Remote Nurse Appeals Clinician I
Cambia Health Solutions
Vancouver, WA
- Remote job
Cambia Health Solutions is looking for an Appeals Clinician I to work remotely from Oregon, Washington, Idaho, or Utah. This critical role will utilize nursing expertise to resolve member and provider appeals efficiently. The ideal candidate has a Bachelor’s Degree in Nursing, an active RN license, and at least three years of relevant clinical experience. Competitive salary based on location and experience with various employee benefits provided. #J-18808-Ljbffr Cambia Health Solutions
Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Remote Nurse Appeals Clinician I in Vancouver, WA vacancy
$76.5k - $103.5k
Cambia Health Solutions is seeking an Appeals Clinician I to utilize clinical expertise in resolving member and provider appeals. This role... ...care easier for members and requires a Bachelor's Degree in Nursing, an active RN license, and relevant clinical experience. The...Remote job- ...Cambia Health Solutions seeks an Appeals Clinician I to leverage clinical expertise in resolving appeals while enhancing patient advocacy.... ...locations. The ideal candidate will hold a Bachelor's Degree in Nursing and possess a current RN license, alongside excellent skills...Remote workWork from home
- ...Cambia Health Solutions seeks an Appeals Clinician I to handle clinical appeal processes while working from home within specific states. Candidates must have a Bachelor's Degree in Nursing and an active RN license in Oregon, Washington, Idaho, or Utah. This position involves...Remote workWork from home
$76.5k - $103.5k
...Cambia Health Solutions is looking for an Appeals Clinician I, focusing on resolving member appeals with your clinical expertise. You will... ...opportunity. The ideal candidate should have a Bachelor's Degree in Nursing along with an active RN license. The role offers a...Remote workWork from homeFlexible hours- ...Cambia Health Solutions is looking for an Appeals Clinician I to join our team in Minot, ND. In this... ...candidates will possess a Bachelor's Degree in Nursing, a valid RN license, and relevant clinical experience. The role offers remote work options and a competitive salary...Remote work
- ...Cambia Health Solutions is seeking an Appeals Clinician I to leverage clinical expertise in assessing... ...compliance with medical policies. This remote position is open to candidates residing... ...will have a Bachelor's Degree in Nursing, an active RN license, and at least 3 years...Remote work
- Cambia Health Solutions is looking for an Appeals Clinician I to join their Clinical Services team. This role focuses on ensuring compliance... ...appeal reviews. Ideal candidates will have a Bachelor's Degree in Nursing and essential clinical experience. The position offers work-...Remote jobWork from home
- ...health plan provider, seeks an accomplished Appeals and Grievance RN . *** Candidate must be... ...************************* Location: 100% Remote within California *** Duration: 6 months... ...Grievance RN will report directly to the Nurse Manager and be responsible for reviewing...Remote workPermanent employmentContract workTemporary workLocal areaDay shift
- ...Nurse Appeals (US) Nurse Appeals- Licensed Nurse Location: Mason, OH; Cincinnati OH; Indianapolis, IN; Louisville, KY; Norfolk, VA and Richmond, VA Virtual: This role enables associates to work virtually full-time, except for required in-person training sessions...Remote workFull timeWork at officeShift workWeekend work
- ...contract (Possibility to extend) Location: Remote, preferred Iowa. Possible to work on-site... ...received Generate appropriate appeal resolution communication to the member and... ...and assigned by the team lead; the appeals nurse is responsible for working the appeal start...Remote workContract workShift work
- ...Schedule : The position is 100% Remote, and the candidates must reside in Southern California Description: The Grievance & Appeals Nurse is responsible for managing and coordinating member grievance and appeal cases to ensure compliance with IEHP policies, regulatory...Remote workWork at officeImmediate start
- ...Grievances And Appeals Nurse Pride Health is hiring a Grievances and Appeals Nurse for a well-known client! (Remote Contract) Schedule: 5x8s Day shift Contract: 6 months Pay Rate: 40-45/hr Primary Responsibilities: Serves as a clinical and administrative...Remote workContract workWork experience placementLocal areaDay shift
- ...Role Snapshot The Appeals Nurse examines medical records and claims information for first-level appeal cases to determine whether services... ...knowledge, skills, and experience. Work Location We are open to remote work in the following approved states: Colorado Florida...Remote workContract workFor contractorsImmediate start
- The Elevance Health Companies, Inc. is seeking a Nurse Appeals RN-Quality of Care based in Metairie, Louisiana. The role involves investigating medical necessity appeals and reviewing member grievances to ensure timely resolutions. Applicants must have a current RN license...Remote jobFull time
