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Clinical Appeals Rn Jobs in Indiana (NOW HIRING)

Hospice RN Clinical Coordinator The Hospice RN Clinical Coordinator is responsible for carrying out administrative and management functions and oversight in the absence of the Director of Clinical ...

Hospice RN Clinical Coordinator The Hospice RN Clinical Coordinator is responsible for carrying out administrative and management functions and oversight in the absence of the Director of Clinical ...

As a Registered Nurse (RN) , you will be a steady clinical presence, blending professional expertise with compassionate, relationship-based care. This role is ideal for nurses who value thoughtful ...

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Clinical Appeals Rn information

See Indiana salary details

$21

$36

$54

How much do clinical appeals rn jobs pay per hour?

As of Jul 14, 2026, the average hourly pay for clinical appeals rn in Indiana is $36.68, according to ZipRecruiter salary data. Most workers in this role earn between $29.76 and $41.15 per hour, depending on experience, location, and employer.

What is a Clinical Appeals RN job?

A Clinical Appeals RN is a registered nurse who reviews denied medical claims and submits appeals to insurance companies to ensure appropriate reimbursement. They analyze medical records, insurance policies, and clinical guidelines to justify the necessity of treatments or procedures. This role requires strong knowledge of healthcare regulations, excellent critical thinking skills, and experience in case management or utilization review.

What does a typical day look like for a Clinical Appeals RN?

A typical day for a Clinical Appeals RN involves reviewing denied insurance claims, gathering and evaluating clinical documentation, composing argument letters, and communicating with healthcare providers and payers to support appeal cases. You may participate in multidisciplinary meetings to discuss complicated cases and must often manage multiple appeals at different stages of the process. The work is largely independent, though collaboration with physicians, case managers, and insurance representatives is common. Strong organization and time management skills are important to keep up with deadlines and ensure the best possible outcomes for patients.

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

A Clinical Appeals RN requires current RN licensure, comprehensive clinical knowledge, and experience with utilization review or case management. Familiarity with healthcare claims, appeals processes, and specialized systems such as InterQual or Milliman, as well as strong documentation skills, are often essential. Excellent critical thinking, persuasive writing, and collaboration skills set top candidates apart. These skills ensure accurate, timely, and effective advocacy in the appeals process, leading to favorable outcomes for patients and healthcare organizations.

RN Clinical Nurse Coordinator - Cardiology

$64K - $109K/yr

Full-time

Medical, Retirement, PTO

Posted 6 days ago


Washington University In St. Louis rating

7.7

Company rating: 7.7 out of 10

Based on 123 frontline employees who took The Breakroom Quiz

226th of 553 rated colleges and universities


Job description

Scheduled Hours40Position SummaryThe RN Clinical Nurse Coordinator serves as a vital liaison between patients and cardiology providers in a busy outpatient practice, supporting 2-4 physicians or advanced practice providers. This hybrid role combines direct patient support, telephone triage, symptom assessment, patient education, care coordination, and follow-up management to ensure exceptional patient care. Clinical responsibilities may be based across multiple cardiology locations throughout the St. Louis region.
The position offers a Monday-Friday schedule with no weekends, holidays, or call responsibilities, along with hybrid work flexibility following orientation and training.Job Description

Primary Duties & Responsibilities:

  • Provides direct patient care, including assessment, planning, implementation and evaluation of patients; completes health history and physical examination on patients; conveys findings to physician.
  • Coordinates patient care, orders diagnostic tests, conveys findings to physician, attends inpatient rounds, coordinates patient appointments and assists with referrals to outside sources.
  • Assists physician and provides support with examinations, procedures and other processes related to direct patient care.
  • Performs a variety of nursing administrative duties, including compliance with environmental safety regulations, infection control standards and quality assurance.
  • Acts as liaison and team leader by facilitating communication and coordination of care between patients, families and health team members; explains routines and procedures to patients and coordinates patient care information to appropriate sources.

