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Clinical Appeals Rn Jobs in Ontario (NOW HIRING)

Bayshore HealthCare

Clinical RN

Vaughan, ON · On-site

... to clinical excellence. Apply today and make a meaningful impact! Education: * RN level nurses who have graduated from an accredited School of Nursing and hold a current registration with the ...

LionStone Care

$34 - $39/hr

The RN is responsible for assessing patient needs, creating and implementing care plans ... This role requires a high level of clinical expertise, strong communication skills, and a ...

Heartwood

$35.34 - $53.76/hr

RNs are responsible for providing and monitoring high-quality clinical care and services to residents consistent with regulations and established clinical best practices. Oversee the Medication Aides ...

ParaMed

CLINICAL SUPERVISOR - RN

Oshawa, ON

Current RN registration with the College of Nurses of Ontario and entitled to practice without ... Knowledge of clinical documentation standards and practice guidelines isrequired * Excellent ...

Gilbert Centre

Clinic RN

Barrie, ON · On-site

CA$40/hr

The Clinic RN works with an interdisciplinary team focusing on the needs of people who are ... Leads clinical flow, mentors RPN and clinic support staff, and ensures the safe delegation of ...

Bayshore HealthCare

RN Registered Nurse

Guelph, ON · On-site

As a member of our team, you will use your clinical judgment and skills to ensure our clients ... Education: * RN level nurses who have graduated from an accredited School of Nursing and hold a ...

Bayshore HealthCare

RN Registered Nurse

Guelph, ON · On-site

As a member of our team, you will use your clinical judgment and skills to ensure our clients ... Education: * RN level nurses who have graduated from an accredited School of Nursing and hold a ...

Bayshore HealthCare

RN Registered Nurse

Arthur, ON · On-site

As a member of our team, you will use your clinical judgment and skills to ensure our clients ... Education: * RN level nurses who have graduated from an accredited School of Nursing and hold a ...

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All JobsClinical Appeals Rn JobsClinical Appeals Rn Jobs in Ontario

Clinical Appeals Rn information

See Ontario salary details

$17

$40

$56

How much do clinical appeals rn jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for clinical appeals rn in Ontario is $40.82, according to ZipRecruiter salary data. Most workers in this role earn between $31.97 and $47.84 per hour, depending on experience, location, and employer.

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.

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.

How to get into clinical appeals in nursing?

To become a Clinical Appeals RN, gain experience in medical-surgical or case management nursing, develop strong knowledge of insurance policies and medical documentation, and obtain relevant certifications such as Certified Case Manager (CCM) or Nurse Case Manager (CCM). Familiarity with electronic health records and strong communication skills are also essential for handling appeals effectively.

What are popular job titles related to Clinical Appeals Rn jobs in Ontario?

For Clinical Appeals Rn jobs in Ontario, the most frequently searched job titles are:

What job categories do people searching Clinical Appeals Rn jobs in Ontario look for?

The top searched job categories for Clinical Appeals Rn jobs in Ontario are:

Clinical Appeals Rn jobs near you
Infographic showing various Clinical Appeals Rn job openings in Ontario as of August 2026, with employment types broken down into 10% As Needed, 40% Full Time, and 50% Part Time. Highlights an 100% In-person job distribution, with an average salary of $84,913 per year, or $40.8 per hour.

Clinical RN

Bayshore HealthCare

Vaughan, ON • On-site

Full-time, Part-time

Medical, Dental, PTO

Re-posted 7 days ago

Job description

Bayshore HealthCare is one of the Canada’s leading providers of home and community health care services and is a privately owned company. Bayshore HealthCare is proud to showcase its achievement as a Platinum member of Canada’s Best Managed Companies Program every year since 2006. In 2015, Bayshore achieved the designation for Best Practice Spotlight Organization from the Registered Nurses’ Association of Ontario. Bayshore Healthcare is also recognized as Canada’s Best Employers in Forbes 2023 list.

Bayshore is looking for passionate and caring Registered Nurses to join our amazing team of professionals. Bayshore Nurses are dedicated to providing exceptional Nursing care while ensuring clients are treated with respect, dignity and kindness. As a member of our team, you will use your clinical judgment and skills to ensure our clients receive the highest quality care they need and deserve.

Nursing care will be delivered with compassion, excellence and responsiveness, in the comfort and safety of their specific care setting.

If your calling is to be the “difference” by providing outstanding care, than a Nursing career with Bayshore is the Perfect Fit for YOU!

Join Our Team: Full and Part-Time Career Opportunities

Why Work With Us?

  • Comprehensive Benefits: Enjoy company-sponsored health and dental benefits for you and your family
  • Efficient Schedules: Benefit from efficient work schedules that prioritize more care time and reduce travel 
  • Supportive Environment: Access managers and schedulers who are committed to supporting your important clinical work
  • Modern Tools: Utilize company-provided mobile devices for streamlined documentation and effective communication
  • Paid Time Off: Receive paid sick days, orientation, and training to ensure your well-being and professional development
  • Travel Compensation: Obtain competitive compensation for work-related travel requirements
  • Retirement Savings Plan: Take advantage of a company-contributed retirement savings plan
  • Career Advancement: Explore opportunities for professional growth and career advancement within our organization
  • Competitive Wages: Earn top industry wages for the essential clinical support you provide

Join us and become part of a team that values your dedication to clinical excellence. Apply today and make a meaningful impact!

Education:

  • RN level nurses who have graduated from an accredited School of Nursing and hold a current registration with the provincial licensing body.
  • Current CPR certification required

Other Requirements:

  • Clear criminal background check (with vulnerable sector screening), negative TB test
  • Valid driver’s license, auto insurance and reliable vehicle

Bayshore is committed to a high quality and safe environment for both our staff and clients/patients.  Dependent upon Provincial government regulations, and the position being applied for, new hires may be required to provide proof of vaccination against illnesses such as COVID-19, Hepatitis, Seasonal Flu etc. Please speak with the recruiter for Provincial and/or position specific requirements. Medical exemptions or any based upon Human Rights Code criteria will be considered on a case-by-case basis. 

“At Bayshore Healthcare, our commitment to Equity, Diversity & Inclusion is our strength. This is how we bring our vision of being the difference in the lives of those we care for, work with and in our communities. We have a great sense of pride in creating a culture of belonging, where individual differences are embraced and celebrated, through programs, resources and policies that support each individuals purpose, potential and wellbeing.” 

At Bayshore Healthcare Ltd., and its subsidiaries, we are committed to fostering an inclusive workplace and operate in full compliance with all Provincial and Territorial legislation pertaining to Human Rights Codes and Accessibility requirements. To ensure continued compliance throughout the recruitment and selection process, we encourage candidates to disclose any accommodation needs they may have.

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