Remote Clinical Appeals Nurse (CA)
Alignment Healthcare USA, LLC
- Remote job
Alignment Healthcare USA, LLC is looking for a full-time California Licensed Clinical Appeals Nurse to work in a fully remote environment. In this role, you will review and process appeals for inpatient and outpatient services, collaborate with medical directors, and ensure timely and accurate appeal determinations. The ideal candidate will have a California nursing license and experience in clinical nursing, utilization management, or appeals within a managed care setting. #J-18808-Ljbffr Alignment Healthcare USA, LLC
$67.32k - $133.71k
...Resp & Qualifications Purpose: The Clinical Appeals Nurse completes research, basic analysis, and evaluation of member and provider disputes... ...request. We are looking for an experienced clinician to work remotely from within the greater Baltimore metropolitan area. The...Remote workWork experience placementWork at officeImmediate start- CareFirst, Inc. is seeking a full-time Clinical Medical Review Nurse to work remotely. In this role, you will manage the review of professional and institutional claims and provider appeals to determine eligibility for benefits. You’ll analyze medical information to support...Remote jobFull time
- ...Clinical Appeals Nurse - Full Time Remote - Jefferson Health Articulates the job's main responsibilities. This is not intended to be an exhaustive list of all essential functions or all duties performed. The essential functions listed below and percentage of time may...Remote jobDaily paidFull timeTemporary workPart timeFlexible hours
- Maximus is seeking a Senior Appeals Administrator for their California Independent Medical Review team. This role is vital in ensuring timely resolutions for medical review cases while enhancing the appeals process. The ideal candidate will have an associate degree with...Remote jobWork from homeFlexible hours
$175k - $200k
...Nurse Practitioner | Family Practice Location: Sacramento, CA Employer: Curative Pay: $175,000 to $200,000 per year... ...person patient interaction and remote care delivery. You'll play a... ...Sacramento region through a mix of clinic coverage and telehealth support...Remote workHourly payFull timeImmediate startMonday to FridayFlexible hoursWeekend work- ...Work Shift First (Days) Overview: Sentara Health Plansis hiring an Integrated Nurse Case Manager/Registered Nurse (RN) for Inpatient and Outpatient Clinical Appeals- Remote in Virginia! Status: Full-time,permanent position (40 hours) Standard working hours...Remote workPermanent employmentFull timeTemporary workShift work
$34 - $35 per hour
...Utilization Management - Clinical Nurse - Work from Home! Utilization Management... ...and communicating appeal processes Distributed denial... ...Review Nurse- Prior Authorization Remote Registered Nurse (Remote Patient... ...Nurse Auditor Santa Monica, CA $68,000.00-$72,000.00 1 month...Remote workFull timeWork at officeWork from homeNight shift- ...A healthcare organization is seeking a Clinical Review Nurse – Concurrent Review to perform utilization management functions remotely. The role requires conducting concurrent reviews, collaborating with medical teams, and ensuring quality healthcare outcomes. Candidates...Remote workWork at office
$10k
...Location: Long Beach, CA Remote Status: On-Site Job Id: 578 # of Openings: 1 Schedule: In clinic - on site 5 days a week, M-F 8-5pm PT Job Location: support/travel through... ...communities. Our innovative model is led by Nurse Practitioners and focused on outcomes, not volume...Remote workFull timeFlexible hours$2,484 per week
...Registered Nurse (RN) | Interventional Radiology Location: San Francisco, CA Agency: Atlas MedStaff Pay: $2,484 per week Shift Information: Days -... ...either since a lot of our team has been working remote since the pandemic), but you are part of the Atlas...Remote workHourly payFull timeContract workWork at officeShift workWeekend work$248.5k - $373k
...Appeals And Grievances Medical Director At UnitedHealthcare, we're simplifying the health... ...Director is responsible for ongoing clinical review and adjudication of appeals and grievances... ...You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you...Remote jobMinimum wageWork experience placementLocal areaWork from home$59.1 - $65.5 per hour
...Medical Virtual Medical Team (VMT) is a leading provider of virtual clinical care, providing world-class, convenient, evidence-based virtual... ...patients of all ages (0+) Currently licensed in CA with ability to obtain additional state licenses Ability to...Remote workHourly payFull timeTemporary workWork at officeShift workAfternoon shiftWeekday work$360k - $400k
...Psychiatry - General/Other Location: Modesto, CA Employer: CompHealth Pay: $360,... ...family-friendly environment make it an appealing place to live and practice medicine.... ...model: 1-2 days on-site, remainder remote Adult outpatient psychiatry focus Generous...Remote workHourly payFull timeContract workH1bImmediate startVisa sponsorshipMonday to FridayFlexible hours- Includedhealth is seeking California Based Nurse Care Managers for their Care and Case Management team. The successful candidate will possess a CA RN license and experience working with diverse healthcare teams. The Nurse Care Manager will provide telephonic care management...Remote job
$125k - $135k
