Advanced clinical or business education is preferred. * Licensure: Indiana Registered Nurse License (RN-IN). * Education .A minimum of three years of related healthcare experience, or educational ...
Advanced clinical or business education is preferred. * Licensure: Indiana Registered Nurse License (RN-IN). * Education .A minimum of three years of related healthcare experience, or educational ...
Clinical Supervisor RN
Mishawaka, IN · On-site
Advanced clinical or business education is preferred. * Licensure: Indiana Registered Nurse License (RN-IN). * Education . A minimum of three years of related healthcare experience, or educational ...
Clinical Supervisor RN
Mishawaka, IN · On-site
Advanced clinical or business education is preferred. * Licensure: Indiana Registered Nurse License (RN-IN). * Education . A minimum of three years of related healthcare experience, or educational ...
Regional Director of Clinical Reimbursment
$100K - $110K/yr
Regional Director of Clinical Reimbursement (RN) Location: Indiana (Must live in or be willing to relocate) Are you a results-driven registered nurse with deep expertise in clinical reimbursement and ...
Quick apply
Regional Director of Clinical Reimbursment
$100K - $110K/yr
Regional Director of Clinical Reimbursement (RN) Location: Indiana (Must live in or be willing to relocate) Are you a results-driven registered nurse with deep expertise in clinical reimbursement and ...
Registered Nurse (RN)
Evansville, IN · On-site
Registered Nurse Our Registered Nurses (RNs) exemplify clinical excellence through the consistent application of advanced knowledge, critical thinking, and sound professional judgment. They play a ...
Registered Nurse (RN)
Evansville, IN · On-site
Registered Nurse Our Registered Nurses (RNs) exemplify clinical excellence through the consistent application of advanced knowledge, critical thinking, and sound professional judgment. They play a ...
Participate in quality improvement and clinical meetings. * Help support the continued growth of the agency's Home Health services. QualificationsRequired * Active Indiana Registered Nurse (RN) ...
Quick apply
Participate in quality improvement and clinical meetings. * Help support the continued growth of the agency's Home Health services. QualificationsRequired * Active Indiana Registered Nurse (RN) ...
Float Clinical Resource RN-$46/hr
Indianapolis, IN · On-site
$46/hr
Float Registered Nurse (RN) - $46/hour Indianapolis, IN & surrounding areas (up to 50 miles from your home address) Join the American Senior Communities Clinical Resource Group Float Pool! Enjoy the ...
Float Clinical Resource RN-$46/hr
Indianapolis, IN · On-site
$46/hr
Float Registered Nurse (RN) - $46/hour Indianapolis, IN & surrounding areas (up to 50 miles from your home address) Join the American Senior Communities Clinical Resource Group Float Pool! Enjoy the ...
Clinical Liaison - RN
Fort Wayne, IN · On-site
$64K - $86K/yr
Clinical Liaison Registered Nurse What You Must Have: * Graduate of an accredited Diploma, Associate or Baccalaureate School of Nursing * Current State license as a Registered Nurse * Valid driver ...
Clinical Liaison - RN
Fort Wayne, IN · On-site
$64K - $86K/yr
Clinical Liaison Registered Nurse What You Must Have: * Graduate of an accredited Diploma, Associate or Baccalaureate School of Nursing * Current State license as a Registered Nurse * Valid driver ...
Float Clinical Resource RN-$46/hr
Indianapolis, IN · On-site
$46/hr
Float Registered Nurse (RN) - $46/hour Indianapolis, IN & surrounding areas (up to 50 miles from your home address) Join the American Senior Communities Clinical Resource Group Float Pool! Enjoy the ...
Float Clinical Resource RN-$46/hr
Indianapolis, IN · On-site
$46/hr
Float Registered Nurse (RN) - $46/hour Indianapolis, IN & surrounding areas (up to 50 miles from your home address) Join the American Senior Communities Clinical Resource Group Float Pool! Enjoy the ...
Registered Nurse (RN)
Evansville, IN · On-site
$31.57 - $50.25/hr
Our Registered Nurses (RNs) exemplify clinical excellence through the consistent application of advanced knowledge, critical thinking, and sound professional judgment. They play a vital role in ...
Registered Nurse (RN)
Evansville, IN · On-site
$31.57 - $50.25/hr
Our Registered Nurses (RNs) exemplify clinical excellence through the consistent application of advanced knowledge, critical thinking, and sound professional judgment. They play a vital role in ...
Clinical Liaison - RN
Fort Wayne, IN · On-site
$59K - $80K/yr
Clinical Liaison Registered Nurse You can make a difference in the lives of others! At Heart to Heart Hospice, we provide "compassionate care from our hearts to yours." Our employees enhance the ...
Clinical Liaison - RN
Fort Wayne, IN · On-site
$59K - $80K/yr
Clinical Liaison Registered Nurse You can make a difference in the lives of others! At Heart to Heart Hospice, we provide "compassionate care from our hearts to yours." Our employees enhance the ...
Compassus Position Summary The Hospice RN Clinical Coordinator is responsible for carrying out administrative and management functions and oversight in the absence of the Director of Clinical ...
Compassus Position Summary The Hospice RN Clinical Coordinator is responsible for carrying out administrative and management functions and oversight in the absence of the Director of Clinical ...
Compassus Position Summary The Hospice RN Clinical Coordinator is responsible for carrying out administrative and management functions and oversight in the absence of the Director of Clinical ...
Compassus Position Summary The Hospice RN Clinical Coordinator is responsible for carrying out administrative and management functions and oversight in the absence of the Director of Clinical ...
