Remote Appeals Case Manager II
Guardian Life
- Remote job
Guardian Life is seeking Appeals Case Manager II to adjudicate assigned Group Life and Disability appeals under ERISA, evaluating claim files and applying plan provisions in accordance with regulations. The role supports Group Short-Term Disability, Long-Term Disability andLife Waiver of Premium appeals, requiring strong judgment and independent prioritization. Remote position with potential travel, offering a competitive compensation package and benefits. #J-18808-Ljbffr Guardian Life
$26 per hour
...ways to meet the community's needs. Case Manager II - Medicare & Waivers Reports To: Program... ..., with flexibility for occasional remote work or adjustments to daily schedule as... ...applications, renewals, reassessments, appeals, or verification processes. Experience...Remote workFull timeCasual workWork at officeLocal areaWork from home$66.94k - $101.26k
...independent registered nurse to fill a Medical Case Manager position in Rogers, AR. Work from... ...at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be... ...Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Remote...Remote workMinimum wageFull timeWork at officeLocal areaWork from homeMonday to FridayFlexible hoursNight shift- 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
$33.55 - $41.93 per hour
# **We value your privacy**Case Manager II page is loaded## Case Manager IIremote type: In Personlocations: Los Angeles, CA 90063time type... ...evidence, or challenge the accuracy of the background report.remote type: In Personlocations: Los Angeles, CA 90063time type: Full...Remote workHourly payLocal areaFlexible hours$22.07 - $25.31 per hour
...Case Manager II Main Office - Denver, CO 80231 Overview Salary Range $22.07 - $25.31 Hourly Position Type Full Time Education Level... ..., including team meetings. Work independently in a remote environment as well as in office as required and requested depending...Remote workHourly payFull timeWork at office$66.94k - $101.26k
...Description Job Description The Telephonic Case Manager coordinates resources and develops cost-... ...department and of CorVel. This is a remote role. ESSENTIAL FUNCTIONS &... ...modified at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be...Remote workMinimum wageFull timeLocal areaFlexible hours- ...and Intellectual Disabilities in Corpus Christi, TX seeks a Case Manager II for the Youth Empowerment Services (YES) Waiver Program. The... ...based supports for ages 3-18. The position is on-site with no remote work, requires a bachelor’s or advanced degree in a relevant...Remote work
$27 - $31 per hour
Immediate need for a talented Appeals & Grievances Case Manager (California). This is a 06+months contract opportunity with long-term potential and is located in Los Angeles, CA (Remote). Job ID:26-31017 Pay Range: $27 - $31/hour. Traveler benefits as per agency package...Remote workContract workLocal areaImmediate start$66.94k - $101.26k
...independent registered nurse to fill a Medical Case Manager position in Washington and must reside in... ...at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may... ...drug free workplace, and complies with ADA regulations as applicable. #LI-Remote...Remote workMinimum wageFull timeWork at officeLocal areaWork from homeMonday to FridayFlexible hours- Pyramid Consulting, Inc. is seeking a Healthcare Case Manager for a 9-12 month contract located in California with remote work options. The role requires handling appeals and grievances with a strong focus on member satisfaction. The ideal candidate has 5+ years in healthcare...Remote jobContract workMonday to Friday
- ...Elevance Health is seeking a Telephonic Nurse Case Manager II to coordinate care for members with complex needs. This role is primarily telephonic... ...sessions, offering hybrid flexibility and the option to work remotely within commuting distance of an Elevance Health location. The...Remote work
- ...Elevance Health seeks a Telephonic Nurse Case Manager II to manage care plans for members with complex needs. The role is remote with some in-person training, requiring a valid RN license and multi-state licensure where applicable. Candidates should have a BA/BS in...Remote work
- ...Elevance Health is seeking a Telephonic Nurse Case Manager II to coordinate care for members with complex needs. The role emphasizes telephonic care management across the care continuum and collaboration with clinicians and care teams. Requires an active RN license, a...Remote work
- ...Elevance Health seeks a Telephonic Nurse Case Manager II to support members via telephonic care management. The role offers virtual work with occasional in-person trainings and potential alternate locations within commuting distance.Requires RN license, BA/BS in health...Remote work
