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Clinical Appeals Rn Jobs in Washington (NOW HIRING)

TNAA TotalMed RN

Travel Case Manager RN

Glen Burnie, MD · On-site

Communicate with Insurance companies to collaborate or appeal decisions. * Improve financial status ... clinicians of all specialties in all 50 states. They offer local and travel jobs and match ...

New

TNAA TotalMed RN

Travel Nurse RN - Psychiatric

Falls Church, VA · On-site

$1.9K - $2.6K/wk

TNAA TotalMed RN is seeking a travel nurse RN Psychiatric for a travel nursing job in Falls Church ... The Psychiatric Nurse also collaborates with clinical and case management staff to coordinate care ...

SmithLife Homecare

Clinical Nurse (RN)

Rockville, MD · On-site

On-Site Clinical Nurse (RN) - Home Care Position Summary The Clinical Nurse Manager (RN) is a salaried leadership role responsible for overseeing clinical quality, caregiver supervision, and client ...

HHA Home Care LLC

Clinical Nurse (RN)

Rockville, MD · On-site

$80K - $90K/yr

On-Site Clinical Nurse (RN) - Home Care Position Summary The Clinical Nurse Manager (RN) is a salaried leadership role responsible for overseeing clinical quality, caregiver supervision, and client ...

TNAA TotalMed RN

Travel Nurse RN - Telemetry

Washington, DC · On-site

$2.2K - $3.1K/wk

TNAA TotalMed RN is seeking a travel nurse RN Telemetry for a travel nursing job in Washington ... clinicians of all specialties in all 50 states. They offer local and travel jobs and match ...

TNAA TotalMed RN

Travel RN - OB/GYN

Washington, DC · On-site

TNAA TotalMed RN is seeking a travel nurse RN OB/GYN for a travel nursing job in Washington ... clinicians of all specialties in all 50 states. They offer local and travel jobs and match ...

TNAA TotalMed RN

Travel MS/Tele RN

Clinton, MD · On-site

$2.0K - $2.7K/wk

TNAA TotalMed RN is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in ... clinicians of all specialties in all 50 states. They offer local and travel jobs and match ...

TNAA TotalMed RN

Travel MS/Tele RN

Upper Marlboro, MD · On-site

$2.0K - $2.7K/wk

TNAA TotalMed RN is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in ... clinicians of all specialties in all 50 states. They offer local and travel jobs and match ...

New

TNAA TotalMed RN

Travel ED RN

Falls Church, VA · On-site

TNAA TotalMed RN is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in ... clinicians of all specialties in all 50 states. They offer local and travel jobs and match ...

TNAA TotalMed RN

Travel ER RN

Olney, MD · On-site

TNAA TotalMed RN is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in ... clinicians of all specialties in all 50 states. They offer local and travel jobs and match ...

TNAA TotalMed RN

Travel IMC RN

Clinton, MD · On-site

TNAA TotalMed RN is seeking a travel nurse RN Intermediate Care for a travel nursing job in Clinton ... clinicians of all specialties in all 50 states. They offer local and travel jobs and match ...

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Clinical Appeals Rn information

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$25

$43

$65

How much do clinical appeals rn jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for clinical appeals rn in Washington is $43.66, according to ZipRecruiter salary data. Most workers in this role earn between $35.38 and $48.99 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 Washington?

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

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

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

Clinical Appeals Rn jobs near you
Infographic showing various Clinical Appeals Rn job openings in Washington as of August 2026, with employment types broken down into 49% Full Time, 38% Part Time, and 13% Contract. Highlights an 100% In-person job distribution, with an average salary of $90,804 per year, or $43.7 per hour.

Registered Nurse (RN) Clinical Denials and Appeals

Inova Health System

Fairfax, VA • On-site

Other

Medical, Dental, Vision

Posted 4 days ago

Inova Health System rating

7.5

Company rating: 7.5 out of 10

Based on 260 frontline employees who took The Breakroom Quiz

237th of 891 rated healthcare providers

Job description

Inova 8095 - Fairfax East is looking for a dedicated Registered Nurse (RN) Clinical Denials and Appeals to join the team. This role will be Full-Time Remote, Monday-Friday (8-Hours per Day); Start Time to be between 7:30 AM - 9:00 AM Eastern Time (EDT/EST)

Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation.

Featured Benefits:

  • Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program.

  • Retirement: Inova matches the first 5% of eligible contributions - starting on your first day.

  • Tuition and Student Loan Assistance: offeringup to $5,250 per year in education assistance and up to $10,000 for student loans.

  • Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost.

  • Work/Life Balance: offeringpaid time off, paid parental leave, flexible work schedules, and remote career opportunities.

Registered Nurse (RN) Clinical Denials and Appeals Job Responsibilities:

  • Reviews denied claims to identify the appropriateness of clinical care and determine if an appeal is warranted.
  • Development and submission of timely appeals to payors.
  • Collaborates with each facility and department (ex: UR, PFS, Coding, Billing, and HIM) to ensure accurate and complete documentation to support appeals.
  • Provides education and training to staff and providers on appeal best practices and strategies.
  • Monitors and reports on appeal outcomes, including success rates, trends, and barriers.
  • Works with payors and external stakeholders to resolve complete appeal issues and improve communication and collaboration.
  • Analyzes and identifies discrepancies in documentation and charges to provide educational support to applicable areas within Inova Health System.
  • Demonstrates knowledge and understanding of patients' diagnoses, treatment plans and services, and associated costs, charges, and reimbursement.
  • May perform additional duties as assigned.

Minimum Qualifications:

  • Education: Bachelor's degree or equivalent of Associate's degree with RN license
  • Experience: Three years of RN licensed experience in a clinical or hospital setting required
  • Certification: Registered Nurse RN license or licensed to practice in the Commonwealth of Virginia as an RN

Preferred Qualifications:

  • Experience: Clinical appeals writing, medical record/chart review, and utilization review; Strong clinical foundation with the ability to assess medical necessity and documentation support

  • Other: Excellent verbal and written communication skills; Ability to work effectively in a collaborative, team-based environment

Remote Eligibility: This position is eligible for remote work for candidates residing in the following states - VA, MD, DC, DE, FL, GA, NC, OH, PA, SC, TN, TX, WV.

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