Remote Nurse: Appeals & Grievance Coordinator
Solü Technology Partners
- Remote job
Solü Technology Partners is seeking a Med Appeals & Grievance Specialist Coordinator (Clinical) for a 5-month contract based in Phoenix, AZ. The role focuses on appeals, benefit determinations, and medical denials with a background in managed care or prior authorizations. Must be a licensed nurse with strong clinical and analytical skills, capable of handling high volumes and coordinating with internal departments. Remote work is available; schedule 8:00–4:30 Mountain Time. #J-18808-Ljbffr Solü Technology Partners
$19.43 - $32.98 per hour
...workplace flexibility. Location: Position is remote. Must live in Arizona. Position... ...written member and provider complaints, grievances and appeals Prepare response letters for member... ...individual appeals and grievances May coordinate the Grievance and Appeals Committee Support...Remote workHourly payFull timePart timeLive inWork at officeFlexible hours$23.22 - $34.84 per hour
A leading health insurance provider is seeking a Grievance & Appeals Coordinator to work virtually full-time, with responsibilities including summarizing complaints, ensuring resolution of grievances, and documenting interactions. The ideal candidate should possess a high...Remote jobHourly payFull time- A staffing solutions company is seeking a Grievance & Appeals Coordinator for a fully remote position in Detroit, MI. This role involves processing appeals, grievances, and inquiries while maintaining accurate documentation and effective communication. The ideal candidate...Remote jobContract work
- ...Job Title Job Description Process appeals and grievances, analyze, research, and provide comprehensive responses in accordance with established... ...applying contract and regulatory provisions. This is a Remote Role Experience Experience handling a large load of...Remote workContract workApprenticeshipLocal area
- Strategic Staffing Solutions is currently looking for a Grievance & Appeals Coordinator, a W2 contract engagement with one of our largest clients in Detroit, MI! REMOTE!! Title: Grievance & Appeals Coordinator Location : Detroit, MI (Fully Remote) Duration: 12+ Months...Remote workContract work
$22 - $23 per hour
Immediate need for a Grievance & Appeals Coordinator . This is a 12+ Month Contract opportunity with long-term potential and is US ( Remote ). Please review the job description below and contact me ASAP if you are interested. Job Diva ID: 26-07046 Pay Range: $22.00 -...Remote workContract workWork at officeLocal areaImmediate start- Santa Barbara Cottage Hospital is seeking a Grievance and Appeals Nurse for a remote position based in Indiana. Responsibilities include investigating complex grievances and appeals, reviewing medical records for necessity, and preparing recommendations for Medical Director...Remote job
$22.99 per hour
...analytical problem solver with a passion for healthcare managed care? We are seeking dedicated Grievance & Appeals Coordinators to join our growing, collaborative team! In this fully remote role, you will analyze and resolve complex member and provider appeals and grievances,...Remote workHourly payPermanent employmentTemporary workWork experience placementWork at officeWork from homeHome officeShift workWeekend work- 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...Remote work
- UnitedHealthcare is seeking a Clinical Appeals RN to provide expertise in appeals and grievances, serving as a Clinical Interface Liaison with facilities, providers, and carriers. The role allows remote work from anywhere in the U.S., with a schedule of M-F 8:00-4:30 and...Remote job
$22 per hour
We are seeking an Appeals & Grievances Coordinator to join The Hollister Group, a leading women-owned staffing firm in the Boston area. This role is remote with a compensation of $22/hr . Responsibilities: Coordinate appeals and grievances activities Track all member appeals...Remote workContract work$30.6 - $44.51 per hour
...professionals, including doctors, nurses, business people, tech... ...Handle a large volume of incoming appeals (both formal and informal)... ...resolution, ensuring that all grievances are resolved within... ...Ability to function and excel in a remote environment, handling time-critical...Remote workHourly payFull timeCasual workWork at officeMonday to FridayFlexible hoursShift work$20 - $36 per hour
...Medicare Appeals, Grievances, and Complaints Manager Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses... ...of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer...Hourly payMinimum wageFull timeWork experience placementWork at officeLocal area$23.22 - $34.84 per hour
...employment, unless an accommodation is granted as required by law. Shift hours: Mon, Tues, Sat, Sun 8:30 am - 7:00 pm CST Grievance & Appeals Coordinator Responsibilities Summarizes and presents essential information for the clinical specialist or medical/dental director...Full timeWork at officeLocal areaShift work$30 - $32 per hour
Immediate need for a talented Grievance and Appeals Coordinator . This is a 6+ months contract opportunity with long-term potential, located in Corona, California (Hybrid) . Please review the job description below and contact us ASAP if interested. Pay Range $30.00/hr...Contract workImmediate start$102.18k
...Supervisor, Appeals and Grievances Clinical Operations RN Job Category: Clinical Department: Appeals... ...Required Associate's Degree in Nursing Education Preferred Bachelor's Degree... ...hours, on weekends, holidays, a hybrid remote schedule, occasional flexibility in hours...Remote workFull timeShift workWeekend work- ...operating margin. We operate across Medicare Advantage, Medicaid, Commercial, ASO, and ACA lines of business. As an Appeals & Grievances (A&G) Coordinator, you will help support the intake, review, and resolution of member and provider appeals and grievances while...
