Remote Appeals Nurse Consultant - Medicare Part C
CVS Health
- Remote job
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 in your state, strong communication, and organizational skills. A nursing degree is essential, with a Bachelor's preferred. The position offers comprehensive benefits and a base pay range aligned to experience and geography. #J-18808-Ljbffr CVS Health
- 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...Remote jobWeekend work
- 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 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
- CVS Health is seeking an experienced Appeals Reviewer with an active RN license to administer review and resolution of clinical complaints and appeals across Medicare/Medicaid programs. You will interpret data from clinical records to apply applicable criteria and policies...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- 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
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- ...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$15 - $20 per hour
...Piedmont, AL 36272 galandtrust.org Title: Part-time Administrative Support Specialist Location: Piedmont, Alabama (in-office, non-remote) Schedule: Part-Time (15–20 hours per week)... ...Alabama Land Trust, Inc. (GALT) GALT is a 501(c)(3) nonprofit dedicated to enriching life...Remote workHourly payPermanent employmentPart timeWork at officeLocal areaShift work- 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
- ...MDS / PDPM / CMI / RAI Consultant Are you ready to make... ...Consultant to provide remote reimbursement, MDS, PDPM... ...-term care and skilled nursing facilities. This... ...guidelines, CMI, care planning, Medicare documentation, and long... ...Review Medicare Part A documentation and skilled...Remote workHourly payLocal areaNight shift
- 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 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
$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- 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
- A travel planning company is seeking a Remote Travel Advisor to provide exceptional customer service while assisting clients with their travel needs. This part-time, remote role involves managing inquiries, bookings, and itinerary adjustments. The ideal candidate should...Remote workPart timeWork from home
- 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
$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- ...Appeals Processor III - RN ~ salary ~ Unavailable ~ Hours per... ...join our dedicated team in a remote capacity. The Appeals... ...appeals related to Medicaid or Medicare coverage decisions. This role... ...Medicaid/Medicare (especially Part C) ~ Experience reviewing medical...Remote workContract workFor contractorsFor subcontractorShift work
- ...Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Remote position in New York.Job Responsibility... ....4. Audits and reviews Medicare/non-Medicare charts to ensure that... ...Graduate from an accredited School of Nursing. Bachelor's Degree in Nursing,...Remote workHourly payFull time
- CVS Health is seeking a Utilization Management Nurse Consultant (Clinical Precertification RN, Medicare) to review clinical cases and determine coverage using evidence-based guidelines in a remote, full-time weekday schedule. You will collaborate with providers and care...Remote jobFull timeWeekday work
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