- ...Schedule : The position is 100% Remote, and the candidates must reside in Southern California Description: The Temporary Grievance & Appeals Nurse (LVN) is responsible for managing and coordinating grievance and appeal cases in compliance policies and state and...Remote workTemporary workWork at officeImmediate start
- Overview Job Title: Registered Nurse - Claims & Appeals Review Location: Remote (Anywhere in Florida) Duration: 06 Months/Can be Extended Working hours:... ...errors, and improvement opportunities. Collaborate with clinicians and MD reviewers to validate decisions and escalate...Remote workContract workDay shift
- ...review of prospective, retrospective, and concurrent review of appeals for denied prior authorizations. Includes standard and expedited... .../protocols. Job Qualifications At least 2 years clinical nursing experience, including at least 1 year of utilization review (...Remote jobWork at office
$36 - $40 per hour
...exclusive features. At Norwood we’re forging our own path. We’re a remote-first staffing and consulting company specializing in mid-... ...long term fulfillment in your coding career. If you are an Appeals and Denials Nurse looking for a new opportunity to sharpen your skills, we...Remote workPermanent employmentFull timeWork visa- ...healthcare solutions provider is seeking a Registered Nurse for Claims & Appeals Review. This remote role supports compliance and quality assurance in... ...appeal cases, conducting audits, and collaborating with clinicians. This position offers the opportunity to work in a dynamic...Remote job
- ...standards for case reviews. Applicants must possess a Bachelor's degree in nursing and be a current Registered Nurse. This position requires two years of relevant experience, and the role can be performed remotely, offering flexibility in work schedules. #J-18808-Ljbffr...Remote work
$29 - $52 per hour
...UnitedHealth Group is seeking a Remote Registered Nurse (RN) in California to handle appeals and medical record reviews. The ideal candidate should possess a current RN license and have at least 2 years of clinical experience. This role also requires familiarity with...Remote workHourly pay- ...Crains Cleveland is seeking a Clinical Appeals RN responsible for attending appeal hearings and defending MassHealth prior authorization... .... Ideal candidates will possess an Associate’s degree in Nursing, an unrestricted licensure in MA, and at least 3 years of Managed...Remote work
- ...WPS—A health solutions company is looking for an Appeals Nurse to examine medical records and claims information for appeals cases. This... ...experience in a clinical setting. Benefits include competitive pay, remote work options, and health insurance starting on the first day....Remote work
- ...WPS—A health solutions company is seeking an Appeals Nurse to examine medical records and claims for first-level appeal cases. The RN works... ...and active RN license, plus strong communication skills. Remote work options are available in approved states, and the position...Remote work
- ...WPS—A health solutions company is seeking an Appeals Nurse to examine medical records and claims for first-level appeals. The ideal candidate... ...reviews, and ensuring compliance with Medicare guidelines. Remote work is available with excellent benefits including health insurance...Remote work
- ...Brigham Incorporated is looking for a Senior Nurse Reviewer responsible for coordinating clinical charge audits and appeal processes. The role demands strong analytical... ...clinical nursing and quality assurance. This is a remote position requiring effective communication...Remote work
$90k - $99k
A leading healthcare solutions provider seeks a DRG Nurse Reviewer Appeals and Hearings to coordinate appeal duties and engage in hearings, both... ...have an active RN license and coding certification. This remote role offers flexibility and opportunities for career development...Remote workFlexible hours- ...Registered Nurse Clinician Twin Cities Spine Center is a nationally recognized Spine Surgeon... ...closely with Prior Authorization on appeals for surgical cases Qualifications:... ...Location: Minneapolis with rotation to remote clinics as business dictates The above...Remote workFull timeTemporary workWork at officeMonday to FridayFlexible hours
$95k - $110k
...DRG Nurse Reviewer Appeals and Hearings- Remote It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you've honed your career...Remote workFull timeWork from homeRelocation packageFlexible hours- The University of Minnesota School of Nursing is hiring a Clinical Appeals RN to manage appeal hearings and defend MassHealth's prior authorization decisions. This role requires individuals who reside in Massachusetts, with an opportunity to telecommute. Key qualifications...Remote jobFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Nurse Appeals Clinician I. Be the first to apply!
Related searches
- clinician Vancouver, WA
- school based clinician Vancouver, WA
- bilingual clinician Vancouver, WA
- intake clinician Vancouver, WA
- mental health clinician Vancouver, WA
- licensed mental health clinician Vancouver, WA
- crisis clinician Vancouver, WA
- entry level remote Vancouver, WA
- remote medical billing part time Vancouver, WA
- remote hr coordinator Vancouver, WA

