Remote Clinical Appeals Analyst (RN/LPN/PT/OT)

$70k - $80k

Piper Companies

Piper Companies is seeking a Remote Clinical Appeals Analyst to provide clinical expertise in reviewing and resolving complex member and provider appeals. Candidates must hold an active North Carolina licensure as an RN, LPN, PT, or OT and have significant clinical experience. The salary range is $70,000 - $80,000, along with company-subsidized medical, dental, and vision benefits. Key responsibilities include consultation with non-clinical staff, compliance coordination, and complex case analysis. This is a full-time contract role with a Monday to Friday schedule. #J-18808-Ljbffr

Apply

Vacancy posted 4 days ago

Similar jobs that could be interesting for youBased on the Remote Clinical Appeals Analyst (RN/LPN/PT/OT) in Cary, NC vacancy

Clinical Marketing Liaison (RN, LPN, PT, OT, SLP, RT)
...Lake City, FL is looking for a Clinical Liaison to join our dynamic and thriving... ...good standing (Registered Nurse (RN), Licensed Practical Nurse (LPN), Respiratory Therapist (RRT), Physical Therapist (PT), Occupational Therapist (OT) or Speech Language Pathologist (...
PTS card
Full time
Day shift
ClearSky Health
Lake City, FL
4 days ago
Appeals and Grievances Clinical Specialist - RN, LPN or Dental Hygienist - 100% Remote
$81.1k - $116.48k
Appeals and Grievances Clinical Specialist - RN, LPN or Dental Hygienist - 100% Remote Join to apply for the Appeals and Grievances Clinical Specialist - RN, LPN or Dental Hygienist - 100% Remote role at Healthfirst . Position Summary: The Appeals & Grievances (A&G) unit...
Remote job
Full time
Monday to Friday
Shift work
Healthfirst
New York, NY
3 days ago
Clinical Analyst Appeals
...support a high-profile team, the full-time Clinical Analyst Appeals will manage clinical appeals and audit... ...and government services in a remote setting, ensuring compliance with federal... ...or professional certifications such as RN, LPN, CPC, RT, MT, or RPH are highly desirable...
Remote work
Full time
Virtual Vocations Inc
United States
2 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
New York, NY
1 day ago
RN-Clinical Review Analyst
...Description Job Description Fully remote- Must have state of MI unrestricted RN license. You will perform... ...service and level of care, including appeal requests initiated by providers,... ...computer skills (Microsoft office) Clinical experience in ICU, ER, or medical...
Remote work
Work at office
Flexible hours
G-TECH Services
Detroit, MI
8 days ago
RN/LPN- Roslindale FT, PT & Per Diem ($5000 Sign-on Bonus )
$32.13 - $48.2 per hour
...compliance with all regulatory, clinical, and organizational policies.... ...: Registered Nurse (RN): Holds full accountability... ...individualized care plans. Supervises LPN and nursing assistant clinical... ...review as appropriate. Remote Type Salary Range: $32.13...
Remote work
PTS card
Daily paid
Relocation package
Shift work
Hebrew SeniorLife
Roslindale, MA
2 days ago
Quality Analyst (Remote, LPN/RN Required)
$45k - $70k
...and guidelines. This role requires strong clinical knowledge, critical thinking skills,... ...engagement. Holds an unrestricted LVN/RN license from an accredited vocational nursing... ...equipment and a media stipend are provided for remote workspace. ABOUT DANE STREET:...
Remote work
Temporary work
Work at office
Work from home
Monday to Friday
Shift work
Dane Street
United States
2 days ago
Remote Clinical QA Coordinator (RN/LPN)
...MES Solutions, located in Atlanta, GA, is seeking a Clinical Quality Assurance Coordinator for a fully remote position. In this role, you will ensure top-... ...standards. The ideal candidate will be an active RN or LPN with strong clinical skills and a commitment to maintaining...
Remote work
Work from home
MES Solutions
Atlanta, GA
4 days ago
Clinical Coordinator (RN)
$90k - $100k
...from patients and staff regarding clinical questions. If additional... ...Requirements ~ Active California RN BSN License ~1-2 years of experience... ...Location: This job is fully remote. Our agency is located in the... ...zone, so availability during PT hours is preferred Salary Range...
Remote work
PTS card
Full time
Obran Cooperative
Torrance, CA
5 days ago
Remote PASRR Clinical Reviewer (RN/LPN, TN)
