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Remote Contract Rn Jobs in Arizona (NOW HIRING)

Sedgwick

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 ...

York Risk Services

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 ...

Sedgwick

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 ...

York Risk Services

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 ...

Molina Healthcare

Care Review Clinician (RN)

Mesa, AZ · Remote

$26.41 - $51.49/hr

Remote position, must reside in Arizona. Work hours: Monday - Friday 8:30am- 5:00pm Mountain Time ... Registered Nurse (RN). License must be active and unrestricted in state of practice. Ability to ...

Molina Healthcare

Care Review Clinician (RN)

Phoenix, AZ · Remote

$26.41 - $51.49/hr

Remote position, must reside in Arizona. Work hours: Monday - Friday 8:30am- 5:00pm Mountain Time ... Registered Nurse (RN). License must be active and unrestricted in state of practice. Ability to ...

Molina Healthcare

Care Review Clinician (RN)

Scottsdale, AZ · Remote

$26.41 - $51.49/hr

Remote position, must reside in Arizona. Work hours: Monday - Friday 8:30am- 5:00pm Mountain Time ... Registered Nurse (RN). License must be active and unrestricted in state of practice. Ability to ...

Molina Healthcare

Care Review Clinician (RN)

Tucson, AZ · Remote

$26.41 - $51.49/hr

Remote position, must reside in Arizona. Work hours: Monday - Friday 8:30am- 5:00pm Mountain Time ... Registered Nurse (RN). License must be active and unrestricted in state of practice. Ability to ...

Molina Healthcare

Care Review Clinician (RN)

Chandler, AZ · Remote

$26.41 - $51.49/hr

Remote position, must reside in Arizona. Work hours: Monday - Friday 8:30am- 5:00pm Mountain Time ... Registered Nurse (RN). License must be active and unrestricted in state of practice. Ability to ...

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All JobsContract Rn JobsRemote Contract Rn JobsRemote Contract Rn Jobs in Arizona

Remote Contract Rn information

See Arizona salary details

$13

$50

$108

How much do remote contract rn jobs pay per hour?

As of Jun 8, 2026, the average hourly pay for remote contract rn in Arizona is $50.19, according to ZipRecruiter salary data. Most workers in this role earn between $31.97 and $65.35 per hour, depending on experience, location, and employer.

What are Remote Contract RNs?

Remote Contract Registered Nurses (RNs) are licensed nursing professionals who provide healthcare services remotely, often via telehealth platforms. They work on a contract basis, which means they are hired for a specific period or project rather than as permanent employees. Their duties can include patient consultations, triage, care coordination, and health education, all performed virtually or over the phone. This role offers flexibility but requires strong communication and technical skills to deliver quality care from a distance.

What is the difference between Remote Contract Rn vs Remote Contract Lpn?

AspectRemote Contract RnRemote Contract Lpn
CredentialsRegistered Nurse (RN) licenseLicensed Practical Nurse (LPN) license
Work EnvironmentPrimarily telehealth, patient assessments, care planningTelehealth support, basic patient care, documentation
Employer & Industry UsageHospitals, clinics, telehealth companiesHome health agencies, telehealth services
Common Search & ComparisonOften compared for scope of practice and responsibilitiesCompared 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?

As a Remote Contract RN, collaboration with on-site teams is essential and usually accomplished through secure telehealth platforms, virtual meetings, and regular electronic communications. You may coordinate patient care plans, provide updates, and clarify orders directly with physicians and other healthcare staff. Strong communication skills and proficiency with digital health record systems are crucial for ensuring seamless teamwork and optimal patient outcomes. Remote RNs often attend virtual shift handovers and participate in multidisciplinary team discussions to stay aligned with overall patient care strategies.

What are the key skills and qualifications needed to thrive as a Remote Contract RN, and why are they important?

To thrive as a Remote Contract RN, you need an active RN license, strong clinical judgment, and experience in case management or telehealth nursing. Familiarity with telehealth platforms, electronic health records (EHRs), and secure communication systems is typically required. Excellent time management, independent decision-making, and clear virtual communication are vital soft skills for success in a remote setting. These skills ensure effective patient care, regulatory compliance, and seamless collaboration without direct supervision.
What are the most commonly searched types of Remote Rn jobs in Arizona? The most popular types of Remote Rn jobs in Arizona are:
What are popular job titles related to Remote Contract Rn jobs in Arizona? For Remote Contract Rn jobs in Arizona, the most frequently searched job titles are:
What job categories do people searching Remote Contract Rn jobs in Arizona look for? The top searched job categories for Remote Contract Rn jobs in Arizona are:
What cities in Arizona are hiring for Remote Contract Rn jobs? Cities in Arizona with the most Remote Contract Rn job openings:
Remote Contract Rn jobs near you
Infographic showing various Remote Contract Rn job openings in Arizona as of May 2026, with employment types broken down into 2% As Needed, 69% Full Time, 11% Part Time, and 18% Contract. Highlights an 97% Physical, and 3% Remote job distribution, with an average salary of $104,390 per year, or $50.2 per hour.
Medical Appeals and Grievance (MAG) Specialist II - Remote

Medical Appeals and Grievance (MAG) Specialist II - Remote

Blue Cross Blue Shield of Arizona

Phoenix, AZ • On-site, Remote

Full-time

Medical

Posted 19 days ago

Blue Cross Blue Shield Of Arizona rating

6.0

Company rating: 6.0 out of 10

Based on 9 frontline employees who took The Breakroom Quiz

242nd of 260 rated insurance

Job description

Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions.
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 the state of AZ only. This remote work opportunity requires residency, and work to be performed, within the BCBSAZ Approved states.
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.
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 has an onsite expectation of 0 days per week and 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

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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