Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Remote RN Appeals Analyst: Clinical Review & Benefits

260 CGS Administrators, LLC

Nashville, TN
  • Remote job

260 CGS Administrators, LLC is looking for a remote position involving comprehensive clinical review and benefit analysis of medical service appeals. The role requires strong attention to detail and adherence to timeframes while ensuring all decisions comply with applicable regulations. Ideal candidates will possess an associate's degree along with requisite clinical experience and an RN license. The position includes benefits such as health coverage and a 401(k) plan. #J-18808-Ljbffr 260 CGS Administrators, LLC

Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Remote RN Appeals Analyst: Clinical Review & Benefits in Nashville, TN vacancy
  •  ...Description Fully remote- Must have state of MI unrestricted RN license. You will...  ...and retrospective review of inpatient, outpatient...  ...of care, including appeal requests initiated...  ...office) Clinical experience in ICU,...  ...health and dental benefits, but you also have... 
    Remote work
    Work at office
    Flexible hours

    G-TECH Services

    Detroit, MI
    11 days ago
  • Southcarolinablues is hiring an Appeals Analyst to join their team in...  ...and performing clinical reviews to ensure compliance...  ...and the option to work remotely or on-site. Ideal...  ...clinical experience, a valid RN license, and strong analytical skills. Benefits include health plans,... 
    Remote job
    Full time

    Southcarolinablues

    Nashville, TN
    6 days ago
  • $70k - $80k

    Piper Companies is seeking a Remote Clinical Appeals Analyst to provide clinical expertise in reviewing and resolving complex member and...  ...Carolina licensure as an RN, LPN, PT, or OT and have significant...  ...medical, dental, and vision benefits. Key responsibilities include... 
    Remote job
    Full time
    Contract work
    Monday to Friday

    Piper Companies

    Cary, NC
    2 days ago
  • $50 per hour

     ...staffing firm is seeking an experienced RN Clinical Reviewer to work remotely. You'll conduct detailed medical-legal reviews and appeals while maintaining high accuracy and integrity...  ...at $50/hr, complemented by comprehensive benefits including health insurance and paid time... 
    Remote work

    Santa Barbara Cottage Hospital

    New York, NY
    1 day ago
  • $80k - $90k

     ...Range: $80-90k The Medical Review Clinical Appeals Auditor (RN) is responsible for...  ...policy and/or claims software analyst experience may be necessary...  ...to work independently in remote setting with minimum supervision...  ...offers a wide range of benefits to help support a healthy... 
    Remote work
    For contractors
    Immediate start
    Work from home
    Home office
    Flexible hours
    Shift work

    The Rawlings Group

    Plantation, FL
    4 days ago
  • CGS Administrators is seeking an Appeals Analyst in Nashville, TN. The role involves researching...  ...decisions, and providing thorough clinical review to ensure compliance with medical necessity...  ...offers a full-time schedule with benefits. #J-18808-Ljbffr CGS Administrators
    Full time

    CGS Administrators

    Nashville, TN
    5 days ago
  • $70k - $85k

     ...restrictions. Our Medical Review Nurse Analyst - Registered Nurse (RN) is responsible for...  ...analyst evaluates clinical documentation...  ...to authorizations, appeals, and medical review...  ...We are open to remote work in the following...  ...information. Benefits ~ Remote work... 
    Remote work
    Contract work
    For contractors
    Work at office
    Local area
    Immediate start

    WPS Health Solutions

    Omaha, NE
    3 days ago
  •  ...Overview Work remotely with a collaborative enterprise...  ...-Time (1.0 FTE) The Clinical Denial Management Nurse...  ...care, utilization review, and patient access....  ...and developing effective appeal strategies. Ensures appropriate...  ...as a Registered Nurse (RN) or Licensed Practical... 
    Remote work
    Full time
    Work at office

    UF Health

    Jacksonville, FL
    3 days ago
  • $50 per hour

     ...Overview RN Clinical Reviewer / IDR - Remote (#25310C) Location: Remote Employment Type: Full-time Hourly Rate...  ...medical-legal reviews and appeals for a respected non-profit organization...  ...Compensation: $50/hr. Comprehensive Benefits: 1 Week of Paid Vacation based on accruals... 
    Remote work
    Hourly pay
    Full time
    Work at office
    Flexible hours

