Remote RN Appeals Consultant - Medicare Part C
CVS Health
- Remote job
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 in your time zone and a rotation of weekends/holidays. The position supports a remote, team-driven environment in a fast-paced clinic setting. Qualified applicants must hold an active RN license in their state of residence and possess an Associate's degree in Nursing (Bachelor's preferred). #J-18808-Ljbffr CVS Health
- CVS Health is seeking an Appeals Nurse Consultant to evaluate medical necessity for Medicare Part C appeals. The role requires an active RN license, strong communication, and organizational... ...independent and team collaboration in a remote setting, handling multiple systems,...Remote jobFull time
- 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... .../holiday rotations. Required RN licensure in your state, strong...Remote job
- ...in the United States is seeking an Appeals Nurse Consultant to evaluate Medicare Part C medical necessity for members and... ...action with team collaboration in a remote setting. The position features a 4... ...benefits package; requires an RN license and nursing degree, with a...Remote jobWeekend work
- CVS Health is seeking an Appeals Nurse Consultant to process Medicare Part C appeal requests from members and providers. The role is production-based and remote, with a 40-hour work week and occasional... .... Qualified candidates hold an RN license, demonstrate strong communication...Remote job
- CVS Health is seeking an Appeals Nurse Consultant to review and determine medical necessity for Medicare Part C appeals from members and providers... ...production role requires RN licensure, strong written and... ...to work independently in a remote, fast-paced environment. Typical...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 and strong communication... ...quality care. The role supports remote work within the U.S. time zones....Remote jobFull timeWeekend work
$54.1k - $142.58k
...CVS Health Nurse Appeal Consultant We're building a world... ...we do. Join us and be part of something bigger... ...medical necessity of Medicare Part C appeals from both members... ...while working remotely. The Medicare Clinical... ...active and unrestricted RN licensure in state of...Remote workFull timeLocal areaShift workWeekend work$54.1k - $142.58k
...we do. Join us and be part of something bigger -... ...to change. The Appeals Nurse Consultant position is responsible... ...medical necessity of Medicare Part C appeals from both members... ...while working remotely. The Medicare Clinical... ...active and unrestricted RN licensure in state of...Remote workHourly payFull timeTemporary workLocal areaShift workWeekend work- Tanaq Support Services (TSS) seeks a Medicare Clinical Appeals Reviewer to support a federal contract. The Appeals Professional III... ...independent second-level determinations under Medicare Part C rules. This fully remote role requires licensed healthcare professionals and...Remote jobContract work
- ...Appeals Processor III - RN ~ salary ~ Unavailable ~ Hours per week ~40... ...join our dedicated team in a remote capacity. The Appeals Processor... ...related to Medicaid or Medicare coverage decisions. This role... .../Medicare (especially Part C) ~ Experience reviewing medical...Remote workContract workFor contractorsFor subcontractorShift 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
- Humana Inc. in the United States is seeking a Part C G&A Nurse (Utilization Management Nurse 2) to support... ..., review medical documentation and coordinate appeal determinations. This remote, full-time role requires an RN with a compact license, 3+ years of clinical experience...Remote jobFull timeWeekend work
- ...Inpatient Lactation Consultant Opportunity Inova Fair Oaks Hospital is... ...the team. This position offers part-time hours, with day and evening... ...a top employer in both the D.C. metro area and the nation.... ...schedules. Registered Nurse (RN) Job Responsibilities: Provides...Part timeFlexible hoursShift workWeekend workDay shiftAfternoon shiftWeekday work
- ...healthcare is often hard to come by. Working remotely within a collaborative, physician-led... ...Nurse Practitioner to serve as a remote consultant supporting correctional healthcare teams... ...is strongly preferred. This part-time role requires 20 hours per week, with...Remote workFull timePart time
- ...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- ...Systems, Inc. is seeking a Proposal Manager Consultant in Washington, DC to lead the development of prime proposals. This part-time role, mainly remote with occasional office hours, requires... ...candidate will have over 5 years of A/E/C proposal experience, strong...Remote jobPart timeWork at office
- 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
- 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
- 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 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
- 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
- ...Remote Travel Specialist (part time) Conway, New Hampshire, United States Or refer someone Job Openings About the Job Remote Travel Specialist (part time) As a Remote Travel Specialist, you will be an essential part of our team, guiding clients through every...Remote workPart time
- ...documentation in the Medical Record.Seeking RN candidates with a HCS-D - Home... ...Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Remote position in New York.Job... ...optimization.4. Audits and reviews Medicare/non-Medicare charts to ensure that...Remote workHourly payFull time
$30 per hour
...is different from what you may do in a more traditional sleep consulting practice. Rather than providing in-person or phone 1-on-1 consults... .... We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications,...Remote workHourly payContract workPart timeLocal areaFlexible hours- ...Must Have's: 1. Experience implementing Medicare LOB on Facets platform 2. Knowledge of CMS... ...Examples include: 1. MOOP Accumulator Accuracy (Part C only) If the system triggers $0... ..., denial codes, retro PA, and overturned appeal flows. 9. Admit Date Payer Responsibility...Remote workDaily paidContract workShift work
$30 - $38 per hour
A healthcare organization is seeking a part-time Utilization Review Nurse RN to conduct assessments and reviews for medical necessity of treatment requests... ...reviews for pre-certification requests, processing appeals, and working collaboratively with hospital staff. Candidates...Remote jobHourly payPart time$100 per hour
...IP Litigation Consultant (Patent Attorney) – Remote – $100/hr DOE | 20–25 hrs/week We’re excited to share a unique consulting opportunity for an experienced... ...for someone who enjoys high-level advisory work, values part-time flexibility, and can translate complex IP analysis...Remote workPart timeImmediate startFlexible hours
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