... Registered Nurse (RN) Required Certifications * N/A PREFERRED QUALIFICATIONS Preferred Work ... Advanced ability to interpret contract language and benefits Level 2 * 5 years' Experience in ...
... Registered Nurse (RN) Required Certifications * N/A PREFERRED QUALIFICATIONS Preferred Work ... Advanced ability to interpret contract language and benefits Level 2 * 5 years' Experience in ...
Integrated Care Manager - Medicare Advantage (prior CM experience working in a health plan)- Remote
Phoenix, AZ · On-site +1
... RN. Required Certifications * Within 4 years of hire as a Care Manager employee must hold a ... contract benefits, changes in coverage, eligibility, claims, BCBSAZ programs, provider networks ...
Integrated Care Manager - Medicare Advantage (prior CM experience working in a health plan)- Remote
Phoenix, AZ · On-site +1
... RN. Required Certifications * Within 4 years of hire as a Care Manager employee must hold a ... contract benefits, changes in coverage, eligibility, claims, BCBSAZ programs, provider networks ...
Call Center Telecare Registered Nurse - OVERNIGHT (Remote)
Phoenix, AZ · On-site +1
$36 - $41/hr
The VITAS Telecare RN is a member of the interdisciplinary team who is the pivotal person ... Appropriately utilizes the resources of contract personnel such as Pharmacy, HME, agency staff, and ...
Call Center Telecare Registered Nurse - OVERNIGHT (Remote)
Phoenix, AZ · On-site +1
$36 - $41/hr
The VITAS Telecare RN is a member of the interdisciplinary team who is the pivotal person ... Appropriately utilizes the resources of contract personnel such as Pharmacy, HME, agency staff, and ...
Remote Registered Nurse (RN) Case Manager
Phoenix, AZ · On-site +1
$50K/yr
Must have active RN licensure in current state of practice. * 2-3 years of nursing experience with ... Remote work eligibility is subject to all work from home criteria met and based on business need.
Remote Registered Nurse (RN) Case Manager
Phoenix, AZ · On-site +1
$50K/yr
Must have active RN licensure in current state of practice. * 2-3 years of nursing experience with ... Remote work eligibility is subject to all work from home criteria met and based on business need.
Remote Registered Nurse (RN) Case Manager
Scottsdale, AZ · Remote
$50K/yr
Must have active RN licensure in current state of practice. * 2-3 years of nursing experience with ... Remote work eligibility is subject to all work from home criteria met and based on business need.
Remote Registered Nurse (RN) Case Manager
Scottsdale, AZ · Remote
$50K/yr
Must have active RN licensure in current state of practice. * 2-3 years of nursing experience with ... Remote work eligibility is subject to all work from home criteria met and based on business need.
Remote Registered Nurse (RN) Case Manager
Phoenix, AZ · Remote
$50K/yr
Must have active RN licensure in current state of practice. * 2-3 years of nursing experience with ... Remote work eligibility is subject to all work from home criteria met and based on business need.
Remote Registered Nurse (RN) Case Manager
Phoenix, AZ · Remote
$50K/yr
Must have active RN licensure in current state of practice. * 2-3 years of nursing experience with ... Remote work eligibility is subject to all work from home criteria met and based on business need.
Remote Registered Nurse (RN) Case Manager
Scottsdale, AZ · On-site +1
$50K/yr
Must have active RN licensure in current state of practice. * 2-3 years of nursing experience with ... Remote work eligibility is subject to all work from home criteria met and based on business need.
Remote Registered Nurse (RN) Case Manager
Scottsdale, AZ · On-site +1
$50K/yr
Must have active RN licensure in current state of practice. * 2-3 years of nursing experience with ... Remote work eligibility is subject to all work from home criteria met and based on business need.
Remote: not held to onsite requirements, however, leadership can request presence onsite for ... Active, unrestricted license to practice as a registered nurse (RN) in the state of Arizona (a ...
Remote: not held to onsite requirements, however, leadership can request presence onsite for ... Active, unrestricted license to practice as a registered nurse (RN) in the state of Arizona (a ...
Initial Clinical Reviewer - Remote - AZ
Phoenix, AZ · On-site +1
... Nursing Licensure Compact (NLC) as an RN, OR an active, current, and unrestricted license to ... contract benefits, changes in coverage, eligibility, claims, BCBSAZ programs, provider networks ...