Compassus Position Summary The Hospice RN Clinical Coordinator is responsible for carrying out administrative and management functions and oversight in the absence of the Director of Clinical ...
Compassus Position Summary The Hospice RN Clinical Coordinator is responsible for carrying out administrative and management functions and oversight in the absence of the Director of Clinical ...
Compassus Position Summary The Hospice RN Clinical Coordinator is responsible for carrying out administrative and management functions and oversight in the absence of the Director of Clinical ...
Compassus Position Summary The Hospice RN Clinical Coordinator is responsible for carrying out administrative and management functions and oversight in the absence of the Director of Clinical ...
Compassus Position Summary The Hospice RN Clinical Coordinator is responsible for carrying out administrative and management functions and oversight in the absence of the Director of Clinical ...
Compassus Position Summary 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 an RN at Brownsburg Care Center, you will play a vital role in providing exceptional nursing care, supporting resident health and wellness, and ensuring the highest standards of clinical ...
Quick apply
As an RN at Brownsburg Care Center, you will play a vital role in providing exceptional nursing care, supporting resident health and wellness, and ensuring the highest standards of clinical ...
RN Registered Nurse
Peru, IN · On-site
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 ...
RN Registered Nurse
Peru, IN · On-site
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 ...
Clinical Team Manager
Mishawaka, IN · On-site
The Clinical Manager (Registered Nurse/RN) ensures that the overall coordination of home health and/or hospice services provided to the patient is delivered according to acceptable standards of ...
Clinical Team Manager
Mishawaka, IN · On-site
The Clinical Manager (Registered Nurse/RN) ensures that the overall coordination of home health and/or hospice services provided to the patient is delivered according to acceptable standards of ...
Clinical Team Manager
Mishawaka, IN · On-site
The Clinical Manager (Registered Nurse/RN) ensures that the overall coordination of home health and/or hospice services provided to the patient is delivered according to acceptable standards of ...
Clinical Team Manager
Mishawaka, IN · On-site
The Clinical Manager (Registered Nurse/RN) ensures that the overall coordination of home health and/or hospice services provided to the patient is delivered according to acceptable standards of ...
RN Clinical Supervisor - Ambulatory Gastroenterology Care Community Health Network was created by our neighbors, for our neighbors. Over 60 years later, "community" is still the heart of our ...
RN Clinical Supervisor - Ambulatory Gastroenterology Care Community Health Network was created by our neighbors, for our neighbors. Over 60 years later, "community" is still the heart of our ...
Clinical Appeals Rn information
See Indiana salary details
$21.04 - $24.12
0% of jobs
$24.12 - $27.20
3% of jobs
$29.43 is the 25th percentile. Wages below this are outliers.
$27.20 - $30.28
30% of jobs
$30.28 - $33.35
14% of jobs
The median wage is $33.97 / hr.
$33.35 - $36.43
16% of jobs
$36.43 - $39.51
11% of jobs
$39.95 is the 75th percentile. Wages above this are outliers.
$39.51 - $42.59
7% of jobs
$42.59 - $45.67
6% of jobs
$45.67 - $48.74
5% of jobs
$48.74 - $51.82
4% of jobs
$51.82 - $54.90
3% of jobs
$21
$36
$54
How much do clinical appeals rn jobs pay per hour?
What is a Clinical Appeals RN?
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.
How to get into clinical appeals in nursing?
What does a Clinical Appeals RN do?
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 as a Clinical Appeals RN?
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.

Full-time
Medical, Dental, Vision, Retirement, PTO
Re-posted 10 days ago
Trinity Health rating
6.6
Based on 354 frontline employees who took The Breakroom Quiz
570th of 887 rated healthcare providers
Job description
Why Saint Joseph Health System?
Saint Joseph Health System is a not-for-profit, multi-hospital health system located in North Central Indiana.
Our system includes:
254-bed acute-care hospital at the Mishawaka Medical Center
26-bed acute-care hospital at the Plymouth Medical Center
More than 85 providers in the Saint Joseph Physician Network
What we offer:
Competitive compensation and benefits packages including medical, dental and vision coverage.
Retirement savings account with employer match
Generous paid time off programs
Employee referral incentive program
Tuition/professional development reimbursement
Nursing Scholarship opportunities
Reports to the Director of the respective site within SJ Physician Network. In collaboration with the Practice Manager, is responsible for the effective coordination of all daily clinical operational support functions of the assigned facility and performs duties necessary to maintain a smooth functioning and efficient physician office. Will respond to daily clinical and operational issues when the Practice Manager is absent or unavailable.
JOB SPECIFICATIONS AND CORE COMPETENCIES
Education:Associate degree in nursing required. Bachelor's degree in nursing preferred. Advanced clinical or business education is preferred.
Licensure:Indiana Registered Nurse License (RN-IN).
Education.A minimum of three years of related healthcare experience, or educational equivalency, where proficiency with coding systems - - such as ICD-9-CD, CPT-4 (HCPCS) - - was attained, is required.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
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About Trinity Health
Sourced by ZipRecruiter
Trinity Health Ann Arbor is a 537 -bed teaching hospital located on 340 acre campus. Recognized by IBM Watson as a Top 100 Hospital and #1 Teaching Hospital, Trinity Health Ann Arbor has been a leading health care provider for more than 100 years. Trinity Health has received numerous local and national awards in recognition of our leadership, quality outcomes, and clinical excellence.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Livonia, MI, US