...Maximus is hiring a Clinical Reviewer, RN/LPN to support the PASRR program in Tennessee. You will review clinical documentation and determine the... ...level of care and prior authorization needs. This remote position requires candidates to reside in Tennessee and offers...
Remote work
MAXIMUS
Nashville, TN
3 days ago
Remote Clinical QA Coordinator (RN/LPN)
...MES Solutions is seeking a self-driven RN or LPN to join as Clinical Quality Assurance Coordinator. This 100% remote role focuses on quality assurance of peer review reports, ensuring evidence-based rationales, references, and compliance with client agreements and regulatory...
Remote work
MES Solutions
Norwood, MA
3 days ago
Medical Review Clinical Appeals Auditor (RN)
$80k - $90k
...Range: $80-90k The Medical Review Clinical Appeals Auditor (RN) is responsible for conducting... ...Reimbursement policy and/or claims software analyst experience may be necessary.... ...the ability to work independently in remote setting with minimum supervision and...
Remote work
For contractors
Immediate start
Work from home
Home office
Flexible hours
Shift work
Performant
United States
5 days ago
Blissful Homecare is Hiring: RN, LPN, PT, OT, HHA, Professionals
...Description Job Description Transform Lives, One Home at a Time RN, LPN, PT, OT, HHA Opportunities in Home Health Territory:... ...and working independently while being backed by a dedicated clinical team, we would love to hear from you. Licensure & Certification...
PTS card
Daily paid
Full time
Part time
Flexible hours
Blissful Homecare, LLC
North Andover, MA
17 days ago
Clinical Coordinator - LPN or RN
...Join to apply for the Clinical Coordinator - LPN or RN role at Paradigm 2 days ago Be among the first 25 applicants Join to apply for the... ...introduction to Paradigm. We are seeking a full-time remote Clinical Coordinator (LPN or RN). The position is responsible...
Remote work
Full time
Part time
For contractors
Relief
Live in
Local area
Monday to Friday
Flexible hours
Weekend work
Paradigm
Orlando, FL
5 days ago
Remote Clinical Quality Assurance Coordinator (RN/LPN)
...MES Solutions is seeking a Clinical Quality Assurance Coordinator (RN or LPN) for a 100% remote role. You will oversee peer review reports, ensure evidence-based rationales, and maintain alignment with client agreements and regulatory standards. The job emphasizes quality...
Remote work
Monday to Friday
MES Solutions
Hanover, MA
2 days ago
Remote Nursing - RN Or LPN - Clinical QA
$26.5 - $28.5 per hour
...Join Our Team as a Clinical Quality Assurance Coordinator! Are you passionate about healthcare... .... ✅ Qualifications: ~5+ years of RN or LPN experience ~ A keen eye for detail and... ...) Workplace Type This is a fully remote position. Application Deadline This...
Remote work
Contract work
Temporary work
Flexible hours
Shift work
Day shift
TEKsystems
Dallas, TX
5 days ago
Corporate Compliance Clinical Auditor
...looking for Corporate Compliance Clinical Auditor to join our teams’... ...in our core values! Remote or Hybrid with travel as needed... ...documentation and contributing to appeal strategies. Coordinate... ...Active clinical license (RN, LPN, PT/OT/ST, etc) Certifications (RAC...
Remote work
PTS card
Work experience placement
Work at office
Majestic Care
Westfield, IN
13 days ago
Remote Clinical Quality Assurance Coordinator (RN/LPN)
...Join MES Solutions as a Clinical Quality Assurance Coordinator in a fully remote role. You will utilize your clinical skills to ensure the quality of peer review... ...regulatory standards. The role requires an active RN/LPN license and a commitment to delivering exceptional...
Remote work
MES Solutions
Atlanta, GA
3 days ago
Clinical Reviewer, RN/LPN (Remote - TN)
$26 - $28 per hour
...Clinical Reviewer, RN/LPN (Remote - TN) Essential Duties and Responsibilities: Review requests for services including admission, discharges and continued stays for adherence to clinical criteria, state and federal policy, and related requirements. Issue approvals...
Remote job
Minimum wage
Contract work
Temporary work
Work experience placement
Maximus
Nashville, TN
1 day ago
LPN/LVN - Clinic
...LPN/LVN - Clinic Excel is seeking highly skilled healthcare professionals for travel assignments across the United States. As a travel... ...Active state licensure in [specify relevant states] (e.g., RN, LPN, PT, OT). Minimum [number] years of experience in [specialty]....
PTS card
Hourly pay
Excel Medical Staffing
Waimea, HI
2 days ago
