RN Clinical Finance & Denial Escalation Lead (Remote)
Ohio State University
- Remote job
The Ohio State University is looking for a Clinical Financial Case Manager - RN - Escalation Lead to provide advanced clinical appeal services, manage complex patient account denials, and assist in developing denial prevention strategies. This role offers the opportunity to work remotely and is ideal for a Registered Nurse with leadership capabilities. Candidates should have a minimum of 2 years' experience and be able to manage and oversee efficient workflows to enhance productivity while ensuring regulatory compliance. #J-18808-Ljbffr Ohio State University
- The Clinical Financial Case Manager, RN - Escalation Lead provides advanced clinical appeal services with a focused responsibility for review and escalation of complex patient account denials. This role independently performs complex clinical reviews and evaluates relevant...Suggested
$45.29 - $84.11 per hour
...Denial Prevention Nurse Position at Nuvance Health... ...the better. Hybrid/Remote Summary: The purpose... ...providing timely and accurate clinical information to all... ...and deny claims and escalating any egregious payer behaviors... ...Required: Current RN License in Connecticut...Remote workHourly payDaily paidPart timeShift workNight shiftRotating shift- ## Clinical Financial Case Manager RNApplyremote type: Remotelocations: Remote Locationtime type: Full timeposted on... ...Financial Case Manager RN## Department:Health... ...internal and external escalations, and denial management. RCCS is... ..., RN - Escalation Lead provides advanced clinical...Remote workWork at officeShift workDay shift
- Remote Jobs is seeking an experienced clinical appeals specialist to join their team. The role requires a Registered Nurse (RN) with at least one year in ICU or demonstrated proficiency in appeals... ...services. You will review denials, conduct research, and collaborate...Remote work
$80k - $90k
...organization. Machinify is a leading healthcare intelligence... ...-90k The Medical Review Clinical Appeals Auditor (RN) is responsible for conducting... ..., providing supplemental escalation support, and may perform... ...to work independently in remote setting with minimum supervision...Remote workFor contractorsImmediate startWork from homeHome officeFlexible hoursShift work- ...Clinical Supervisor, UM Denial Compliance Location: Los Angeles Metropolitan Area Position Type: Hybrid (85% remote, 15% onsite in Burbank, CA) Company: Vivo HealthStaff Overview: Vivo HealthStaff... ...Registered Nursing Program; RN preferred. Minimum of five years in...Remote work
$102.18k
...Lead Customer Solution Center Appeals and Grievances RN Job Category: Clinical Department: CSC Appeals & Grievances Location... ...of complex and/or escalated clinical A&G cases... ...the root cause of denials. Check, verify and... ...holidays, a hybrid remote schedule, and occasional...Remote workFull timeShift workWeekend work- ...State University Wexner Medical Center is seeking a Clinical Financial Case Manager, RN - Escalation Lead to provide advanced clinical appeal services. This role... ...reviewing and escalating complex patient account denials while monitoring payer denial trends and assisting in...
- ...transfer to your application. Job Title:Clinical Finance Case Management - RN Specialist 2 - Revenue Cycle... ...and internal), clinical appeals and denial management. RCCS is integral to the... ...email, chat, phone, etc.). Location:Remote Location Position Type:Regular Scheduled...Remote workFlexible hoursShift workDay shift
$60.2k - $107.4k
...Coding Denials & Auditing Supervisor Coding Optum... ...Coding to join our team in Remote, Nationwide. Optum is a... ...Optum, you'll have the clinical resources, data and... ...initiatives. The Supervisor leads a team of coding denial... ...medical necessity) and escalate systemic issues...Remote workMinimum wageFull timeTemporary workWork experience placementLive inLocal areaWork from homeMonday to Friday- ...Clinical Site Payment Lead The Clinical Finance Analyst II is responsible for Clinical financial and accounting processes, such as processing invoices and... ...as European Clinical Trial Directive #LI-LG4 #LI-REMOTE EEO Disclaimer Parexel is an equal opportunity...Remote work
- ...Clinical Staff Leader Discover Vanderbilt University Medical Center... ...leadership team. The CSL leads a cohort of staff members and... ...quality, service, compliance, finance, throughput and scheduling. The... ...are based. Appropriately escalates problems relating to rules and...Temporary workFlexible hoursShift work
- A leading health company in Colorado is seeking a Diagnosis Related Group Clinical Validation Auditor-RN. The role involves auditing inpatient medical records, ensuring compliance with... ...salary and benefits with flexible remote work options. #J-18808-Ljbffr Elevance HealthRemote jobFlexible hours
- ...seeking a detail-oriented Registered Nurse Clinical Auditor to support medical record reviews... ...Indiana Health Coverage Programs. This remote role requires evaluating provider compliance... .... Applicants should preferably hold an RN license, coding certification, and have...Remote job
