Remote Clinical Appeals RN: Boost Reimbursement Outcomes
Health Business Solutions LLC
- Remote job
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 and improve reimbursement outcomes. The role requires an active US RN license and 3–5 years of clinical nursing experience, with preferred BSN. #J-18808-Ljbffr Health Business Solutions LLC
- ...Clinical Appeals Nurse (RN) Status: Exempt Location: Remote Department: Clinical Appeals Reports To: Director of Clinical Appeals Position Overview The... ...critical part in overturning denials, improving reimbursement outcomes, and ensuring compliance with payer policies...Remote workReimbursement
$70k - $80k
...Piper Companies is seeking a Clinical Appeals Nurse for a fully remote healthcare-based opportunity. This Clinical... ...Active Registered Nurse (RN) license in the State of North Carolina... ...judgment in support of coverage or reimbursement determinations. Excellent written...Remote workReimbursementLong term contract$29 - $52 per hour
...Growing together. The Clinical Claim Review RN will be responsible... ...policies, reimbursement policies, and contract... ...Auditor will support appeal and fraud investigation... ...This position is Remote in Massachusetts. You... ...and improves health outcomes - an enterprise priority...Remote workReimbursementHourly payMinimum wageFull timeContract workWork experience placementLive inLocal areaMonday to FridayShift work$29 - $52 per hour
...Optum Clinical Claim Review Nurse Optum is a global... ...improve health outcomes by connecting people with... ...support negotiations and appeals process Ensue adherence... ...compliance policies, reimbursement policies, and contract... ...and unrestricted RN license in the state of...Remote jobReimbursementHourly payMinimum wageFull timeContract workTemporary workWork experience placementWork at officeLocal area- ...Job Description The Clinical Appeals Specialist reviews clinical... ...supporting accurate reimbursement. This position... ...status, actions taken, and outcomes in the designated tracking... ...a private and secure remote work environment... ...Qualifications Active RN, MD, or DO credential....Remote workReimbursement
$90k
...Professional License and Certification Reimbursement - Paid Time Off, Holidays and Volunteer... ...at Responsibilities The Clinical Trainer will be responsible for... ...of training activities, attendance, and outcomes to track progress and compliance with regulatory...Remote workReimbursementWeekend work$38.2 - $57.3 per hour
...Advocate Trinity Hospital - Clinical Documentation... ...3 days onsite, 2 days remote Pay Range $38.20 - $57... ...documentation findings and outcomes Educates all internal... ..., coding and reimbursement issues, as well as performance... ...Licensure: Nurse, Registered (RN) Education/Experience...Remote workReimbursementDaily paidFull timeTemporary workPart timeFlexible hoursShift work$121.56k - $181.38k
...Norfolk, Virginia is hiring a Clinical Manager, RN for the Burn Trauma,... ...patient safety and quality outcomes as well as extraordinary patient... ..., Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time... ...positions that are available as remote work, Sentara Health...Remote workReimbursementFull timeTemporary workShift work$121.56k - $181.38k
...General Hospital is hiring a Clinical Nurse Manager, Registered Nurse (RN) for our Vascular... ...patient safety and quality outcomes as well as extraordinary... ...Fertility and Surrogacy Reimbursement up to $10,000 • Paid... ...positions that are available as remote work, Sentara Health...Remote workReimbursementFull timeTemporary workShift work$121.56k - $181.38k
...Leigh Hospital is hiring a Clinical Nurse Manager, Registered Nurse (RN) for our Intermediate... ...(assessment, diagnosis, outcomes identification, planning... ...Fertility and Surrogacy Reimbursement up to $10,000• Paid Time... ...positions that are available as remote work, Sentara Health...Remote workReimbursementFull timeTemporary workRelocationShift work$104.42k - $154.36k
...Sentara Pain Management Clinic in Fort Norfolk is hiring an RN Supervisor! Hours:... ...safety provides high quality outcomes and an exceptional patient... ...Fertility and Surrogacy Reimbursement up to $10000 Paid Time... ...positions that are available as remote work Sentara Health...Remote workReimbursementFull timeTemporary workShift work- ...Clinical Reimbursement Specialist Signature HealthCARE is a family-based healthcare company offering... ...person-directed care and quality outcomes. Many of our facilities continue to receive... ...4 DAYS PER WEEK WITH ONE DAY WORKING REMOTE Our Exceptional Benefits Package...Remote workReimbursementMonday to FridayFlexible hoursNight shift
- ...financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve... ...: The Supervisor, Clinical Appeals is responsible for denials management... ...is expected. This is a remote position. RN license in good standing is required...Remote workReimbursementFull timeImmediate startWork from home
$28.94 - $51.83 per hour
