Remote RN Care Manager - Appeals & Denials (Per Diem)
Providence
Torrance, CA
- Remote job
Providence California Regional Services is seeking a Care Manager Appeals RN for a remote per diem role. The position supports day shifts and focuses on managing and communicating clinically-based appeals with outside payers to ensure reimbursement for services to patients in PH&S ministries. The CMRA role emphasizes advocacy, patient-centered communication, and adherence to regulatory standards. Required RN license in California, associate degree, and several years of acute-care and #J-18808-Ljbffr Providence
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Remote RN Care Manager - Appeals & Denials (Per Diem) in Torrance, CA vacancy
$119.14k - $184.95k
...Care Manager Appeals RN - REMOTE position. This position is Per Diem and will work 8- hour, Day shifts. The Care Management Recovery Advocate (CMRA) is responsible... ...upon hire Experience working with denials and appeals in/for an acute care setting. Experience...Daily paidRemote workMinimum wageShift workDay shift- Care Manager AppealsRN - REMOTE position. This position is Per Diem and will work 8- hour, Day shifts. The Care Management Recovery... ...of clinically-based appeals between Providence Health and Services... ...upon hire Experience working with denials and appeals in/for an acute care...Daily paidRemote workDay shift
- ...Care Manager Appeals RN - Remote Position This position is Per Diem and will work 8-hour, Day shifts. The Care Management Recovery Advocate (CMRA) is responsible... ...upon hire Experience working with denials and appeals in/for an acute care setting. Experience...Daily paidRemote workDay shift
$55.53 - $85.8 per hour
...Job Description The Care Manager (RN) utilizes clinical expertise, patient... ...proper justification for insurance appeals and denials as needed. May educate... ...Range $55.53 - $85.80/ hourly Remote or Onsite Onsite Job Schedule Per Diem HHIX Position NO Hoag Health...Daily paidRemote workHourly payLocal areaShift work- ...Clinical Denials Coordinator Facility Name... ...Shift Details: Remote - Per Diem Days 8:00 am - 4:3... ...offering world-class care to any person who... ...with payors and JHS managed care department... ...denials, audits, and/or appeals. At least four... ...Nursing. Valid RN is preferred....Daily paidRemote workShift work
- Optum is seeking a Per Diem Utilization Management Nurse to review medical records and craft defensible appeal letters. You will extract pertinent case details, adhere to HIPAA, and follow OPAS/Optum guidelines while meeting time expectations. The role offers telecommuting...Daily paidRemote jobLocal area
- Children's Health in Dallas seeks a Denials Management Specialist to lead denial... ..., with a hybrid schedule (remote with onsite 2x/month) in a pediatric... .... The ideal candidate has RN licensure, at least 3 years... ...payer policy navigation and appeal strategies. #J-18808-Ljbffr...Remote job
- Partner Company is seeking a Case Manager - Utilization Review Specialist for a fully remote position based in the United... ...necessity, and coordinate appeals to support patient care and financial performance.... ...evaluate records, identify denials, and work with physicians,...Remote job
- Providence Jobs is seeking a Care Manager RN for a remote, full-time position with day shifts in Torrance, CA. The role focuses on managing clinical appeals between Providence Health and Services and external payers, advocating for reimbursement and maintaining patient-...Remote jobFull timeDay shift
$48.52 - $72.78 per hour
...RN Complex Care Manager - Outpatient OB GYN Bellingham, WA | Nursing | Per Diem/Relief PeaceHealth is seeking an RN Complex Care Manager Outpatient OB GYN for a Per Diem... .... Ability to work in an independent and remote environment as position may be a hybrid of onsite...Daily paidRemote workWork experience placementLocal areaWork from home$36 - $40 per hour
...own path. We’re a remote-first staffing and... ...mid-Revenue Cycle management within the healthcare... .... If you are an Appeals and Denials Nurse looking for... ...Our requirements: RN or FMG: CDIP, CCDS... ...be from post-acute care facilities. (... ...Completes all assignments per the turnaround...Remote workPermanent employmentFull timeWork visaNorwood
New York, NY5 days ago- ...RN CASE MANAGER – CARE MANAGEMENT DEPARTMENT - University of New Mexico Hospital – Albuquerque... ...hospitalized. They provide provider support, appeals and denials and work directly with insurance... ...patient interaction. Primarily a remote work from home position once...Remote workFull timePart timeReliefWork from homeRelocation packageMonday to FridayNight shiftDay shiftAfternoon shiftWeekday work
University of New Mexico
Albuquerque, NM4 days ago - ...experience writing inpatient appeal letters Experience working with... ...Qualifications Experience with denials related to post-acute or... ...populations Familiarity with Cobius Manager (or similar systems) Strong... ...client relationships nationwide Remote opportunities that allow for positive...Remote workPermanent employmentFull timeWork visa
$40 per hour
...Description Job Description The Denial and Appeals Management Nurse works remotely Monday through Friday, generally... ...using clinical expertise, managed care experience, and strong documentation... ...Skills Active Registered Nurse (RN) with graduation from an accredited...Remote workContract workTemporary workWork at officeMonday to FridayShift workActalent
Cleveland, OH1 day ago$27.73 - $54.06 per hour
...This is a remote field-based role requiring travel in the greater... ...Summary Provides support for care management/care coordination long-term... ...) meetings for approval or denial of services and informal ICT... ...experience. • Registered Nurse (RN). License must be active and...Remote workHourly payFull timeWork experience placementWork at officeLocal areaMolina Healthcare
Cicero, IL3 days ago- SolutionHealth in Manchester, NH seeks a Nurse Appeals Specialist to evaluate clinical documentation and support the denial appeals process. You will work with clinical and revenue cycle teams to reduce denials and improve revenue integrity. The role involves reviewing...