Initial Clinical Reviewer - Remote - AZ
Phoenix, AZ · On-site +1
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Contract Specialist III
Phoenix, AZ · On-site +1
$112K/yr
Create a doctor and nurse tracking log * Including hour counts and projections * Period of ... YesTeleworking DetailsCan be onsite, hybrid, or remote (US)Estimated Salary/WageUSD $82,000.00/Yr.
Contract Specialist III
Phoenix, AZ · On-site +1
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Create a doctor and nurse tracking log * Including hour counts and projections * Period of ... YesTeleworking DetailsCan be onsite, hybrid, or remote (US)Estimated Salary/WageUSD $82,000.00/Yr.
RN Quality Measure Specialist
Phoenix, AZ · Remote
$34.50 - $46.25/hr
This fully remote role focuses on validation, abstraction, and submission of clinical quality ... Ideal Candidate: * RN with 5 years acute care experience (ED, ICU, PACU, or similar preferred)
RN Quality Measure Specialist
Phoenix, AZ · Remote
$34.50 - $46.25/hr
This fully remote role focuses on validation, abstraction, and submission of clinical quality ... Ideal Candidate: * RN with 5 years acute care experience (ED, ICU, PACU, or similar preferred)
... Registered Nurse (RN) Required Certifications * N/A PREFERRED QUALIFICATIONS Preferred Work ... Advanced ability to interpret contract language and benefits Level 2 * 5 years' Experience in ...
... Registered Nurse (RN) Required Certifications * N/A PREFERRED QUALIFICATIONS Preferred Work ... Advanced ability to interpret contract language and benefits Level 2 * 5 years' Experience in ...
BH UM Clinical Reviewer- Remote AZ
Phoenix, AZ · On-site +1
... the Nursing Licensure Compact (NLC) as an RN. Required Certifications * N/A PREFERRED ... contract benefits, changes in coverage, eligibility, claims, BCBSAZ programs, provider networks ...
BH UM Clinical Reviewer- Remote AZ
Phoenix, AZ · On-site +1
... the Nursing Licensure Compact (NLC) as an RN. Required Certifications * N/A PREFERRED ... contract benefits, changes in coverage, eligibility, claims, BCBSAZ programs, provider networks ...
Contract Specialist III
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$112K/yr
Create a doctor and nurse tracking log * Including hour counts and projections * Period of ... Yes Teleworking Details Can be onsite, hybrid, or remote (US) Estimated Salary/Wage USD $82,000.00 ...
Contract Specialist III
Phoenix, AZ · On-site +1
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Create a doctor and nurse tracking log * Including hour counts and projections * Period of ... Yes Teleworking Details Can be onsite, hybrid, or remote (US) Estimated Salary/Wage USD $82,000.00 ...
Remote: not held to onsite requirements, however, leadership can request presence onsite for ... RN, LPN, LPT, LBSW, LMSW, or LCSW. (Applies to All Levels) Required Certifications * N/A PREFERRED ...
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RN Field Case Manager
Phoenix, AZ · On-site +1
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RN Field Case Manager
Phoenix, AZ · On-site +1
$77K - $98K/yr
Must be an RN and prefer to have as least 1.5 years of prior Field Case Manager workers ... remote work environment that allows face to face interaction with injured workers and medical ...
RN Field Case Manager
Phoenix, AZ · On-site +1
$77K - $98K/yr
Must be an RN and prefer to have as least 1.5 years of prior Field Case Manager workers ... remote work environment that allows face to face interaction with injured workers and medical ...
RN Field Case Manager
Phoenix, AZ · On-site +1
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Position Overview We are seeking an exceptional Wound Care Nurse Practitioner to serve as a remote ... Active, unrestricted RN and APRN licenses in Arizona (additional APRN state licenses a plus)
Position Overview We are seeking an exceptional Wound Care Nurse Practitioner to serve as a remote ... Active, unrestricted RN and APRN licenses in Arizona (additional APRN state licenses a plus)
Position Overview We are seeking an exceptional Wound Care Nurse Practitioner to serve as a remote ... Active, unrestricted RN and APRN licenses in Arizona (additional APRN state licenses a plus)
Position Overview We are seeking an exceptional Wound Care Nurse Practitioner to serve as a remote ... Active, unrestricted RN and APRN licenses in Arizona (additional APRN state licenses a plus)
Remote Healthcare Recruiter (General Healthcare - Nationwide)
Phoenix, AZ · Remote
$70K - $80K/yr
Remote Healthcare Recruiter (General Healthcare - Nationwide) Job Summary Gotham Enterprises Ltd is ... Familiarity with various medical licenses (LMHC, PT, RN, LPN, MD, DO, PA, NP) and the general ...
