOH rules. In a non-clinical role, you will help ensure timely decisions and accurate documentation. You will determine the appropriate...
- ...Centers for Medicare and Medicaid Services (CMS). Essential Job Duties Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members, providers, and related outside agencies to ensure that internal and/or...Remote jobContract workWork at officeWeekend work
- ...Job Description Job Description LTSS Appeals Nurse (Remote) We are seeking a detail-... ...unrestricted New York Registered Nurse (NY RN) license. Residency: Must reside in... ...performing utilization review, appeals, grievances, or clinical management activities. Core...Remote jobLocal areaMonday to FridayFlexible hoursShift work
Medix
New York, NYa month ago - ...career opportunity available as an Clinical Appeals Nurse. This position will be Remote Work... ...consistency. Package & send appeal and grievance information to the payors, monitors for the... ...the denial and appeal process preferred RN license, in good standing and maintained...Full timeRemote workWork from homeMonday to Friday
$26.99 per hour
We are currently seeking experienced Appeals & Grievances Specialists! This is a full remote opportunity paying $27/hr. The ideal candidate has experience investigating and responding in writing to internal and regulatory complaints. Experience in ACA is a plus. If...Hourly payPermanent employmentTemporary workWork experience placementRemote workShift work$63k - $84.42k
...Company succeeds. The incumbent manages end‑to‑end complaint and appeal cases, conducting thorough investigations, ensuring regulatory... ...inquiries. Experience in health insurance, claim appeals and grievances preferred. Experience in complex claims processing necessary....Contract workLive inWork at officeLocal area$2,269 per week
...Registered Nurse (RN) | Emergency Room (ER) / Trauma Location: New York City, NY Agency: Cynet Health Pay: $2,269 per... ...UM department by providing necessary records and materials for grievances. Engage with members who are delinquent in their payments. Cooperate...Full timeContract workImmediate startMonday to FridayShift workTravelNurseSource
New York, NY1 day ago$2,269 per week
...Registered Nurse (RN) | Emergency Room (ER) / Trauma Location: New York City, NY Agency: Cynet Health Pay: $2,269 per... ...the UM department by supplying records and materials needed for grievances from MLTC/MAP program members. Conversations with members who are...Full timeContract workImmediate startShift workTravelNurseSource
New York, NY1 day ago- ## Clinical Appeals RN - FT - Day - Revenue Integrity & Denials Mgmt Lawrenceville NJApply: 3131 Princeton Pike: Full time: Posted Today: JR111430Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional...Full timeTemporary workPart timeWork at officeFlexible hours
- Health Business Solutions LLC is seeking a Clinical Appeals Nurse (RN) for a remote role. The position focuses on reviewing denied claims for clinical accuracy and medical necessity, developing appeal strategies, and drafting payer-ready documentation to overturn denials...Remote job
- Clinical Appeals Nurse (RN) Status: Exempt Location: Remote Department: Clinical Appeals Reports To: Director of Clinical Appeals Position Overview The Clinical Appeals Nurse supports HBiz’s revenue cycle operations by reviewing denied claims for clinical accuracy and...Remote work
- ...services team and runs regular audits to justify level of care. You will prepare appeal letters when records do not support denials and assist with various denial reviews. Ideal candidates hold RN or LVN licensure with inpatient clinical experience and familiarity with...Remote job
- ...medical necessity criteria. The role collaborates with the Medical Director to review authorizations, communicate outcomes, and support appeals. It requires strong UM experience in managed care and familiarity with InterQual and CMS guidelines. #J-18808-Ljbffr Integra...Remote jobFull time
$33.71 - $60.67 per hour
Centene is seeking an RN with strong appeal review experience to act as liaison for statewide appeals, fair hearings, and review organizations. This fully remote role supports members and providers while ensuring compliance with State and NCQA standards. Candidates must...Remote jobHourly payFlexible hours$36 - $40 per hour