...About the Role We’re hiring a Nurse Practitioner or Physician Assistant... ...+ equity — not typical in clinical roles Opportunity to build and... ...ANCC, AANP, or NCCPA); Active CA License and DEA. Clinical... ...management Work Location This is a remote role, with providers...Remote work- ...Doctor of Medicine | Radiology - General/Other Location: Lompoc, CA Employer: CompHealth Pay: $500,000 to $550,000 per year... ...Morgan Hefel (***) ***-****. ~7-on/7-off schedule with 2 days remote ~ Partnership after 1 year with no buy in ~ Live anywhere in...Remote workHourly payFull timeContract workFreelanceImmediate startWork from homeWeekend work
$171k - $183k
...Nurse Practitioner | Surgery - Orthopedic Location: Salinas, CA Employer: CompHealth Pay: $171,000 to $183,000 per... .... The role includes outpatient clinic, inpatient rounding, and first... ...PTO. Experience the laid-back appeal of the Central Coast, featuring...Hourly payPermanent employmentFull timeContract workImmediate startMonday to FridayShift work$6,000 per month
Location: Victorville, CA Remote Status: On‑Site Job Id: 600 # of Openings: 1 Schedule: 3... ...shifts Job Location: Victorville, CA - in clinic "$6k sign on" Company Description... ...communities. Our innovative model is led by Nurse Practitioners and focused on outcomes, not...Remote workPart timeShift work3 days per week$2,777 per week
...Registered Nurse (RN) | Intensive Care Unit (ICU) / Critical Care Location: San Diego, CA Agency: Atlas MedStaff Pay: $2,777 per week Shift Information:... ...either since a lot of our team has been working remote since the pandemic), but you are part of the...Remote workHourly payFull timeContract workWork at officeShift workWeekend work- Location: Victorville, CA Remote Status: On-Site Schedule: Monday‑Friday, 8am‑5pm (5 days a week) Job Type: Full‑time Nurse Practitioner Job Location: Victorville, CA - in clinic Company Description Greater Good Health is a fast‑growing organization delivering care...Remote workFull timeTemporary workRelocation packageMonday to Friday
$75 per hour
Join to apply for the Mobile Nurse Practitioner - Per Diem, In-Home Services - Los Angeles, CA role at IQVIA 1 day ago Be among... ...About the Role: IQVIA’s In-Home Clinical Solutions team seeks a... ...Registered Nurse Disease Management - Remote Psychiatric Mental Health Nurse...Remote workHourly payDaily paidFull timePart timeLocal areaWorldwideFlexible hours$10k
Job Title: Nurse Practitioner - in clinic (FQHC) Location: Bellflower, CA (Los Angeles, 35 mile radius) Job Id: 579 # of Openings: 1 Remote Status: On-Site Company Overview Greater Good Health is a fast-growing organization providing care to older adults in access...Remote workFull timeTemporary workFlexible hours$73.7 - $81.9 per hour
...Medical Virtual Medical Team (VMT) is a leading provider of virtual clinical care, providing world-class, convenient, evidence-based virtual... ...with a national certification ~ Currently licensed in CA, NY, and/or DC with the ability to obtain additional state licenses...Remote workHourly payFull timeTemporary workWork at officeShift workNight shiftAfternoon shiftWeekday work- Address Remote Job Description Wheel Medical Group is seeking nurse practitioners with multiple state licenses to join our network... ...decisions. Conduct thorough clinical assessments aligned with Wheel... ...state licenses (7 minimum with CA or TX) Must be available to work...Remote jobFull timeContract workPart timeWork at officeFlexible hoursShift workWeekend workAfternoon shift
- ...Clinical Nurse Consultant As part of the Oncology Field Medical organization, the Clinical Nurse Consultant (CNC) is a trusted clinical... ...various channels for interactions (1:1, group presentations, remote, etc.) while utilizing approved education materials. Actively...Remote workWork at officeLocal area
- ...Occupational Medicine Location: Sacramento, CA Employer: LocumTenens.com Pay:... ...Shift Type: Day Shift Assignment Type: Clinic Call Required: No Board... ...riverboat, reflecting the region's diverse appeal. About the Clinician's Workday Clinicians...Weekly payFull timeLocumShift workDay shift
$3,440 - $3,690 per week
...Nurse Practitioner | Cardiology - General/Other Location: Eureka, CA Employer: GHR Healthcare Pay: $3,440 to $3,690 per... ...cardiology care Setting: Clinic and hospital-based care Start... ...outdoor recreation. It is an appealing setting for clinicians seeking...Weekly payFull timeFor contractorsLocumImmediate startMonday to FridayShift workWeekday work$180k - $230k
...south of San Francisco in Monterey, CA is seeking an experienced nurse practitioner or physician assistant... ...practitioners. Position 4.5 days of clinical duties with 0.5 days of... ...with Murj Software for Device Clinic/Remote Follow-up Benefits Covered: Health,...Remote work$114.2k - $212.2k
The Position As a Clinical Research Engagement Lead (CREL) at Roche, you will act as the ultimate... ...and site engagement (in-person or remote) during the protocol concept and study set... ...on the primary location of Los Angeles, CA, is $114,200 to $212,200. Actual pay will...Remote workLocal area$85.7k - $128.54k
...Remote Case Manager Transitions of Care Nurse (CA RN License) Are you a California-licensed RN passionate about guiding patients through safe, seamless... ...collaboration. What We're Looking For: ~23 years of clinical care management experience (35 preferred). ~...Remote jobFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Clinical Appeals Nurse (CA). Be the first to apply!
- home health nurse practitioner New York, NY
- associate director of nursing New York, NY
- nurse practitioner hospitalist New York, NY
- nurse practitioner wound care New York, NY
- family nurse practitioner New York, NY
- trainee nurse practitioner New York, NY
- research nurse practitioner New York, NY
- pediatric nurse practitioner work from home New York, NY
- nurse practitioner-internal medicine New York, NY
- clinical resource nurse New York, NY



