Remote Appeals Nurse Consultant - Medicare Part C
CVS Health
- Remote job
CVS Health in the United States is seeking an Appeals Nurse Consultant to evaluate Medicare Part C medical necessity for members and providers. This role blends independent action with team collaboration in a remote setting. The position features a 40-hour work week, weekend/holiday rotation, and a comprehensive benefits package; requires an RN license and nursing degree, with a preference for a Bachelor's. Salary range is $54,095 to $142,576, with bonus eligibility. #J-18808-Ljbffr CVS Health
- CVS Health is recruiting an Appeals Nurse Consultant to process medical necessity for Medicare Part C appeals. The role combines independent and team work in a remote setting, with a 40-hour weekly schedule and occasional weekend/holiday rotations. Required RN licensure...Remote job
- CVS Health is seeking an Appeals Nurse Consultant to evaluate medical necessity for Medicare Part C appeals. The role requires an active RN license, strong communication... ...include independent and team collaboration in a remote setting, handling multiple systems, and...Remote jobFull time
- CVS Health is seeking an Appeals Nurse Consultant to process Medicare Part C appeals. The role is full-time (40 hours/week) with a Monday shift of 8am-4:30pm... ...of weekends/holidays. The position supports a remote, team-driven environment in a fast-paced clinic setting...Remote jobFull timeShift workWeekend work
- CVS Health is seeking an Appeals Nurse Consultant to process Medicare Part C appeal requests from members and providers. The role is production-based and remote, with a 40-hour work week and occasional weekend/holiday rotations. Qualified candidates hold an RN license,...Remote job
- CVS Health is seeking an Appeals Nurse Consultant to review and determine medical necessity for Medicare Part C appeals from members and providers. This production role requires... ...and the ability to work independently in a remote, fast-paced environment. Typical schedule...Remote jobWeekend work
- CVS Health in Idaho is seeking an Appeals Nurse Consultant to process the medical necessity of Medicare Part C appeals. This full-time role requires an active RN license... ...focused on safe, quality care. The role supports remote work within the U.S. time zones. #J-18808-...Remote jobFull timeWeekend work
$54.1k - $142.58k
...CVS Health Nurse Appeal Consultant We're building a world of health around... ...everything we do. Join us and be part of something bigger helping... ...the medical necessity of Medicare Part C appeals from both members... ...environment while working remotely. The Medicare Clinical Appeals...Remote workFull timeLocal areaShift workWeekend work$54.1k - $142.58k
...everything we do. Join us and be part of something bigger -... ..., subject to change. The Appeals Nurse Consultant position is responsible... ...the medical necessity of Medicare Part C appeals from both members... ...environment while working remotely. The Medicare Clinical Appeals...Remote workHourly payFull timeTemporary workLocal areaShift workWeekend work- Apolis is seeking a Grievance and Appeals RN in Phoenix, AZ (or remote within AZ time zone) to review and investigate member and provider grievances and appeals for Medicare Part C and Part D. The nurse reviews medical records, claims, authorizations, and plan benefits...Remote job
$66.7k - $110.05k
...Nurse Consultant II (NS) The North Carolina Department of Health and Human Services... ...This Position Is Eligible For A Fully Remote Work Option Physical... ...About the Immunization Branch: The N.C. Immunization Branch is part of the Women and Children's Health...Remote workWork experience placementPrivate practiceWork at officeLocal areaNight shift- Tanaq Support Services (TSS) seeks a Medicare Clinical Appeals Reviewer to support a federal contract. The Appeals Professional III... ...independent second-level determinations under Medicare Part C rules. This fully remote role requires licensed healthcare professionals and...Remote jobContract work
- ...the forefront in their college application essays. This is a part-time, remote, year-round role for someone who takes pride in giving thoughtful... ...you can commit to? A) every day, B) every other day, C) 2-3 days/week, D) mostly weekends, or E) fixed hours regardless...Remote workPart timeSummer workWeekend work2 days per week3 days per week
- ...Telehealth Nurse PractitionerFew roles offer the chance to bring... ...often hard to come by. Working remotely within a collaborative,... ...Practitioner to serve as a remote consultant supporting correctional... ...management is strongly preferred.This part-time role requires 20 hours...Remote workFull timePart time
- Humana Inc. in the United States is seeking a Part C G&A Nurse (Utilization Management Nurse 2) to support case preparation, review medical documentation and coordinate appeal determinations. This remote, full-time role requires an RN with a compact license, 3+ years of...Remote jobFull timeWeekend work