$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...Remote jobFull timeMonday to FridayShift work$40 - $43 per hour
...Job Description Job Description Description The successful candidate will be responsible for overseeing grievance and appeal reviews, as well as conducting cultural and linguistic reviews for our subcontractors to ensure alignment with our commitment to diversity...Contract workTemporary workFor subcontractor- ...investigate and respond to medical, pharmacy and dental grievances, complaints, and appeals. This is a full-time work-from-home position within... ...include thorough case review, timely written responses, and coordination with multiple departments to ensure fair outcomes. A...Remote jobFull timeWork from home
$81.1k - $116.48k
Position Summary: The Appeals & Grievances (A&G) unit manages Healthfirst member complaints, grievances and appeals that are presented by the... ...participating and non-participating providers. This position is 100% Remote. We are hiring for the following schedules listed below: EST...Remote jobContract workTemporary workWork experience placementLocal areaMonday to FridayShift work- Kelsey-Seybold Clinic in Pearland, part of the Optum family, seeks an Appeals and Grievances Coordinator to manage Medicare reconsiderations, grievances, and appeals in line with CMS rules. This role acts as the primary liaison for the CMS regional office and coordinates...Work at office
$17 - $21.5 per hour
...eager to learn new skills and help adults in need? As an Appeals Coordinator you will represent the customer, the Louisiana Department of... ...hearings with presentations of summaries of evidence. In this remote role, you will: Review decision/denial letters on new...Remote workHourly payMinimum wageCurrently hiringWork at officeLocal areaWork from homeFlexible hours$30.72 per hour
Grievance and Appeals Nurse-LVN 25-00372 Base pay range $30.72/hr - $30.72/hr Position Type: Full time Schedule: (Hybrid) M-F, 8:00 am - 5 pm;... ...Medicare and Medicaid Services (CMS) regulations. This position coordinates member care in conjunction with the member’s Providers to...Full timeWork at officeLocal areaWork from home$248.5k - $373k
.... Growing together.Work at home!You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities:The Appeals and Grievances Medical Director is responsible for ongoing clinical review and adjudication...Remote workMinimum wageWork experience placementLocal areaWork from home- ...Specialist to lead the development and resolution of clinical cases for member and provider appeals, ensuring compliance with applicable laws and internal policies. The role can be remote or on-site at the NYC or Lake Mary locations, with travel as needed. You will manage...Remote work
- Mass General Brigham Health Plan is seeking an Appeals Coordinator to coordinate, process, investigate, and document member complaints across... ..., strong customer service, and the ability to work remotely from most US states. #J-18808-Ljbffr Mass General Brigham IncorporatedRemote job
- Job Overview Akkodis is partnering with a local Health Plan who is hiring a Grievance Coordinator for a temporary 3-month contract. Terms Temporary 3-month contract Remote (must pick up equipment) $28/hr W2 Qualifications 3+ years’ experience as a Service Representative...Remote workTemporary workLocal area
$71.59k - $116.48k
A prominent healthcare organization is seeking an A&G Clinical Specialist to manage health member complaints and appeals. This fully remote position requires expertise in clinical case management, understanding of regulatory compliance, and the ability to effectively resolve...Remote job- Overview Job Title: Registered Nurse - Claims & Appeals Review Location: Remote (Anywhere in Florida) Duration: 06 Months/Can be Extended Working hours:... ...field preferred 2+ years of experience in appeals, grievance, or quality assurance in a healthcare setting Experience...Remote workContract workDay shift
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