Remote RN Clinical Appeals Supervisor

CorroHealth, Inc.

CorroHealth, Inc. seeks a Supervisor, Clinical Appeals to lead a denials-management team of Appeal Coordinators supporting Corro Clinical clients. This remote role requires an RN in good standing and strong leadership to mentor staff, manage workflows, and ensure quality across the appeals process. You will oversee operations, set performance standards, and coordinate with payers and internal stakeholders while ensuring HIPAA/HITECH compliance and a focus on process improvement.

#J-18808-Ljbffr

Apply

Vacancy posted 4 days ago

Similar jobs that could be interesting for youBased on the Remote RN Clinical Appeals Supervisor in Springfield, IL vacancy

Remote RN: Medicaid Appeals Clinical Coordinator
...UnitedHealth Group is seeking an HSS Clinical Coordinator RN to conduct clinical reviews and evaluations related to Medicaid appeals, ensuring compliance and accuracy in assessments. This remote role is ideal for experienced RNs seeking meaningful patient-care impact....
Remote work
Full time
UnitedHealth Group
United States
5 days ago
Remote RN Clinical Coordinator - Medicaid Appeals
...UnitedHealth Group is seeking a Clinical Coordinator RN for a Telecommute role in Texas. You will conduct... ...comprehensive clinical reviews of appeals, evaluate medical records, and provide... ...and collaboration within a remote team, with weekday daytime hours. Ideal...
Remote work
Weekday work
United Healthcare Services Inc
United States
4 days ago
Remote RN Supervisor, Clinical Appeals Lead
...CorroHealth Inc. is seeking a Supervisor, Clinical Appeals to lead the Appeals team in denials management for our clinical clients. You will oversee... ...drive process improvements across workflows. This is a remote position requiring strong leadership, collaboration with...
Remote work
CorroHealth Inc
United States
2 days ago
Clinical Supervisor RN - Denials/Utilization Management
...Clinical Supervisor, UM Denial ComplianceLocation: Los Angeles Metropolitan Area... ...Position Type: Hybrid (85% remote, 15% onsite in Burbank, CA) Company... ...Registered Nursing Program; RN preferred.Minimum of five years in prior-authorization, appeals & grievance, or health plan...
Remote work
Permanent employment
Temporary work
Vivo HealthStaff
Burbank, CA
4 days ago
Remote RN Appeals Clinician I
...Health Solutions is seeking an Appeals Clinician I to work from home... ...or Utah. You will complete the clinical component of all appeal types... ...and policy knowledge. As an RN with a Bachelor’s in Nursing... ...clinical and non-clinical staff. Remote option supported. #J-18808-...
Remote work
Work from home
Cambia Health Solutions
Eagle, ID
2 hours ago
Remote Appeals Clinician I - RN Advocate
...Cambia Health Solutions is seeking an Appeals Clinician I to work from home across Oregon, Washington, Idaho or Utah. You will apply... ...emphasizes collaboration with physician advisers and educating non-clinical staff, leveraging experience in clinical care, coding, and...
Remote work
Work from home
Cambia Health Solutions
United States
4 days ago
REMOTE RN OPPORTUNITY ($53/h) - GRIEVANCE & APPEALS / UM
$53 per hour
...Job Description Job Description REMOTE RN OPPORTUNITY – GRIEVANCE & APPEALS / UTILIZATION REVIEW $53/hour | 100% Remote | Long-Term Contract... ...Managed care, Medicare/Medicaid experience Strong clinical judgment and communication skills Why Apply? Work...
Remote job
Long term contract
Work from home
Monday to Friday
Shift work
Weekday work
Phaxis - Healthcare
Huntington, NY
6 days ago
Remote RN Appeals Clinician I - Health Care Advocate
...Health Solutions is seeking an Appeals Clinician I who will work from... ...or Utah. You will leverage clinical expertise to complete the clinical... .../provider appeals. As an RN with a Bachelor’s degree and at... ...accurate determinations. Remote option supported. #J-18808-Ljbffr
Remote work
Work from home
Cambia Health Solutions
United States
4 days ago
Remote Medical Director, Medicaid Appeals
...Health is seeking a Medical Director to support Medicaid appeals nationwide via a remote, work-at-home arrangement. The role centers on ensuring timely... ...appeals and grievances. The candidate will provide clinical leadership, chair Medicaid appeals meetings, and...