Remote Healthcare Recruiter (General Healthcare - Nationwide)
Phoenix, AZ · Remote
$70K - $80K/yr
Remote Healthcare Recruiter (General Healthcare - Nationwide) Job Summary Gotham Enterprises Ltd is ... Familiarity with various medical licenses (LMHC, PT, RN, LPN, MD, DO, PA, NP) and the general ...
Remote Contract Rn information
See Arizona salary details
$13.77 - $22.40
10% of jobs
$22.40 - $31.04
14% of jobs
$31.69 is the 25th percentile. Wages below this are outliers.
$31.04 - $39.68
21% of jobs
The median wage is $42.55 / hr.
$39.68 - $48.31
16% of jobs
$48.31 - $56.95
11% of jobs
$60.72 is the 75th percentile. Wages above this are outliers.
$56.95 - $65.58
9% of jobs
$65.58 - $74.22
10% of jobs
$74.22 - $82.85
5% of jobs
$82.85 - $91.49
3% of jobs
$91.49 - $100.12
1% of jobs
$100.12 - $108.76
1% of jobs
$13
$50
$108
How much do remote contract rn jobs pay per hour?
What are Remote Contract RNs?
What is the difference between Remote Contract Rn vs Remote Contract Lpn?
| Aspect | Remote Contract Rn | Remote Contract Lpn |
|---|---|---|
| Credentials | Registered Nurse (RN) license | Licensed Practical Nurse (LPN) license |
| Work Environment | Primarily telehealth, patient assessments, care planning | Telehealth support, basic patient care, documentation |
| Employer & Industry Usage | Hospitals, clinics, telehealth companies | Home health agencies, telehealth services |
| Common Search & Comparison | Often compared for scope of practice and responsibilities | Compared for level of training and job duties |
Remote Contract Rn and Remote Contract Lpn roles both involve telehealth services but differ mainly in required credentials and scope of practice. RNs typically handle more complex patient assessments and care planning, while LPNs focus on basic patient support and documentation. Understanding these differences helps job seekers find roles aligned with their qualifications and career goals.
How does a Remote Contract RN typically collaborate with on-site healthcare teams and physicians?
What are the key skills and qualifications needed to thrive as a Remote Contract RN, and why are they important?

Medical Appeals and Grievance (MAG) Registered Nurse Specialist II - Remote
Phoenix, AZ • On-site, Remote
Full-time
Medical
Posted 14 days ago
Blue Cross Blue Shield Of Arizona rating
5.9
Based on 13 frontline employees who took The Breakroom Quiz
256th of 277 rated insurance
Job description
At AZ Blue, we have a hybrid workforce strategy, called Workability, that offers flexibility with how and where employees work. Our positions are classified as hybrid, onsite or remote. While the majority of our employees are hybrid, the following classifications drive our current minimum onsite requirements:
- Hybrid People Leaders: must reside in AZ, required to be onsite at least twice per week
- Hybrid Individual Contributors: must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per week
- Hybrid 2 (Operational Roles such as but not limited to: Customer Service, Claims Processors, and Correspondence positions): must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per month
- Onsite: daily onsite requirement based on the essential functions of the job
- Remote: not held to onsite requirements, however, leadership can request presence onsite for business reasons including but not limited to staff meetings, one-on-ones, training, and team building
Please note that onsite requirements may change in the future, based on business need, and job responsibilities. Most employees should expect onsite requirements and at a minimum of once per week.
This position is remote within Arizona or in an approved out-of-state location. Applicants must reside in-and perform work from-the state of Arizona or an approved out-of-state location.
Purpose of the job
Responsible for utilizing clinical acumen and managed care expertise related to researching, resolving and responding to requests for member and provider appeals, grievances, reconsiderations and corrected claims for all lines of business with emphasis on privacy, accuracy, meeting all regulatory and compliance timelines.