    Santa Barbara Cottage Hospital

    New York, NY
    1 day ago
  • $35 - $63 per hour

     ...of Nursing is looking for a Senior Clinical Appeals RN. This role involves reviewing and responding to appeals in MS-...  ...auditing and provides coaching to remote specialists. Remote work is available...  ...hour, along with comprehensive benefits. #J-18808-Ljbffr University of Minnesota... 
    Remote job
    Hourly pay
    Work at office

    University of Minnesota School of Nursing

    Minneapolis, MN
    6 days ago
  • $35 - $63 per hour

     ...Epidemiologists is hiring a Senior Clinical Appeals RN. This position utilizes...  ...DRG and APR-DRG auditing to review appeals and is responsible...  ...coding. The role allows for remote work, and candidates should...  ...problem solvers. A comprehensive benefits package is included, ranging... 
    Remote job
    Hourly pay

    Council of State and Territorial Epidemiologists

    Minneapolis, MN
    6 days ago
  • $35 - $63 per hour

     ...Institute is looking for a Senior Clinical Appeals RN to utilize expertise in MS‑...  .... This role involves reviewing medical records and responding...  ...while providing coaching to remote DRG Validation Specialists....  ...hour, along with comprehensive benefits. #J-18808-Ljbffr Texas... 
    Remote job
    Hourly pay
    Work at office

    Texas Health Institute

    Minneapolis, MN
    6 days ago
  • $35 - $63 per hour

     ...resolution of DRG Appeals Respond to Level...  ...adjustment is needed Review governmental...  ...appeals Exercise clinical and/or coding judgment...  ...: Unrestricted RN (registered nurse)...  ...flexibility to work remotely from anywhere...  ...salary, we offer benefits such as a comprehensive... 
    Remote job
    Hourly pay
    Minimum wage
    Full time
    Work experience placement
    Work at office
    Local area

    Optum

    Minneapolis, MN
    2 days ago
  •  ...telephonic and e-referral case review and authorization of services...  ...provide quality care appropriate to clinical needs. Responsible for...  ...position is full-time, fully remote (work from home) and requires...  ...of Michigan clinical license (RN, LMSW, LP, LPC, or LLP) required... 
    Remote work
    Full time
    Work from home
    Shift work
    Weekend work
    Afternoon shift

    MRINetwork

    United States
    1 day ago
  • $90k - $99k

     ...DRG Nurse Reviewer Appeals and Hearings- Remote Date: Jan 9, 2026 Location: Any city...  ...redeterminations using approved clinical and coding guidelines and...  ...required CEUs to maintain RN license and/or coding...  ...match, comprehensive health benefits , and educational... 
    Remote work
    Full time
    Work from home
    Flexible hours

    Gainwell Technologies

    Florida, NY
    3 days ago
  • $248.5k - $373k

    Wisconsin Psychiatric Association Inc is seeking an Appeals and Grievances Medical Director responsible for the clinical review of appeals and grievances cases for...  ...Interested candidates will enjoy a comprehensive benefits package including a 401(k) plan. #J-18808-Ljbffr... 
    Remote job

    Wisconsin Psychiatric Association Inc

    Cypress, CA
    5 days ago
  • $248.5k - $373k

    Stryker Corporation is looking for an Appeals and Grievances Medical Director to oversee clinical reviews related to appeals and grievances. The role demands a minimum...  ...of $248,500 to $373,000, alongside various benefits including 401(k) contributions and an equity stock... 
    Remote job

    Stryker Corporation

    Cypress, CA
    5 days ago
  • $68k - $70k

     ...Medical Review Nurse Analyst Our Medical Review Nurse Analyst...  ...responsible for conducting clinical reviews of medical...  ...experience. We are open to remote work in the following...  ...(BSN). ~ Active RN license, applicable to...  ...additional information Benefits: ~ Remote work... 
    Remote work
    For contractors
    Local area
    Immediate start

    WPS Health Solutions

    United States
    4 days ago
  • $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...  ...colleagues and prepare cases for review and appeals. Minimum...  ...licenses, and other factors. Benefits include medical, dental,... 
    Remote job
    Full time
    Monday to Friday
    Shift work