Remote work
Work from home
CVS Health
United States
4 days ago
Remote RN Denials & Appeals Specialist
...Jobgether represents a partner company seeking a Clinical Denials Management Specialist based in the United States. The role is fully remote and focuses on reviewing, appealing, and preventing denied hospital claims across a healthcare system, working with nursing, utilization...
Remote work
Jobgether
United States
2 days ago
Remote Clinical Appeals RN | Utilization & Grievances
...UnitedHealth Group's UnitedHealthcare division is seeking a Clinical Appeals RN to work remotely from anywhere in the United States. You will analyze appeals and grievances, act as clinical interface liaison, and apply evidence-based criteria to determine coverage decisions...
Remote work
Local area
Monday to Friday
UnitedHealth Group
United States
4 days ago
Remote Appeals & Grievances Specialist (RN/LPN/DH)
A healthcare service provider is seeking an Appeals and Grievances Clinical Specialist to manage member complaints and clinical case resolutions. This is a 100% remote role requiring an RN, LPN, or Dental Hygienist license. Responsibilities include developing cases, researching...
Remote work
Healthfirst
United States
1 day ago
Remote RN Clinical Supervisor - Palliative Care (MA)
...Tuesday Health, LLC is seeking a Clinical Supervisor located remotely in Massachusetts to lead field-based clinical staff within Clinical Operations.... ...utilization for patients and families. The role requires an RN with a MA license, a BSN preferred, and 5+ years of...
Remote work
Tuesday Health, LLC
United States
4 days ago
Appeals Medical Director - Radiology Required - Remote
$248.5k - $373k
...,500 - $373,000/yearJob Area: Medical & Clinical OperationsCompany: UnitedHealth GroupAt... ...anywhere.You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you... ...per week.Primary Responsibilities:The Appeals and Grievances Medical Director is...
Remote work
Minimum wage
Full time
Work experience placement
Work at office
Local area
UnitedHealth Group
Cypress, CA
4 days ago
Remote Medical Director, Appeals
$236.5k
...teams to optimize outcomes.Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing... ...off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will...
Remote work
Full time
Part time
Work at office
Flexible hours
Weekend work
Centene
Austin, TX
9 days ago
Remote Clinical Appeals RN: Boost Reimbursement Outcomes
...Health Business Solutions LLC is seeking a Clinical Appeals Nurse (RN) for a remote role. The position focuses on reviewing denied claims for clinical accuracy and medical necessity, developing appeal strategies, and drafting payer-ready documentation to overturn denials...
Remote work
Health Business Solutions
New York, NY
2 days ago
RN Appeals (Remote) - Temp to Perm Role $52/hr
$52 per hour
...Hiring for RN - Appeals (Remote Role) in Somerville, MAShift: Days 5x8 (08:00 - 17:00) Duration: 13 Weeks (Temp to Perm)Pay Rate: $52/hr on W2 ($2,080/WK)OT: $78/hr after 40hrs weeklyRequirements:MA RN License, BLS (AHA)100% remoteLooking for a registered nurse with payor...
Remote work
Permanent employment
Temporary work
Pacer Group
Somerville, MA
4 days ago
RN Denial Mitigation & Appeal Specialist II
...Baptist is seeking an experienced Denial Mitigation-Appeal Specialist II RN to support revenue cycle efforts by reviewing clinical records, preparing appeals, and coordinating... ...with physicians and coding/billing teams. Remote work may be possible after probation based on...
Remote work
Trial period
Baptist.org
Memphis, TN
4 days ago
Clinical Appeals Manager
...Managing appeal inventory for a team of Clinical Specialists, the full-time Clinical Appeals Manager will work remotely, focusing on compliance, triaging expedited appeals, and coordinating with various departments while ensuring high-quality output and adherence to regulatory...
Remote work
Full time
Work experience placement
Weekend work
Virtual Vocations Inc
United States
4 days ago
California Licensed Clinical Appeals RN
...Providing expertise in clinical appeals and grievances, the part-time California Licensed Clinical Appeals RN will review medical records, analyze appeals, and serve as a Clinical Interface Liaison while working remotely on a schedule of M-F with alternating Saturdays....