Qualifications
REQUIRED QUALIFICATIONS
Required Work Experience
Level 1
- 1 year Experience in clinical and health insurance or other healthcare related field
Level 2
- 3 years' Experience in clinical and health insurance or other healthcare related field
- 1 year' Managed care experience with a focus in Utilization Management (UM), Prior Authorization (PA), Claims, Case Management and/or Medical Appeals and Grievance (MAG)
Level 3
- 5 years' Experience in clinical and health insurance or other healthcare related field
- 2 years Managed care experience with a focus in Utilization Management (UM), Prior Authorization (PA), Claims, Case Management and/or Medical Appeals and Grievance (MAG)
Level 4
- 8 years' Experience in clinical and health insurance or other healthcare related field
- 3 years' Above satisfactory job performance in the managed care environment with a focus in Utilization Management (UM), Prior Authorization (PA), Claims, Case Management and/or Medical Appeals and Grievance (MAG)
Required Education
- Associate's Degree in a healthcare field of study or Nursing Diploma (Applies to All Levels)
Required Licenses
- Active, current, and unrestricted license to practice in the State of Arizona (a state in the United States) or a compact state as a Registered Nurse (RN)
Required Certifications
- N/A
PREFERRED QUALIFICATIONS
Preferred Work Experience
Level 1
- 3 years' Experience in clinical and health insurance or other healthcare related field. Working knowledge of eviCore, MCG, McKesson InterQual® criteria and Medical Coverage Guidelines/Medical Policies. Advanced ability to interpret contract language and benefits
Level 2
- 5 years' Experience in clinical and health insurance or other healthcare related field. Working knowledge of eviCore, MCG, McKesson InterQual® criteria and Medical Coverage Guidelines/Medical Policies. Advanced ability to interpret contract language and benefits
- 2 years' Managed care experience with a focus in Utilization Management (UM), Prior Authorization (PA), Claims, Case Management and/or Medical Appeals and Grievance (MAG)
Level 3
- 7 years' Experience in clinical and health insurance or other healthcare related field. Working knowledge of eviCore, MCG, McKesson InterQual® criteria and Medical Coverage Guidelines/Medical Policies. Advanced ability to interpret contract language and benefits
- 5 years' Managed care experience with a focus in Utilization Management (UM), Prior Authorization (PA), Claims, Case Management and/or Medical Appeals and Grievance (MAG)
Level 4
- 9 years' Experience in clinical and health insurance or other healthcare related field. Working knowledge of eviCore, MCG, McKesson InterQual® criteria and Medical Coverage Guidelines/Medical Policies. Advanced ability to interpret contract language and benefits
- 5 years' Above satisfactory job performance in the managed care environment with a focus in Utilization Management (UM), Prior Authorization (PA), Claims, Case Management and/or Medical Appeals and Grievance (MAG)
Preferred Education
- Bachelor's Degree in Nursing or related field of study (Applies to All Levels)
Preferred Licenses
- N/A
Preferred Certifications
- N/A
ESSENTIAL job functions AND RESPONSIBILITIES
Level I
- Perform in-depth analysis, clinical review and resolution of provider appeals/inquiries, corrected claims and subscriber reconsiderations, member appeals, corrected claims and provider grievances for all lines of business
- Identify, research, process, resolve and respond to customer inquiries primarily through written / verbal communication.
- Respond to a diverse and high volume of health insurance appeal related correspondence on a daily basis.
- Analyze medical records and apply medical necessity criteria and benefit plan requirements to determine the appropriateness of appeal, grievance and reconsideration requests.
- Maintain complete and accurate records per department policy.
- Meet quality, quantity and timeliness standards to achieve individual and department performance goals as defined within the department guidelines and required by State, Federal and other accrediting organizations.
- Demonstrate ability to apply plan policies and procedures effectively.
- Consult and coordinate with various internal departments, external plans, providers, businesses, and government agencies to obtain information and ensure resolution of customer inquiries.
- Attend staff and interdepartmental meetings.
- Participate in continuing education and current developments in the fields of medicine and managed care.
- Maintain all standards in consideration of State, Federal, BCBSAZ and other accreditation requirements.
- Maintain productivity and accuracy goals based on regulatory requirements, accreditation standards, and service level agreements.
- Demonstrate ability to acquire specialized knowledge to complete all types of level one appeals, grievances and corrected claims for local lines of business using appropriate benefit plan booklet, administrative guidelines and policies, medical criteria guidelines, claims research, provider contracts and fee schedules, communication records research and precertification research.
- Articulate to customers a variety of information about the organization's services, including but not limited to, contract benefits, changes in coverage, eligibility, claims, BCBSAZ programs, and provider networks.