    Healthfirst

    New York, NY
    6 days ago
  •  ...HEALTH in Nevada seeks a Supervisor, Clinical Review to supervise clinical staff...  ...Ideal candidates will have an active RN licensure in Alabama, with 3+...  ...are crucial. The position offers a remote work option along with comprehensive benefits, enhancing work-life balance and... 
    Remote work

    COMAGINE HEALTH

    Las Vegas, NV
    4 days ago
  • $28.94 - $51.83 per hour

     ...people with the care, pharmacy benefits, data and resources they need...  .... Growing together. The Clinical Review Clinician serves as a subject...  ...to support negotiations and appeals process Interacts with internal...  ...higher) Active and unrestricted RN license OR LPN in the state... 
    Remote work
    Hourly pay
    Minimum wage
    Full time
    Temporary work
    Work experience placement
    Local area

    UnitedHealth Group

    Minneapolis, MN
    2 days ago
  •  ...Our partner is looking for a Clinical Appeals Reviewer (Licensed Healthcare...  ...United States. This is a fully remote clinical decision-making role...  ...precision. Active license as an RN, PT, OT, RT, or other...  ...for public trust clearance. Benefits Fully remote position anywhere... 
    Remote work
    Contract work
    Flexible hours

    Jobgether

    New York, NY
    5 days ago
  • Stryker Corporation is looking for a Clinical Claims Review RN to perform reviews of inpatient hospital claims. This role supports a high-volume...  ...experience, and an associate's degree. Additional benefits include paid time off, health insurance, and a 401(k) savings... 
    Remote job

    Stryker Corporation

    Minneapolis, MN
    2 days ago
  • MVP Health Care is seeking a Clinical Appeals RN to ensure fair and timely review of healthcare service denials. This role involves analyzing medical records and clinical documentation and collaborating with medical directors to decide on appeals. The ideal candidate will... 
    Remote job

    MVP Health Care

    Schenectady, NY
    5 days ago
  • Optum, part of the UnitedHealth Group, is looking for a Clinical Claims Review RN to conduct administrative reviews of short stay inpatient hospital...  ...and an active RN license. The role offers comprehensive benefits including health insurance, a 401(k) savings plan, and... 
    Remote job

    Registered Nurse

    Minneapolis, MN
    6 days ago
  • Stryker Corporation is seeking a Clinical Review Clinician to serve as a subject matter expert for itemized bill reviews. This role involves...  ...billing guidelines. A competitive hourly wage and comprehensive benefits package are provided. #J-18808-Ljbffr Stryker Corporation
    Remote job
    Hourly pay

    Stryker Corporation

    Minneapolis, MN
    2 days ago
  • $67.32k - $133.71k

     ...Qualifications Purpose: The Clinical Appeals Nurse completes...  ...experienced clinician to work remotely from within the...  ...appeal case for physician review by compiling clinical,...  ...Upon Hire Required: RN - Registered Nurse -...  ...offers a comprehensive benefits package, various... 
    Remote work
    Work experience placement
    Work at office
    Immediate start

    CareFirst BlueCross BlueShield

    Baltimore, MD
    1 day ago
  • $50 per hour

     ...for an experienced Registered Nurse Clinical Reviewer for a fully remote position with an hourly rate of $50....  ...should have an active New York State RN license and 1-3 years of experience...  ...care utilization review. Competitive benefits include paid vacation, sick leave,... 
    Remote job
    Hourly pay

    GreenLife Healthcare Staffing

    New York, NY
    4 days ago
  • Beth Israel Lahey Health is seeking a Clinical Analyst in Boston, MA to join their Patient Financial Services team. The role involves handling clinical appeals and ensuring compliance with billing and coding regulations. Ideal candidates will have at least two years of... 
    Remote job

    Beth-Israel-Lahey-Health

    Boston, MA
    2 days ago
  •  ...Minnesota School of Nursing is seeking a Clinical Claim Review Nurse who will perform claim reviews to...  ...an associate's degree and an active RN license, with a minimum of 2 years of clinical...  .... The role provides a comprehensive benefits package and competitive pay. #J-18808-... 
    Remote job

    University of Minnesota School of Nursing

    Minneapolis, MN
    4 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote RN Appeals Analyst: Clinical Review & Benefits. Be the first to apply!