...Ssbv Clinical Claims Review Rn Optum is a global organization that delivers care, aided by technology... ...team will directly improve health outcomes by connecting people with the care,... ...Stock Purchase Plan ~ Education Reimbursement ~ Employee Discounts ~ Employee...Remote jobReimbursementHourly payMinimum wageFull timeTemporary workWork experience placementWork at officeLocal areaHome office- ...our team will directly improve health outcomes by connecting people with the care, pharmacy... .... Primary Responsibilities: Clinical Case Reviews - 75% Perform clinical... ...state and federal compliance policies, reimbursement policies, and contract compliance Use...Remote jobReimbursementContract workWork at officeLocal areaMonday to Friday
- ...Sciences is seeking a clinically experienced and strategically... ...Clinical Claims Appeals Manager who is a Registered Nurse (RN), preferably bachelor'... ...writing to improve reimbursement outcomes for Caris molecular profiling... ...in a desk or remote office environment....Remote workReimbursementFull timeCasual workWork at officeAfternoon shift
$35.84 - $58.84 per hour
...Rochester State MN Remote NO Department Nursing Why Mayo Clinic Mayo Clinic is top-... ...Dental: Delta Dental or reimbursement account for flexible... ...Responsibilities The RN on Mayo 15 provides care... ...management, follow-up care, outcome management, and phone...Remote workReimbursementFull timeMonday to FridayFlexible hoursWeekend workDay shift$93.35k - $132.43k
...Sentara Health Plans is hiring a Clinical Claims Reviewer/ RN - Remote! Status: Full-time, permanent position... ..., accuracy, and appropriate reimbursement. RN BSN Required. Must possess 3 years... ...Nursing Clinical Claims Reviewer, Appeals, Denials, Utilization management,...Remote workReimbursementPermanent employmentFull timeTemporary workWork at officeShift work- ...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 workFull time
- UnitedHealth Group is seeking a Remote Appeals Clinician in Texas. You will conduct comprehensive reviews... ...), evaluate records, and provide independent clinical judgments on medical necessity. Requirements include a Texas RN license and 2+ years in Medicaid with data-entry...Remote jobFlexible hours
$91.6k - $151.1k
...Clinical Specialist We are the people who give possibilities... ...based on improved clinical outcomes and process enhancements which... ...flexibility and work-life balance. Remote or field-based positions... ...LTI Bonus Potential reimbursement of vehicle use/mileage Potential...Remote workReimbursementDaily paidTemporary workWork at officeFlexible hoursShift work- ...current E.1 Reports To Clinical Nurse Coordinator or assigned APRN/RN; operationally... ...site-, telehealth-, and remote-patient-monitoring-enabled... ...resources. Shared outcome contribution: resident... ...salary costs, duplicate reimbursement, or charge unallowable activity...Remote workReimbursementContract workImmediate startWork from home
- ...Corporation is seeking an experienced appeals liaison to work remotely within the Eastern and Central time zones. The role focuses on review of clinical information to determine medical necessity... .... Candidates must hold an active RN or LPN/LVN license with several years...Remote job
- UnitedHealthcare is seeking a Remote Appeals Clinician to conduct comprehensive clinical reviews of Medicaid appeals (H6516/H2060). The role requires an active Texas RN license and 2+ years of Medicaid experience. You will evaluate records, provide independent judgments...Remote jobMonday to Friday
- ...to the Associate Director of Clinical Support and supports the... ...achieve customer identified outcomes Interview stakeholders, process... ...and work-life balance. Remote or field-based positions will... ...Discretionary LTI Bonus Potential reimbursement of vehicle use/mileage...Remote workReimbursementDaily paidTemporary workWork at officeFlexible hoursShift work
$75k
...Asure Wound Solutions is seeking a Clinical Specialist, Wound Care Supplies for a remote role based in the St. Louis area. You must live locally and be comfortable... ...care knowledge. Wound care certification is preferred and travel reimbursement is provided. #J-18808-LjbffrRemote workReimbursement- 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 jobWeekday work
- ...currently seeking a highly skilled Clinical Appeals Nurse to play a crucial role... ...proper patient services and reimbursement. # Interpret and apply ICD... ...of all appeals processes, outcomes, and communications. #... ...Active Registered Nurse (RN) license in the Philippines,...Reimbursement
$75k
...Wound Solutions in the Portland, ME area is seeking a Clinical Specialist, Wound Care Supplies. This remote position requires you to reside near Portland and... ...salary of $75,000 per year and benefits including travel reimbursement, holidays, PTO, and #J-18808-LjbffrRemote workReimbursement$75k
...Clinical Specialist, Wound Care Supplies Asure Wound Solutions is seeking a highly skilled... ...Supplies to join our team. This is a remote position based in the Fayetteville area... ...is $75,000/yr. Benefits include: travel reimbursement, paid holidays, PTO, health benefits....Remote workReimbursementWork at officeMonday to FridayShift work
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