Remote Healthcare Case Manager - Appeals (Contract)
Pyramid Consulting Healthcare
- Remote job
Pyramid Consulting, Inc. seeks a Healthcare Case Manager for a 9–12 month contract in Corona, CA (Remote). The role focuses on managing appeals and grievances within health plans, using strong written and verbal skills. The candidate will work standard hours with potential overtime and a first two weeks in the office. The ideal candidate has 5+ years in healthcare, proficient MS Excel/Word, and excellent customer service and communication abilities. #J-18808-Ljbffr Pyramid Consulting Healthcare
- Pyramid Consulting, Inc. is seeking an Appeals & Grievances Case Manager for a California-based contract role in Los Angeles, with remote work options. The position targets candidates with extensive appeals experience in health plans, including member and provider appeals...Contract workRemote job
$30 per hour
...Immediate need for a talented Healthcare Case Manager . This is a 09-12+months contract opportunity with long-term potential and is located in CA(Remote). Job ID:26-31273 Pay Range: $3... ...- 5 years in healthcare (handling appeals and grievances) Letter writes and...Contract workRemote workWork at officeLocal areaImmediate start$32 per hour
...Immediate need for a talented Healthcare Case Manager . This is a 09-12 months contract opportunity with long-term potential... ...and is located in Corona, CA(Remote) . Job ID:26-31274 Pay... ...5 years in healthcare (handling appeals and grievances) Letter writes...Contract workRemote workWork at officeLocal areaImmediate start$27 - $31 per hour
Immediate need for a talented Appeals & Grievances Case Manager (California). This is a 06+months contract opportunity with long-term potential and is located in Los Angeles, CA (Remote). Job ID:26-31017 Pay Range: $27 - $31/hour. Traveler benefits as per agency package...Contract workRemote workLocal areaImmediate start$180 per hour
...REMOTE MEDICAL DIRECTOR – UTILIZATION MANAGEMENT & APPEALS $180/hour | W-2 Contract | Monday–Friday | 100% Remote | Potential Extension The Jacobson Group is seeking... ...the Utilization Management program Review cases and render determinations when services do not...Contract workRemote workWork at officeMonday to Friday- 6-Month Contract | Potential Extension/Conversion FTE Shift : 8:00 AM - 5:00 PM Remote with member facing within county (3 days home visits... ...Long-term Service Care Manager to join our team. In this role... ...members with complaints and appeals Qualifications Bachelor's degree...Contract workRemote workWork at officeLocal areaWork from homeShift work
- Talentify is seeking a Healthcare - Case Manager I for a remote role serving the Cleveland, Toledo, and Ravenna areas. The position requires RN, LSW, or... ...licensure with a schedule Mon-Fri 8-5. This 3+ month contract involves coordinating care plans, combining in-home visits...Contract workRemote job
$67.3k - $85k
...Responsibilities Acentra seeks a Case Manager of Behavioral Health to join... ...care plans, and coordinates healthcare team members to ensure... ...placement. *Position is remote within the State of Oregon.... ...or when not required by the contract specifically, the Company...Contract workRemote workLocal area$40 - $45 per hour
...Position type: Full Time - Contract Duration: 03 Months Location: Philadelphia, PA (Remote) As a Behavioral Health Clinician... ...advanced medical knowledge to cases utilizing specified resources... ...such as; InterQual, Care Management Policy, Medical Policy and Electronic...Contract workRemote workHourly payFull timeTemporary workWork experience placementImmediate startWorldwideFlexible hours$27.4 per hour
...Case Manager 2, Medical Day This is a full-time teleworking position with the expectations... ...access affordable and quality healthcare while achieving their aspirations for a... ...and resources to comply with specific contract requirements, maintain database integrity...Contract workRemote workHourly payFull timeTemporary workWork at officeLocal area$32 - $52 per hour
...Title : Behavioral Health Case Manager Location : Remote | Candidates located in Wisconsin preferred... ...around Dane County Job Type : Contract (15 months), Potential for conversion... ...nonprofit health insurance and healthcare services organization serving members...Contract workRemote workTemporary workWork experience placement$32 - $45 per hour
...Title : Behavioral Health Case Manager Location : Remote | Candidates based in Wisconsin preferred Job Type : Contract (14 months) Compensation : $32.00-45.00/hr Industry... ...leading nonprofit health insurance and healthcare solutions organization headquartered in...Contract workRemote workTemporary workWork experience placement$1,700 - $1,900 per week
...Registered Nurse (RN) Public Health Case Manager Location: Bethel, AK Job Type: Contract Contract: 13 Weeks... ...records, coordinate care with healthcare providers, monitor patient progress... .... Ability to Travel to Remote Villages Required; Computer Skills...Contract workRemote workDay shift$72.7k
...for providing comprehensive case management services to members, ensuring... ..., physicians, and other healthcare providers. Implement and coordinate... ...accordance with available contract benefits. Work... ...Position Type Office-Based or Remote Position Physical work site...Contract workRemote workFull timeFor contractorsWork at officeLocal areaWork from home- ...CA / Portland, OR - Remote Duration: 12+ Months Contract Pay Range: $30... ...Excel and Word. Healthcare environment is a plus... ...member grievances and appeals Top (3)... ...grievance and appeals case processing. Strong... ...and time management skills. Ability...Contract workRemote workMonday to FridayShift work