Remote work
Part time
Work at office
Virtual Vocations Inc
United States
4 days ago
Clinical Appeals Coordinator
$33.71 - $60.67 per hour
...the liaison for all statewide appeals, fair hearings, review organizations... ...NCQA requirements. ~ Review clinical information for all appeals... ...Education/Experience: RN with 4+ years of clinical nursing... ...approach to work with remote, hybrid, field or office work...
Remote work
Hourly pay
Full time
Part time
Work at office
Flexible hours
Centene Corporation
Oregon State
3 days ago
RN Clinical Supervisor
$60 per hour
...patients. You are a Registered Nurse (RN) who operates with great attention... ...This part-time, flexible, primarily remote position provides clinical oversight of skilled nursing services... ...to complex treatments. Our team of supervisors works with each family to create a personalized...
Remote work
Full time
Part time
Flexible hours
Shift work
Atlas Home Health Inc
Napa, CA
4 days ago
Clinical Supervisor Hospice RN
...of professional nursing.Required to have and maintain a valid clinical license, per state requirements, or in accordance with the board... ..., including word and excel.Other than for designated full-time remote positions, in-office attendance is essential in order to achieve...
Remote work
Full time
Work at office
Local area
Enhabit Home Health & Hospice
Scottsboro, AL
3 days ago
Remote RN Appeals Clinician - Patient Care Advocate
...Cambia Health Solutions is seeking an Appeals Clinician I to work remotely from within Oregon, Washington, Idaho or Utah.... ...resolve member and provider appeals using clinical expertise and policy guidelines, supported by RN licensure and a BSN. This role requires...
Remote work
Cambia Health Solutions
New York, NY
2 hours ago
RN Grievance and Appeals - Health Plan
$52 - $56 per hour
...RN Grievance & Appeals Specialist | Remote | ContractRNs with direct, payer-side Grievance & Appeals experience —this opportunity is for you.We’re seeking an RN who has personally managed clinical grievances and appeals from investigation through the final determination...
Remote work
Afternoon shift
Phaxis
New York, NY
4 hours ago
RN Appeals Specialist Remote-Eligible Medical Necessity
...Elevance Health is seeking a Nurse Appeals professional to investigate and... ...providers. The role supports remote work with required in-person... ...determine payment decisions using clinical criteria and policies. The position requires an active RN license and a HS diploma, with...
Remote work
Elevance Health
New York, NY
4 days ago
Remote Appeals RN - Clinical Decision Expert
...UnitedHealth Group is seeking a Clinical Appeals RN to provide expert analysis of appeals and grievances, acting as a clinical interface liaison... ...and confidentiality adherence. The position offers remote work from anywhere in the U.S., with an M-F schedule of 8:00...
Remote work
UnitedHealth Group
Cypress, CA
5 days ago
Remote Appeals Medical Director - Health Equity Impact
A prominent healthcare organization is seeking an Appeals and Grievances Medical Director to manage clinical reviews of appeals for various health plans. The role offers flexibility to work remotely. Qualified candidates should have an MD or DO, be board certified, and...
Remote work
UnitedHealthcare
Cypress, CA
5 days ago
Remote Appeals RN: Utilization & Grievance Expert
...HealthEdge Software, Inc. is seeking a contract-based professional to manage complex grievances and appeals for members and providers in a remote US-based role. The candidate will review medical necessity across inpatient, outpatient, and ancillary services and prepare...
Remote work
Contract work
HealthEdge
United States
2 days ago
Remote Medical Director, Medicare Appeals & Policy
...CVS Health, through its Aetna subsidiary, seeks an experienced Medical Director to lead Medicare Appeals. This remote role can be based anywhere in the United States and supports a national scope, with eligibility for CVS Health's bonus and equity programs. You will...
Remote work
CVS Health
United States
2 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote RN Clinical Appeals Supervisor. Be the first to apply!