$82.23k - $155.81k
Elevance Health seeks a Diagnosis Related Group Clinical Validation Auditor-RN to conduct audits on inpatient medical records, ensuring documentation accuracy and compliance. This remote role requires a current Registered Nurse license and extensive experience in claims...Remote job$70k - $80k
A data analytics and solutions company is seeking a Clinical Validation Auditor to ensure accuracy in medical claims coding. This fully remote position requires a Registered Nurse with over 5 years of acute care experience. Responsibilities include reviewing medical records...Remote job- ...Job Description Job Description Assistant Remote Care Program Clinical Lead (RN) Remote Patient Monitoring (RPM) & Chronic Care Management (CCM... ...monitoring staff, assist with patient alert management and escalations, support protocol implementation, and help drive...Remote jobFull timeTemporary workImmediate startMonday to Friday
- Innovative Renal Care is seeking a Clinical and Regulatory Manager (RN) with dialysis expertise to lead clinical quality and regulatory compliance. This role involves improving patient outcomes through data analysis and collaboration with clinical teams across Georgia...Remote job
- CH01 CHE Fresenius Medical Care (Schweiz) AG is looking for a Strategic Clinical Quality Manager in South Florida to oversee the implementation of quality assurance programs. This remote role requires a Registered Nurse with extensive dialysis experience and proficiency...Remote job
- Israelvcforum is looking for a Diagnosis Related Group Clinical Validation Auditor‑RN to audit inpatient medical records and ensure compliance with coding and documentation standards. This role allows for virtual full-time work, with required in-person training sessions...Remote jobFull time
- Ohio State University seeks a Clinical Financial Case Manager RN - Escalation Lead to provide advanced clinical appeal services for complex patient account denials. This remote position requires a Bachelor's Degree in Nursing and a current RN license. The ideal candidate...Remote job
- ...Services is seeking a detail-oriented and clinically experienced Clinical Audit Specialist to... ...behavioral health payer audit and denial management, utilization review, and medical... ...commercial payer requirements. Hybrid or remote and flexible scheduling is available for...Remote workPart timeWork at officeImmediate startFlexible hours
- ...healthcare intelligence company located in New York is looking for a Clinical Auditor to perform clinical reviews and audits on medical... ...and quality assurance guidelines. This role requires an active RN license and the ability to analyze claims data and regulations effectively...Remote job
$100k - $136k
VNA Care is seeking an RN Clinical Manager for the Dorchester Team in Boston. This position involves overseeing a team of home health nurses... ...of $100,000 - $136,000 a year, with a mix of in-office and remote work. Benefits include medical, dental, vision, and generous...Remote jobWork at office$56.16 - $75.37 per hour
...RN Team Lead Cath Services Partnering for a stronger, healthier world... ...through more than 2,300 clinics, care sites and 158 hospital... ...Requisition ID: 2025-428697 Remote: No Weekly Schedule:... ...ethical practice by addressing or escalating issues. Serves as a patient...Remote workFull timeFor contractorsRelocation packageMonday to FridayShift work- ...Job Description The Denials Nurse Auditor works under the supervision of the manager... ...completing, appealing, tracking, and reporting clinical denial reviews to determine the... ...and Certifications ~ Registered Nurse (RN) - State Licensure/Or Compact State Licensure...Remote workWork experience placementWork at officeLocal area
$25 - $30 per hour
Claims Follow-Up Lead-CA Department: Finance Employment Type: Full Time Location: California (Remote) Reporting To: Kim Compensation: $2... ...responsible for resolving complex denials, accelerating accounts... ...timely filing limits. Escalate payer issues strategically...Remote workFull timeWork from homeHome office- ...Job Summary Provides clinical leadership and support, patient... ...companies, other medical practices, remote patient monitoring program,... ...techniques/practices of tasks. # Leads group discussions, problem... ...Previous clinical experience as an RN in an ambulatory care setting...Remote workWork at officeWeekend workAfternoon shift
- ...Position Highlights: Position: Team Lead RN Salary: Hourly rate based on years... ...early What You'll Do The Clinical Team Leader, RN provides team leader responsibilities... ...Nurse with Current Ohio License. De-escalation training within 6 months. Basic Life...Hourly payFull timeWork at officeFlexible hours
- Direct Jobs is seeking a Nurse III Clinical Nurse Leader (RN) in Dallas, Texas, to manage complex patient care. This full-time role involves leading nursing practices, collaborating on policy development, and supporting nursing staff. The ideal candidate should possess...Remote workFull time
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