- ...Home Health Registered Nurse Case Manager #26-29905 RN-Registered Nurse // Home Health $1,54... ...1,520.0 - $1,560 weekly base pay Onsite Contract Starts 9/28/2026 13 weeks Share on Job Description... ...Technology/Equipment: EMR: EPIC/ EPIC Remote IV Pump: YES Med dispensing: NO Monitors...Contract workRemote workWeekly payShift workWeekend workDay shift
- ...accounts for new Patient cases Conduct outbound... ...patients and/or healthcare staff. Ability to... ...with solid time management skills and ability... ...a team player REMOTE DETAILS: All U.S.... ...termination of the contract / employment. Keywords... ...authorization and appeals experience highly...Contract workRemote workFull time
- ...Appeals Processor III - RN ~ salary ~ Unavailable... ...dedicated team in a remote capacity. The Appeals... ...analyzing, and processing healthcare appeals related to... ...This role ensures all cases are handled in compliance... ..., CMS guidelines, and contract requirements....Contract workRemote workFor contractorsFor subcontractorShift work
- Guardian Life is seeking a motivated Appeals Case Manager II to adjudicate Group Life and Disability appeals, ensuring fair reconsideration under ERISA. The role handles Short-Term Disability, Long-Term Disability and Life Waiver of Premium appeals, balancing regulatory...Remote jobTemporary work
$22 - $26 per hour
...Authorizations LLC is looking to hire an experienced healthcare clinician for our Clinical Case Manager position. This is a fully remote position advocating patient care in Skilled... ...: 1.Submit detailed concurrent reviews and appeals highlighting Medical Necessity 2.Procure and...Remote workFull timeTemporary work$58.62k - $96.3k
Fully Remote Remote - United States Full time R000110387 Position Summary: Guardian is seeking individuals with Group Disability claims experience to join our dynamic Appeals Team. The Appeals Case Manager II (ACM 2) is responsible for adjudicating assigned appeals...Remote workFull timeTemporary workH1bWork at officeLocal areaVisa sponsorshipWork visaFlexible hours- ...TEKsystems is urgently seeking a remote Grievances and Appeals Coordinator based in California. The role... ...and handling G&A and member billing cases with compliance to regulatory standards... ...and Medical Director teams. It is a contract role, with a competitive hourly pay and...Contract workRemote workHourly pay
$20 - $23 per hour
...Our client, a leading health insurance company, is hiring an Appeals Analyst! This is a remote position paying $20-$23/hr. *This is a 6-month W2 contract with benefits and the possibility of extension! * In this role, you will review health insurance appeals, research...Contract workRemote workFull time$45 - $47.26 per hour
...Healthcare - Case Manager III Location: San Diego area (CA State) Duration: 3+ Months Shift Timing: Monday through Friday, 8:30AM to 5... ...Range: $45.00 - $47.26 Job Description This role will be remote, but there may be times the case manager may need to work...Remote workWork at officeMonday to FridayShift work- ...CPA firm.Elliott Davis, LLC’s Healthcare Transaction Advisory Services... ...engagement economics and management of resources· Collaborate with... ...a properly executed written contract for a specified position by an... ...Nashville, TN; Charlotte, NC; US Remote; Greenville, SCType: Full...Contract workRemote workFull timeWork at officeFlexible hours
- ...: Medical Director – Utilization Management Location: Remote Duration: 6 Months Contract with possible extension Active medical... ...The incumbent reviews escalated cases electronically using Medical... ...Complete initial determinations, appeals, grievances, and other reviews as...Contract workRemote workPrivate practice
$2,124 per week
...Registered Nurse (RN) | Case Manager Location: Fort Myers, FL... ...Days - 5 days x 8 hours Contract Duration: 13 Weeks Start... ...computer literate; must have some remote work experience; degree... ...utilization management within a healthcare setting. Candidates must...Contract workRemote workPermanent employmentFull timeWork experience placementMonday to FridayShift workWeekend work$50k
...Case Manager / Patient Advocate (Non-Clinical) Valeris is a fully integrated... ...that span the entire healthcare value chain. Formed by the merger... ...authorizations / denial appeals, determining financial... ...Spanish and English are a plus. Remote work eligibility is subject...Remote workTemporary workWork at officeImmediate startWork from homeMonday to FridayShift work- ...Leveraging expertise in claims adjudication and risk management, the full-time remote Appeals Specialist will guide clients through the appeals process... ...with a thorough understanding of claims adjudication and contract interpretation Demonstrated high-level risk management...Contract workRemote workFull time
- ...vendor) Location - Remote Employment - Contract to hire Rate -... ...be able to complete 55+ cases in an 8 hour day.... ...ensures that utilization management responsibilities are performed... ...determination of cases, review of appeals and grievances, and other...Contract workRemote workPart timePrivate practice
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