- Adheres to BCBSAZ brand promise of being a "Trusted Advisor" by walking in the customers shoes including processing work using the principles of easy, effective, emotional
level II
- Ability to demonstrate specialized knowledge to administer Federal Employee Program (FEP)inquiries, appeals, grievances and sub-reconsiderations using appropriate service benefit plan provisions, and internal policies, medical criteria guidelines, claims research, provider contracts and fee schedules, communication records research, and precertification research.
- Ability to demonstrate specialized knowledge to perform reviews for local lines of business, Blue Card Home member appeals and grievances, and Blue Card Host provider grievances. MAG Clinicians also support FEP for member reconsiderations, provider appeals, corrected claims and inquiries.
level III
- Ability to demonstrate specialized knowledge to complete all Levels of Medical Appeals and Grievance (MAG) cases (Initial internal, voluntary internal and external review appeals and grievances).
- Under minimal direction, lead interdepartmental meetings and oversee special projects as assigned.
- Assist in developing new policies and procedures, desk levels, and job aids as needed.
- Assist in training new staff and provide ongoing training for existing staff as needed.
- Assist in distribution of staff Flow Manager case assignments.
- Identify and recommend process improvements.
level IV
- Assist in distribution of staff case assignments.
- Under minimal direction, prepare reports and documentation for committee presentation and ad hoc reports as needed.
- Analyze appeals and grievances data and make recommendations based on trends identified.
- Take initiative to follow through on issues and opportunities for process improvements.
- Initiate, develop and implement in-service educational presentations.
- Work collaboratively with management and provide leadership for the department in day to day activities as well as in management's absence.
- Maintain a working knowledge of all activities in the department and provide assistance to departmental staff and interdepartmental staff as necessary.
- Consistently demonstrate alignment with the BCBSAZ "Living our Values" culture by participating in annual, community service campaigns and/or projects such as, CARES Club, United Way and/or community wellness initiatives (Walk for Hope, Walk to Stop Diabetes, Phoenix Heart Walk, etc).
ALL LEVELS
- Each progressive level includes the ability to perform the essential functions of any lower levels.
- The position requires a full-time work schedule. Full-time is defined as working at least 40 hours per week, plus any additional hours as requested or as needed to meet business requirements.
- Perform all other duties as assigned
competencies
REQUIRED COMPETENCIES
Required Job Skills
- Intermediate PC proficiency (All Levels)
- Intermediate skill using office equipment, including copiers, fax machines, scanner and telephones (All Levels)
Required Professional Competencies
- Maintain confidentiality and privacy
- Advanced clinical knowledge
- Practice interpersonal and active listening skills to achieve customer satisfaction
- Compose a variety of business correspondence
- Interpret and translate policies, procedures, programs and guidelines
- Capable of investigative and analytical research
- Navigate, gather, input and maintain data records in multiple system applications
- Follow and accept instruction and direction
- Establish and maintain working relationships in a collaborative team environment
- Organizational skills with the ability to prioritize tasks and work with multiple priorities under limited time constraints
- Independent and sound judgment with good problem solving skills
- Ability to assist in training of new and existing staff (Applies to Levels 3 and 4)
Required Leadership Experience and Competencies
- Ability to revise departmental policies and procedures and desk levels as well as develop new policies and procedures and desk levels as needed (Applies to Levels 3 and 4)
- Proven leadership and assistance through positive reinforcement of processes and company policies
(Applies to Levels 3 and 4.)
PREFERRED COMPETENCIES
Preferred Job Skills
- Advanced PC proficiency
- Knowledge of Current CPT, ICD- 9, ICD-10, HCPCS, and DRG coding
Preferred Professional Competencies
- Working knowledge of McKesson InterQual® criteria and Medical Coverage Guidelines/Medical Policies
- Advanced ability to interpret contract language and benefits
Preferred Leadership Experience and Competencies
- N/A
Our Commitment
AZ Blue does not discriminate in hiring or employment on the basis of race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status or any other protected group.
Thank you for your interest in Blue Cross Blue Shield of Arizona. For more information on our company, see azblue.com. If interested in this position, please apply.
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About Blue Cross Blue Shield of Arizona
Sourced by ZipRecruiter
Industry
Insurance services
Company size
1,001 - 5,000 Employees
Headquarters location
Phoenix, AZ, US
Year founded
1939