- ...Elevance Health is seeking a Telephonic Nurse Case Manager II to coordinate care for members with complex needs via telephone, enabling virtual work with mandatory in-person trainings as required. Candidates must hold an RN license and have clinical experience.The role...Remote work
- ...Elevance Health in the United States is hiring a Telephonic Nurse Case Manager II to coordinate care for members remotely, with in-person training sessions as required. This role supports work-life balance and autonomy while ensuring high-quality case management. Candidates...Remote work
- ...Elevance Health seeks a Telephonic Nurse Case Manager II to oversee care management for members with complex chronic needs. The role is performed... ...vary by location (e.g., NY/VA) with a comprehensive benefits package and a hybrid/remote work arrangement. #J-18808-LjbffrRemote workWork at office
- ...Elevance Health is seeking a Telephonic Nurse Case Manager II to manage care for members with complex needs. This is a remote-friendly role with required in-person training sessions and occasional office visits, aligning with our hybrid work approach. The role requires...Remote workWork at office
$26 per hour
...Finding new and original ways to meet the community's needs. Case Manager II - Eviction Prevention Reports To: Program Manager -... ...This is an in-office position, with flexibility for occasional remote work or adjustments to daily schedule as operational needs allow...Remote workFull timeTemporary workCasual workWork at officeLocal areaImmediate startWork from home- ...Managing appeals cases, the full-time Appeals Specialist II will review documentation, communicate resolutions, and coordinate with departments to ensure compliance in a remote work environment. Key responsibilities Manage appeals cases and document all actions taken...Remote workFull time
- ...Nurse Case Manager II Our client, a Retail Pharmacy company, is looking for a Nurse Case Manager II for their Falls Church, Annandale, Springfield, Arlington, Alexandria Counties, VA location. Responsibilities: The Case Manager utilizes a collaborative process...Remote workWork at office
- Pyramid Consulting, Inc. is seeking an Appeals & Grievances Case Manager for a California-based contract role in Los Angeles, with remote work options. The position targets candidates with extensive appeals experience in health plans, including member and provider appeals...Remote jobContract work
$75.68k - $119.2k
...Telephonic Nurse Case Manager II Telephonic Nurse Case Manager II Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity...Remote workFull timeWork at officeLocal areaMonday to FridayAfternoon shift$26 per hour
...Finding new and original ways to meet the community's needs. Case Manager II - Housing Stability Reports To: Program Manager - Housing... ...is an in-office position, with flexibility for occasional remote work or adjustments to daily schedule as operational needs allow...Remote workFull timeCasual workWork at officeLocal areaWork from home- Baptist is seeking an experienced Denial Mitigation-Appeal Specialist II RN to support revenue cycle efforts by reviewing clinical records, preparing... ...ability to work with physicians and coding/billing teams. Remote work may be possible after probation based on productivity....Remote workTrial period
- ...Albert Einstein Medical Center in Pennsylvania seeks a Revenue Cycle Representative II to review complex claim denials, interact with payers, departments, and patients, and initiate corrective actions. Requires 3+ years in hospital revenue cycle, knowledge of payer contracts...Remote workWork at officeWork from home
- Medica is seeking an Appeals & Grievances Intake Coordinator II to handle intake, case entry, and routing for member and provider appeals and grievances. Responsibilities include applying guidelines to classify cases, entering data accurately, and routing to the correct...Remote job
- The University of Texas Southwestern Medical Center is seeking a Technical Denials Management Specialist II to review, research, and resolve claim denials and appeals for various insurers. The role emphasizes follow-up and resolution of denied claims, with no direct billing...Remote job
- Elevance Health in the United States seeks a Telephonic Nurse Case Manager II to oversee care management for members with complex and chronic care needs, focusing on assessing, developing, implementing, coordinating, monitoring, and evaluating care plans in a flexible,...Remote jobFlexible hours
- Elevance Health seeks a Telephonic Nurse Case Manager II to manage care for members with complex needs. This remote, full-time role requires a BA/BS in a health-related field, a current RN license, and multi-state licensure if serving multiple states. Hours are standard...Remote jobFull time
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