Clinical Education Resource Nurse RN
$38.91 - $60.31 per hour
...Center, US:CO:Pueblo Department: PMC Clinical Education Work Schedule: Part... ...role and does not offer a hybrid or remote option Summary: This is a PT 0.6 FTE night shift House Clinical... ...Care or Critical Care unit as clinical RN at Parkview or Parkview Pueblo West...
Remote work
PTS card
Full time
Temporary work
Part time
Local area
Flexible hours
Shift work
Night shift
UC Health
Pueblo, CO
14 days ago
Clinical Liaison, Acute Rehabilitation (RN, PT, OT, SLP)
$69.26k - $110.53k
...Job Description Job Description Overview Clinical Liaison Acute Inpatient Rehabilitation Confluence Health... ...Qualifications: Current WA state licensure in nursing (RN) or allied health profession (PT, OT, SLP) required. Experience as a clinical liaison in...
PTS card
Signet Health Corporation
Wenatchee, WA
13 days ago
Clinical Liaison, Acute Rehabilitation (RN, PT, OT, SLP)
...Job Description Job Description Overview Clinical Liaison, Acute Rehabilitation Trinity Health Minot, ND... ...Responsibilities Current North Dakota licensure in nursing (RN) or allied health profession (PT, OT, SLP) required; RN preferred. Three years of...
PTS card
Local area
Signet Health Corporation
Minot, ND
4 days ago
Home Health RN
...Overview Home Health RN seekers, step into a role that blends... ...experience, and a reputation for clinical excellence and safety. Expect... ...AI‑assisted documentation, and remote monitoring that streamline... ...practice providers, pharmacists, PT/OT/SLP, social work, case management...
Remote work
PTS card
Clinical Management Consultants
Rolesville, NC
1 day ago
Home Health Nurse- LPN/ RN
...Private Duty Nurse (RN/LPN) – 1:1 Home Care Lake Orion, MI 12-Hour Day Shifts: 7:00... ...home environment where you will work as the clinical lead alongside a 12-hour daily home... ...robust support system, including in-home PT/OT, massage therapy, and recreational therapy...
PTS card
Full time
Part time
Flexible hours
Shift work
Day shift
Centria Healthcare
Lake Orion, MI
2 days ago
RN / LPN; LPTA / COTA / COF * Diabetic Shoe / Orthotics Sales in SNF
...company seeking road warriors to conduct Diabetic Shoe Clinics and to provide orthotic braces to nursing home residents... ...Reliable Transportation Credentials/Licensed only OT or PT COTA or PTA RN or LPN C-Ped COF ( ABC or BOC ) Orthotist Come...
PTS card
Full time
Flexible hours
Restorative Support Systems Co.
Cranberry Township, PA
16 days ago
Clinical Liaison RN/LPN - Immediate Opening
...Schedule: Monday–Friday during active referral hours, with remote evening and weekend referral coverage as needed Reports... ...is hiring a motivated, responsive, and relationship-driven Clinical Liaison RN/LPN to lead our referral review and admissions process....
Remote work
Full time
Temporary work
Work at office
Immediate start
Relocation package
Monday to Friday
Weekend work
Afternoon shift
Weekday work
SYLVA OPERATIONS LLC
Sylva, NC
1 day ago
RN MedSurg
$2,088 per week
...BONUS Opportunity: RN - MedSurg Job Details... ...• May occasionally monitor remote telemetry patients if Tele techs... ...secure EPIC chat, and weekday OT, PT, and ST services with limited... ...possible, and a career-enhancing clinical experience at the destination...
Remote work
PTS card
Weekly pay
Contract work
Shift work
Night shift
Weekend work
Weekday work
Alliance Services , Inc.
Sheboygan, WI
5 days ago
RN/LPN - PT Nights
$26 - $48 per hour
...On Available Job Summary The Registered Nurse (RN) is responsible for utilizing the nursing process (assessment,... ...and population specific standards as designated in their assigned clinical setting. Cares for residents in all phases of preventative care,...
PTS card
Full time
Part time
Work from home
Shift work
Night shift
Good Samaritan
Gilby, ND
9 hours ago
Home Health Nurse- LPN/ RN
$28 - $33 per hour
...Home Health Nurse- LPN/ RN Hamtramck, Michigan, United States Position Overview... ...Simulation, shadowing shifts, and a 24/7 Clinical On-Call support line. Professional Recognition... ...multiple disciplines—including PT and OT—to provide the most comprehensive programs...
PTS card
Hourly pay
Weekly pay
Daily paid
Immediate start
Shift work
Night shift
Centria Healthcare
Hamtramck, MI
2 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Clinical Appeals Analyst (RN/LPN/PT/OT). Be the first to apply!