...find long term fulfillment in your coding career. If you are an Appeals and Denials Nurse looking for a new opportunity to sharpen your... ...enjoy 6 paid holidays, PTO and health benefits Our requirements: RN or FMG: CDIP, CCDS, CCS and/or ICD-10 Certification or Trainer designation...Permanent employmentFull timeRemote workWork visaNorwood
New York, NY2 days ago- ...recommend additional options (e.g., Organization Determination Appeals and Grievance [ODAG], steerage calls) Apply knowledge of applicable state/... .../ERISA/state accreditation) Required Qualifications: Valid RN license in Hawaii Residence in Hawaii 3+ years of RN...Remote jobWork at office
$3,034 per week
...Registered Nurse (RN) | Neonatal Intensive Care Unit Location: New York City, NY Agency: Prime Staffing Pay: $3,034 per week Shift Information: Days - 3 days x 12 hours Contract Duration: 14 Weeks Start Date: 10/12/2026 About the Position...Permanent employmentFull timeContract workTemporary workShift workWeekend workTravelNurseSource
New York, NY1 day ago$3,034 per week
...Registered Nurse (RN) | Neonatal Intensive Care Unit Location: New York City, NY Agency: Prime Staffing Pay: $3,034 per week Shift Information: Days - 3 days x 12 hours Contract Duration: 14 Weeks Start Date: 10/12/2026 About the Position...Full timeContract workShift workWeekend workPrime Staffing
New York, NY1 day ago$2,070 per week
...Registered Nurse (RN) | Dialysis Location: Atlantic City, NJ Agency: AHS Staffing Pay: $2,070 per week Contract Duration: 13 Weeks Start Date: ASAP About the Position Registered Nurse - Acute Dialysis - Travel | Atlantic City, New Jersey...Hourly payWeekly payDaily paidFull timeContract workImmediate startFlexible hoursShift workAHS Staffing
Atlantic City, NJ3 days ago$1,975 per week
...Registered Nurse (RN) | Dialysis Location: Atlantic City, NJ Agency: Openwork Health Pay: $1,975 per week Shift Information: Nights - 3 days x 12 hours Contract Duration: 13 Weeks Start Date: 11/16/2026 About the Position Openwork Health...Weekly payFull timeContract workFlexible hoursShift workNight shiftOpenwork Health
Atlantic City, NJ1 day ago$3,572 per week
...Registered Nurse (RN) | Dialysis Location: New York City, NY Agency: Prime Staffing Pay: $3,572 per week Shift Information: Days - 5 days x 12 hours Contract Duration: 14 Weeks Start Date: 10/14/2026 About the Position TravelNurseSource...Permanent employmentFull timeContract workTemporary workShift workWeekend workTravelNurseSource
New York, NY1 day ago$2,070 per week
...Registered Nurse (RN) | Dialysis Location: Atlantic City, NJ Agency: AHS Staffing Pay: $2,070 per week Contract Duration: 13 Weeks Start Date: ASAP About the Position TravelNurseSource is working with AHS Staffing to find a qualified Dialysis...Hourly payWeekly payDaily paidPermanent employmentFull timeContract workTemporary workImmediate startFlexible hoursShift workTravelNurseSource
Atlantic City, NJ3 days ago$1,900 - $2,046 per week
...Registered Nurse (RN) | Dialysis Location: Atlantic City, NJ Agency: TalentBurst, Inc. Pay: $1,900 to $2,046 per week Shift Information: 4 days x 10 hours Contract Duration: 14 Weeks Start Date: ASAP About the Position TravelNurseSource...Full timeContract workLocal areaImmediate startShift workNight shiftAfternoon shiftTravelNurseSource
Atlantic City, NJ1 day ago- ...Registered Nurse (RN) | Endoscopy Location: New York, NY Agency: Prime Time Healthcare Pay: Competitive weekly pay (inquire for details) Shift Information: Rotating - 5 days x 8 hours Contract Duration: 13 Weeks Start Date: ASAP About...Weekly payFull timeContract workTemporary workPart timeSummer workImmediate startShift workRotating shift
TravelNurseSource
New York, NY1 day ago - ...Registered Nurse (RN) | Endoscopy Location: New York, NY Agency: Prime Time Healthcare Pay: Competitive weekly pay (inquire for details) Shift Information: Rotating - 5 days x 8 hours Contract Duration: 13 Weeks Start Date: ASAP About...Weekly payFull timeContract workSummer workImmediate startShift workRotating shift
Prime Time Healthcare
New York, NY1 day ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to RN Grievance and Appeals. Be the first to apply!
Related searches