- ...HealthFlex has been awarded: ~“Home Care EliteTop 500 Agency” ~“Best... ...Hospice Registered Nurse (RN) Case Manager who strives to make a real... ...: Full Time, Part Time or Per Diem Responsibilities Completes... ...Flexible Schedule Work Remote and Independently Successful...Daily paidRemote workFull timePart timeWork at officeRelocation packageFlexible hours
HealthFlex Home Health Services
Santa Clara, CA18 hours ago $38 - $42 per hour
Forthright Case Management Llc is seeking a compassionate Per Diem Nurse Case Manager to join our Idaho-based team. This... ...flexible, field-based role coordinates care for injured workers, communicates... ...for advancement. Valid RN license and drivers license required...Daily paidRemote jobHourly payFlexible hours- ...Hospice Registered Nurse (RN) Case Manager HealthFlex is seeking a compassionate... ...: Full Time, Part Time or Per Diem Responsibilities:... ...Provides professional nursing care by utilizing all elements of... ...Flexible Schedule Work Remote and Independently Successful...Daily paidRemote workFull timePart timeWork at officeFlexible hours
- Overview Seeking a dedicated RN Case Manager to coordinate and deliver in-home nursing care. This role involves managing one client, performing clinical assessments... ...Work Environment Client homes, local office, and remote work as needed #J-18808-Ljbffr Homewatch Caregivers...Daily paidRemote workCasual workWork at officeLocal areaFlexible hours
$34.5 - $50.54 per hour
...Description Schedule: Per-Diem FLSA Status:... ...The Case Manager is accountable for... ...coordinate the plan of care among all members of... ...approval criteria, and appeals process. The... ...Advisor all appeals or denials received. The Case... ...active valid Maine RN license. Recognition...Daily paidHourly payLocal areaNight shiftWeekend workCarypines
Caribou, ME4 days ago$35 - $50 per hour
...Health & Hospice is seeking RN's for our Home Care Division. Home Care Nurses... ..., medication / pain management, wound care and IV infusion... ...~ On the road Work Remotely ~ No $5000 Sign on Bonus... ...Types: Full-time, Part-time, Per diem Salary: $35.00 - $50.00...Daily paidRemote workHourly payFull timePart timeRelocation packageMonday to FridayFlexible hoursMid Michigan Home Health Care Inc
Genesee, MI1 day ago$1,830 per month
...Profession RN Specialty Peds... ...Nurse Externs available per diem Type of Equipment: Baxter... ..., Medtronic Vital Sync Remote Surveillance System... ...the Pediatric Intensive Care Unit (PICU) for step-down... ...that enhance the appeal of this unit: Staff...Daily paidRemote workWeekly payShift workWeekend workHCA CJW MEDICAL CENTER CHIPPENHAM CAMPUS VA
Richmond, VA4 days ago- UT Southwestern Medical Center is seeking a Technical Denials Management Specialist II in the Revenue Cycle Department to review, research, and resolve claim denials and appeals for various insurers, while identifying payment trends to maximize collections. This WFH role...Remote jobWork at officeWork from home
$40 - $46 per hour
...immediately hiring for a RN Clinical Appeals Specialist... ...Philadelphia PA 19103 (Remote) As a RN... ...Specialist you will: Manage assigned clinical... ...review including denial letters medical... ...Utilization Management Care Management Claims... ...*: $40 - $46 per hour *Pay range...Remote workHourly payFull timeContract workTemporary workFor contractorsWork experience placementWork at officeImmediate startWorldwideFlexible hoursInnova Solutions
Philadelphia, PA29 days ago- HonorHealth is seeking an RN Utilization Review Specialist to review and monitor health care service utilization, ensuring appropriate... .... You will work with the Care Management team to ensure documentation... ..., and care teams to address denials and #J-18808-Ljbffr...Daily paidRemote job
$52.62k - $78.94k
...Yes Hou rs Per Week: 40... ...when payments or denials are received, Communicate... ..., and Appeal requests. Identify... ...Integrity management. Responsible that... ...hospital managed care contracts; government... ...with AAH Remote work policy T... ...part-time, per diem, temporary, etc...Daily paidRemote workFull timeTemporary workPart timeFor contractorsFlexible hoursShift work$113.73k - $170.46k
...patients receive high-quality care while efficiently utilizing medical... ...of financial stewardship and denial prevention. Focuses on... ...Certifications: ~ Registered Nurse (RN) licensure in the state of... ...variances to the on-site care management teams when appropriate....Remote workFull timeWork experience placement- ...Clinical Denial Management NurseTurn clinical expertise into stronger appeals, better reimbursement, and fewer denials... ...enterprise.Work Style: Remote Location Requirement:... ...integrity, managed care, utilization review, and... ...as a Registered Nurse (RN) or Licensed Practical...Remote workFull timeWork at office
UF Health
Jacksonville, FL1 day ago $41.51 - $52.19 per hour
...Case Manager - RN Company: Margaretville Hospital City/State... ...status (full-time, part-time or per diem), relevant skills,... ...Case Manager coordinates care and service of selected patients... ...Health Information Manager to appeal insurance denials. Set up peer to peer if...Daily paidHourly payFull timePart timeLocal areaFlexible hoursShift workWMCHealth
Margaretville, NY18 hours ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote RN Care Manager - Appeals & Denials (Per Diem). Be the first to apply!
Related searches