2

Remote Grievance Nurse Jobs (NOW HIRING)

Appeals Pharmacist (Remote)

$58.50 - $71.50/hr

Review clinical documentation for medication coverage appeals and grievances. * Apply plan policies ... Collaborate with physicians, nurses, and medical directors during case reviews. * Track and report ...

Appeals Pharmacist (Remote)

$58.50 - $71.50/hr

Review clinical documentation for medication coverage appeals and grievances. * Apply plan policies ... Collaborate with physicians, nurses, and medical directors during case reviews. * Track and report ...

Appeals Pharmacist (Remote)

$58.50 - $71.50/hr

Review clinical documentation for medication coverage appeals and grievances. * Apply plan policies ... Collaborate with physicians, nurses, and medical directors during case reviews. * Track and report ...

Appeals Pharmacist (Remote)

$58.50 - $71.50/hr

Review clinical documentation for medication coverage appeals and grievances. * Apply plan policies ... Collaborate with physicians, nurses, and medical directors during case reviews. * Track and report ...

Appeals Pharmacist (Remote)

$58.50 - $71.50/hr

Review clinical documentation for medication coverage appeals and grievances. * Apply plan policies ... Collaborate with physicians, nurses, and medical directors during case reviews. * Track and report ...

Appeals Pharmacist (Remote)

$58.50 - $71.50/hr

Review clinical documentation for medication coverage appeals and grievances. * Apply plan policies ... Collaborate with physicians, nurses, and medical directors during case reviews. * Track and report ...

Appeals Pharmacist (Remote)

$58.50 - $71.50/hr

Review clinical documentation for medication coverage appeals and grievances. * Apply plan policies ... Collaborate with physicians, nurses, and medical directors during case reviews. * Track and report ...

Appeals Pharmacist (Remote)

$58.50 - $71.50/hr

Review clinical documentation for medication coverage appeals and grievances. * Apply plan policies ... Collaborate with physicians, nurses, and medical directors during case reviews. * Track and report ...

Appeals Pharmacist (Remote)

$58.50 - $71.50/hr

Review clinical documentation for medication coverage appeals and grievances. * Apply plan policies ... Collaborate with physicians, nurses, and medical directors during case reviews. * Track and report ...

Appeals Pharmacist (Remote)

$58.50 - $71.50/hr

Review clinical documentation for medication coverage appeals and grievances. * Apply plan policies ... Collaborate with physicians, nurses, and medical directors during case reviews. * Track and report ...

Appeals Pharmacist (Remote)

$58.50 - $71.50/hr

Review clinical documentation for medication coverage appeals and grievances. * Apply plan policies ... Collaborate with physicians, nurses, and medical directors during case reviews. * Track and report ...

Appeals Pharmacist (Remote)

$58.50 - $71.50/hr

Review clinical documentation for medication coverage appeals and grievances. * Apply plan policies ... Collaborate with physicians, nurses, and medical directors during case reviews. * Track and report ...

Active, unrestricted RN license required * 5+ years of clinical experience * Prior experience in ... This position is a Remote role. To be eligible for consideration, candidates must have a primary ...

Clinical Quality Review Nurse MUST live in California MUST have Post Service Experience This role ... Investigate and review potential quality of care issues (PQIs) arising from member grievances and ...

Clinical Quality Review Nurse MUST live in California MUST have Post Service Experience ?? This ... Investigate and review potential quality of care issues (PQIs) arising from member grievances and ...

... and grievance processes by analyzing and responding to adverse coverage decisions. This role ... The role is fully remote and requires an active Registered Nurse (RN) license. Key Responsibilities

Appeals Pharmacist (Remote)

$58.50 - $71.50/hr

Review clinical documentation for medication coverage appeals and grievances. * Apply evidence ... Collaborate with physicians, nurses, and medical directors during case reviews. * Track, document ...

Appeals Pharmacist (Remote)

$58.50 - $71.50/hr

Review clinical documentation for medication coverage appeals and grievances. * Apply evidence ... Collaborate with physicians, nurses, and medical directors during case reviews. * Track, document ...

Appeals Pharmacist (Remote)

$58.50 - $71.50/hr

Review clinical documentation for medication coverage appeals and grievances. * Apply evidence ... Collaborate with physicians, nurses, and medical directors during case reviews. * Track, document ...

Showing results 41-60

Remote Grievance Nurse information

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$38

$65

How much do remote grievance nurse jobs pay per hour?

As of Aug 13, 2026, the average hourly pay for remote grievance nurse in the United States is $38.62, according to ZipRecruiter salary data. Most workers in this role earn between $29.57 and $43.27 per hour, depending on experience, location, and employer.

What cities are hiring for Remote Grievance Nurse jobs?

Cities with the most Remote Grievance Nurse job openings:

What are the most commonly searched types of Grievance Nurse jobs?

The most popular types of Grievance Nurse jobs are:

What states have the most Remote Grievance Nurse jobs?

States with the most job openings for Remote Grievance Nurse jobs include:

$58.50 - $71.50/hr

Other

Re-posted 8 days ago


Job description

Remote Appeals Pharmacist - Fair Medication Access | Work From Home | Strong Clinical Writing Focus
Combine clinical expertise with advocacy in a fully remote Appeals Pharmacist role. Review medication coverage appeals, apply evidence-based guidelines, and ensure fair determinations for members - all from home with a schedule that supports better work-life balance.
Key Responsibilities

  • Review clinical documentation for medication coverage appeals and grievances.
  • Apply plan policies, evidence-based guidelines, and regulatory requirements to reach determinations.
  • Prepare clear written clinical rationales supporting appeal outcomes.
  • Collaborate with physicians, nurses, and medical directors during case reviews.
  • Track and report appeal outcomes in full compliance with state and federal rules.
  • Contribute to process improvements that enhance timeliness and quality.
What You'll Bring
  • Education: PharmD or Bachelor of Pharmacy.
  • Licensure: Active U.S. pharmacist license.
  • Experience: Managed care or utilization management preferred. Hospital, ambulatory, and community pharmacists with strong documentation and clinical skills are encouraged to apply.
  • Skills: Excellent clinical judgment, written communication, and regulatory attention to detail.
Why This Role?
  • Fully remote or hybrid options available.
  • Play a critical role in ensuring patients receive fair access to necessary medications.
  • Build expertise in appeals, utilization management, and managed care.
  • Competitive salary, comprehensive benefits, and advancement paths.

About Us
We are a confidential healthcare partner working with health plans and managed-care organizations nationwide. Our appeals pharmacists protect patient access while upholding regulatory standards.
Apply Today
Join our team as a Remote Appeals Pharmacist and help ensure every member receives a fair, evidence-based review.