Working Conditions:

Job Location/Working Conditions

  • Normal office environment
  • Exposure to blood-borne pathogens
  • Requires protective devices
  • Patient care setting
  • Direct patient care setting

Physical Effort

  • Typically sitting at desk or table
  • Typically standing or walking
  • Typically bending, crouching, stooping
  • Occasional lifting (25 lbs or less)

Equipment

  • Office equipment
  • Clinical/diagnostic equipment
The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time.Required Qualifications

Education:

Associate Degree In Nursing Or Diploma In Registered Nursing


Certifications/Professional Licenses:

The list below may include all acceptable certifications, professional licenses and issuers. More than one credential, certification or professional license may be required depending on the role.Basic Life Support - American Heart Association, Basic Life Support - American Red Cross, Registered Nurse - Illinois Department of Financial and Professional Regulation, Registered Nurse - Missouri Division of Professional Registration


Work Experience:

Nursing (2 Years)


Skills:

Not Applicable


Driver's License:

A driver's license is not required for this position.More About This Job

Required Qualifications:

  • Graduate of an accredited nursing program with two years of nursing experience.
  • Current RN licensure in the state of Missouri and/or Illinois, depending on location, in accordance with the Compact Act.
  • Basic Life Support Certification or obtains certification within one month of employment. Online BLS certifications, those without a skills assessment component, are not sufficient to meet the BLS requirements.
Preferred Qualifications

Education:

No additional education unless stated elsewhere in the job posting.


Certifications/Professional Licenses:

No additional certification/professional licenses unless stated elsewhere in the job posting.


Work Experience:

No additional work experience unless stated elsewhere in the job posting.

Skills:

Clinical Experience, Clinical Research Coordination, Clinical Research Management, Clinical Research Methods, Clinical Research Operations, Continuous Learning, Critical Thinking, Customer Empathy, Database Management, Effective Written Communication, Electronic Health Records (EHR), Epic EHR, Oral Communications, Patient Care, Patient Care Plans, Prioritization, Research Oriented, Spreadsheet Software, Statistical Analysis Software (SAS), Team CollaborationGradeS26Salary Range$64,500.00 - $109,900.00 / AnnuallyThe salary range reflects base salaries paid for positions in a given job grade across the University. Individual rates within the range will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions within the same grade and department budget.Questions

For frequently asked questions about the application process, please refer to our External Applicant FAQ.

Accommodation

If you are unable to use our online application system and would like an accommodation, please emailCandidateQuestions@wustl.eduor call the dedicated accommodation inquiry number at 314-935-1149 and leave a voicemail with the nature of your request.

All qualified individuals must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship.Pre-Employment ScreeningAll external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position. The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. All offers are contingent upon successful completion of required screening.Benefits Statement

Personal

  • Up to 22 days of vacation, 10 recognized holidays, and sick time.

  • Competitive health insurance packages with priority appointments and lower copays/coinsurance.

  • Take advantage of our free Metro transit U-Pass for eligible employees.

  • WashU provides eligible employees with a defined contribution (403(b)) Retirement Savings Plan, which combines employee contributions and university contributions starting at 7%.

Wellness

  • Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more!

Family

  • We offer 4 weeks of caregiver leave to bond with your new child. Family care resources are also available for your continued childcare needs. Need adult care? We've got you covered.

  • WashU covers the cost of tuition for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years with us.

For policies, detailed benefits, and eligibility, please visit: https://hr.wustl.edu/benefits/

EEO StatementWashington University in St. Louis is committed to the principles and practices of equal employment opportunity. It is the University's policy to provide equal opportunity and access to persons in all job titles without regard to race, ethnicity, color, national origin, citizenship (where prohibited by federal law), age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information.

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About Washington University in St. Louis

Sourced by ZipRecruiter

Washington University in St. Louis, often simply known as WashU, is a prestigious private research university in the United States. Headquartered in Saint Louis, Missouri, the university operates within the Education industry offering an array of undergraduate and postgraduate programs encompassing various areas like arts, sciences, business, design, medicine, and engineering. Established in 1853, the university has a storied past rooted in determination, resilience, and commitment to knowledge and innovation.

Industry

Colleges, universities, and professional schools

Company size

10,000+ Employees

Headquarters location

Saint Louis, MO, US

Year founded

1853