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Appeals Nurse Remote Jobs in Nevada (NOW HIRING)

Pharmacy Careers

Appeals Pharmacist (Remote)

Las Vegas, NV · On-site +1

$51.50 - $62.75/hr

Appeals Pharmacist - Ensure Fair Medication Access for Patients A confidential managed care ... Collaborate with physicians, nurses, and medical directors during case reviews. * Track, document ...

Renown Health

Appeals and Grievance Coordinator

Reno, NV · On-site +1

$22 - $27.25/hr

The appeal and/or grievance can include, but is not limited to customer service, claims, referrals, eligibility, and benefit issues. This position is also responsible for compilation of such data as ...

Renown Health

Appeals and Grievance Coordinator

Reno, NV · On-site +1

$22 - $27.25/hr

The appeal and/or grievance can include, but is not limited to customer service, claims, referrals, eligibility, and benefit issues. This position is also responsible for compilation of such data as ...

Pine Park Health

Remote Registered Nurse (RN)

Reno, NV · Remote

Strong experience in remote roles, showcasing proficiency with technology and digital communication ... nursing facilities. * Familiarity with chronic care management and a solid understanding of ...

Pine Park Health

Remote Registered Nurse (RN)

Reno, NV · Remote

Strong experience in remote roles, showcasing proficiency with technology and digital communication ... nursing facilities. * Familiarity with chronic care management and a solid understanding of ...

Pine Park Health

Remote Registered Nurse (RN)

Reno, NV · On-site +1

Strong experience in remote roles, showcasing proficiency with technology and digital communication ... nursing facilities. * Familiarity with chronic care management and a solid understanding of ...

IQVIA

Care Manager

Las Vegas, NV · Remote

... appeal status. The information contained herein is intended to be an accurate reflection of the ... This is a remote position. Job Responsibilities: * Perform outbound calls to obtainappropriate ...

P3 Health Partners

RN Concurrent Review

Henderson, NV · On-site +1

$90K - $100K/yr

We are looking for a RN Concurrent Review . If you are passionate about your work; eager to have ... Work Location & Schedule This role offers either a hybrid or fully remote work arrangement.

Pinion

HR Consultant

Reno, NV · Remote

Remote-based role from California (or Pacific Time Zone) with flexibility and autonomy * The opportunity to work as a strategic advisor with diverse clients across industries * Exposure to complex ...

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See Nevada salary details

$31.1K

$88.1K

$117.6K

How much do appeals nurse remote jobs pay per year?

As of May 28, 2026, the average yearly pay for appeals nurse remote in Nevada is $88,063.00, according to ZipRecruiter salary data. Most workers in this role earn between $67,700.00 and $100,300.00 per year, depending on experience, location, and employer.

What is an Appeals Nurse Remote job?

An Appeals Nurse Remote is a registered nurse (RN) or licensed practical nurse (LPN) who reviews denied medical claims and appeals decisions made by insurance companies. They assess medical records, ensure proper documentation, and determine if the denial should be overturned based on clinical guidelines and payer policies. Working remotely, they collaborate with providers, patients, and insurance representatives to support fair and accurate claim decisions. Strong analytical skills, attention to detail, and knowledge of healthcare regulations are essential in this role.

What are the key skills and qualifications needed to thrive in the Appeals Nurse Remote position, and why are they important?

To thrive as an Appeals Nurse Remote, you need an active RN license, strong clinical knowledge, and experience with utilization review or case management. Familiarity with medical review systems, insurance portals, and secure electronic documentation tools is typically required. Excellent written communication, analytical thinking, and attention to detail are standout soft skills for this role. These abilities ensure accurate, timely appeals processes and support fair, compliant healthcare coverage decisions.

What does a typical day look like for a remote Appeals Nurse?

A typical day for a remote Appeals Nurse involves reviewing denied insurance claims, analyzing patient medical records, and preparing detailed appeal letters to support the need for clinical services. You’ll collaborate electronically with physicians, case managers, and insurance representatives, often attending virtual meetings to discuss case outcomes. Balancing independent focused work with virtual team communication is common. In addition, staying current with evolving healthcare regulations and payer policies is an important ongoing responsibility. This role offers a blend of analytical work and healthcare advocacy, all performed in a remote environment.
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What are popular job titles related to Appeals Nurse Remote jobs in Nevada? For Appeals Nurse Remote jobs in Nevada, the most frequently searched job titles are:
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What cities in Nevada are hiring for Appeals Nurse Remote jobs? Cities in Nevada with the most Appeals Nurse Remote job openings:
Appeals Nurse Remote jobs near you
Infographic showing various Appeals Nurse Remote job openings in Nevada as of May 2026, with employment types broken down into 3% As Needed, 75% Full Time, 18% Part Time, and 4% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $88,063 per year, or $42.3 per hour.

Appeals Pharmacist (Remote)

Pharmacy Careers

Las Vegas, NV • On-site, Remote

$51.50 - $62.75/hr

Other

Posted 4 days ago

Job description

Appeals Pharmacist - Ensure Fair Medication Access for Patients
A confidential managed care organization is seeking an experienced Appeals Pharmacist to review, evaluate, and process medication coverage appeals. This role is ideal for pharmacists who want to leverage their clinical knowledge and critical thinking skills to advocate for patients and ensure fair, evidence-based decisions.
Key Responsibilities

  • Review clinical documentation for medication coverage appeals and grievances.
  • Apply evidence-based guidelines, plan policies, and regulatory requirements to determine outcomes.
  • Prepare written clinical rationales to support appeal determinations.
  • Collaborate with physicians, nurses, and medical directors during case reviews.
  • Track, document, and report appeal outcomes in compliance with state and federal regulations.
  • Support process improvements to enhance timeliness and quality of appeal decisions.


What You'll Bring

  • Education: Doctor of Pharmacy (PharmD) or Bachelor of Pharmacy degree.
  • Licensure: Active and unrestricted pharmacist license in the U.S.
  • Experience: Prior managed care or utilization management experience preferred - retail and hospital pharmacists with strong clinical and documentation skills are encouraged to apply.
  • Skills: Excellent clinical judgment, written communication, and attention to regulatory detail.


Why This Role?

  • Impact: Play a critical role in ensuring patients get fair access to necessary medications.
  • Growth: Gain expertise in appeals, utilization management, and managed care pharmacy.
  • Flexibility: Many roles offer hybrid or fully remote options.
  • Rewards: Competitive salary, comprehensive benefits, and opportunities for advancement.


About Us
We are a confidential healthcare partner working with health plans and managed care organizations nationwide. Our appeals pharmacists safeguard patient access while ensuring compliance with all regulatory standards.
Apply Today
Join our team as an Appeals Pharmacist and help ensure every patient receives a fair review of their medication needs.

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