- ...Lactation Consultant Provides professional nursing care in accordance with the principles of... ...breastfeeding plans of care (BF p.o.c.). Initiates and manages... ...and is considered to be part of the job description.... .... Our high-performing Medicare Accountable Care Organization...Part timeWork experience placementFlexible hoursAfternoon shift
- ...Inpatient Lactation Consultant Opportunity Inova Fair Oaks Hospital... ...the team. This position offers part-time hours, with day and evening... ...a top employer in both the D.C. metro area and the nation.... ...work schedules. Registered Nurse (RN) Job Responsibilities: Provides...Part timeFlexible hoursShift workWeekend workDay shiftAfternoon shiftWeekday work
- ...growing boutique telecommunications consulting firm, is seeking a Support and... .... This position will rely in part on the use of various web-... ...up to and including VP and C-level staff. This position can... ...office environment with some remote flexibility. Position Type...Remote workFull timePart timeWork at officeAfternoon shift
$25.89 - $30.42 per hour
...Title Court Technology Support Specialist - C Pay Rate Min to Mid Range $25.89 - $30.42... ...entire workday; required to travel to remote sites within Bexar County; must have valid... ...through exceptional service. Join us and become part of an organization that values...Remote workFull timeWork at officeRelocation- ...Systems, Inc. is seeking a Proposal Manager Consultant in Washington, DC to lead the development of prime proposals. This part-time role, mainly remote with occasional office hours, requires... ...candidate will have over 5 years of A/E/C proposal experience, strong...Remote jobPart timeWork at office
- Position: Part-Time Urgent Care Nurse Practitioner (FNP) or Physician Assistant (PA-C) - Lithonia, GA (Float) Location: Lithonia, GA Remote Status: On-Site Job Id: 4257 # of Openings: 1 Part-Time Urgent Care Family Nurse Practitioner (FNP) / Physician Assistant (PA...Remote workPart timeLocal area
- ...Regional MDS / PDPM / CMI / RAI Consultant to provide remote reimbursement, MDS, PDPM,... ...long-term care and skilled nursing facilities.This position... ...guidelines, CMI, care planning, Medicare documentation, and long-... ...Medicare Part A documentation and skilled...Remote workHourly payLocal areaNight shift
- ...Nurse Consultant The purpose of this remote part-time temporary position is to facilitate the conduct of oncology clinical trials, including subject and data management, according to federal regulations, Good Clinical Practice, and local and institutional policies....Remote workTemporary workPart timeWork at officeLocal area
- A travel services company is seeking a Remote Travel Advisor for a part-time role. You will assist clients with travel inquiries and bookings, ensuring a seamless experience. The ideal candidate possesses strong customer service skills and the ability to work independently...Remote workPart timeWork from home
- A travel agency based in Indianapolis is seeking a Remote Travel Advisor to provide exceptional service to clients. This part-time role involves assisting clients with inquiries, bookings, and itinerary changes while ensuring a positive experience. Candidates should be...Remote workPart timeWork from home
- A travel services company is seeking a Remote Travel Advisor to deliver outstanding customer service and manage travel bookings for clients. In this part-time, remote role, you will assist clients with their travel inquiries and ensure a positive experience. Ideal candidates...Remote workPart timeWork from home
- ...holidays and generous paid time off Location: Remote-USA The Role: Denial Prevention Nurse Consultant Primarily responsible for thorough review of... ...appropriate billable services for hospital to construct an appeal for payment based on medical necessity or payer...Remote workWork at officeWork from home
$71.1k - $97.8k
...Become a part of our caring community The Part C Grievance & Appeals (G&A) Nurse (Utilization Management Nurse 2) utilizes clinical... ...to review by the Humana G&A Medicare Medical Directors. You will review... ...rotation. This is a remote position. This role is responsible...Remote workFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeFlexible hoursWeekend workWeekday work$77.58k - $150.32k
...professionals, including doctors, nurses, business people, tech experts... ...what it means to be part of Mass General Brigham.... ...administration, or healthcare consulting 5-7 years required Knowledge... ...Hearing Constantly (67-100%) Remote Type Hybrid Work Location...Remote workDaily paidLocal areaShift work- ...miles from Richmond, CA, may work fully remote. Regardless of residency distance, the employee... ...in tuberculosis (TB) control, the nurse consultant will provide clinical and case... ...TB in California. The incumbent will be part of a multidisciplinary program liaison team...Remote workLocal area
- A travel planning company is seeking a part-time Remote Travel Advisor to assist clients with inquiries, bookings, and itinerary changes. The ideal candidate will possess a high school diploma and excellent customer service skills, while the role allows independent work...Remote workPart timeWork from home
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