Strong clinical experience to include home health, rehabilitation, and/or broad medical surgical ... An active, unrestricted RN license from the United States and in the state of hire, OR, active ...
Strong clinical experience to include home health, rehabilitation, and/or broad medical surgical ... An active, unrestricted RN license from the United States and in the state of hire, OR, active ...
Nurse Practitioner: Remote Urgent Care
Nashville, TN · Remote
$107K - $147K/yr
About Belle Belle is a fast growing engagement company that is revolutionizing home healthcare - ... As these issues arise, a team of remote nurses coordinate care with other healthcare providers ...
Nurse Practitioner: Remote Urgent Care
Nashville, TN · Remote
$107K - $147K/yr
About Belle Belle is a fast growing engagement company that is revolutionizing home healthcare - ... As these issues arise, a team of remote nurses coordinate care with other healthcare providers ...
Holistic Health Specialist - Work From Home
Nashville, TN · Remote
$61K - $136K/yr
Registered Nurse (RN) with current, valid, unrestricted license in state of operations * 2 years of ... LI-Remote This is a Remote/Work-From-Home role. Must have an active and unrestricted Compact ...
Holistic Health Specialist - Work From Home
Nashville, TN · Remote
$61K - $136K/yr
Registered Nurse (RN) with current, valid, unrestricted license in state of operations * 2 years of ... LI-Remote This is a Remote/Work-From-Home role. Must have an active and unrestricted Compact ...
Remote - Licensed Practical Nurse - NLC - LPN - LVN - $21/hr - Day Shift
Nashville, TN · Remote
$28/hr
Fully remote position - Work from the comfort of your own home in cozy clothes without a commute ... Home Health, DME, Home Infusion, and other critical needs. * Resolve patients' questions and create ...
Remote - Licensed Practical Nurse - NLC - LPN - LVN - $21/hr - Day Shift
Nashville, TN · Remote
$28/hr
Fully remote position - Work from the comfort of your own home in cozy clothes without a commute ... Home Health, DME, Home Infusion, and other critical needs. * Resolve patients' questions and create ...
LTSS Service Coordinator-RN Clinician
Nashville, TN · On-site +1
LTSS Service Coordinator-RN Clinician LTSS Service Coordinator- RN Clinician This position is open ... MA/MS in Health/Nursing preferred. * Travels to worksite and other locations as necessary. Job ...
LTSS Service Coordinator-RN Clinician
Nashville, TN · On-site +1
LTSS Service Coordinator-RN Clinician LTSS Service Coordinator- RN Clinician This position is open ... MA/MS in Health/Nursing preferred. * Travels to worksite and other locations as necessary. Job ...
LTSS Service Coordinator-RN Clinician
Nashville, TN · On-site +1
LTSS Service Coordinator- RN Clinician This position is open to candidates located throughout ... MA/MS in Health/Nursing preferred. * Travels to worksite and other locations as necessary. Please ...
LTSS Service Coordinator-RN Clinician
Nashville, TN · On-site +1
LTSS Service Coordinator- RN Clinician This position is open to candidates located throughout ... MA/MS in Health/Nursing preferred. * Travels to worksite and other locations as necessary. Please ...
Spanish Speaking LPN Tennessee
Nashville, TN · Remote
$26.25 - $35.75/hr
... Remote Schedule: Flexible create your own hours Requirement: Must hold an active Tennessee RN or LP ... Review transmitted patient health data daily, identify red flags, and escalate issues to the ...
Quick apply
Spanish Speaking LPN Tennessee
Nashville, TN · Remote
$26.25 - $35.75/hr
... Remote Schedule: Flexible create your own hours Requirement: Must hold an active Tennessee RN or LP ... Review transmitted patient health data daily, identify red flags, and escalate issues to the ...
Spanish Speaking LPN - Tennessee
Nashville, TN · Remote
$24.75 - $33.75/hr
... Remote Schedule: Flexible - create your own hours Requirement: Must hold an active Tennessee RN or ... Review transmitted patient health data daily, identify red flags, and escalate issues to the ...
Spanish Speaking LPN - Tennessee
Nashville, TN · Remote
$24.75 - $33.75/hr
... Remote Schedule: Flexible - create your own hours Requirement: Must hold an active Tennessee RN or ... Review transmitted patient health data daily, identify red flags, and escalate issues to the ...
COTA (Occupational Therapy Assistant) - Home Health
Nashville, TN · On-site +1
$27.50 - $36.75/hr
COTA (Occupational Therapy Assistant) - Home Health Nashville, TN | Rutherford County | Middle ... nurses, and the interdisciplinary care team • Promote patient safety, functional recovery, and ...
COTA (Occupational Therapy Assistant) - Home Health
Nashville, TN · On-site +1
$27.50 - $36.75/hr
COTA (Occupational Therapy Assistant) - Home Health Nashville, TN | Rutherford County | Middle ... nurses, and the interdisciplinary care team • Promote patient safety, functional recovery, and ...
NCLEX-RN Tutor
Nashville, TN · Remote
$18 - $40/hr
All from the comfort of your home. Why Join Our Platform? * Earn incrementally higher pay for each ... control, health promotion, psychosocial integrity, pharmacological and parenteral therapies ...
NCLEX-RN Tutor
Nashville, TN · Remote
$18 - $40/hr
All from the comfort of your home. Why Join Our Platform? * Earn incrementally higher pay for each ... control, health promotion, psychosocial integrity, pharmacological and parenteral therapies ...
Coder
Hendersonville, TN · Remote
Licensed Clinician-RN, LPN, PT, PTA, OT, COTA, or ST. Performance Requirements: * Microsoft Excel ... remote review of home health agency records and provided other clinical historical records.
Coder
Hendersonville, TN · Remote
Licensed Clinician-RN, LPN, PT, PTA, OT, COTA, or ST. Performance Requirements: * Microsoft Excel ... remote review of home health agency records and provided other clinical historical records.
Licensed Insurance Sales Representative (Remote / Home-Based)
Nashville, TN · Remote
$52K - $76K/yr
Health, dental, and vision insurance * 401(k) with company match and pension plan * Tuition ... Home office equipment provided by Allstate Why Join Allstate * No Prospecting : Warm leads ...
Licensed Insurance Sales Representative (Remote / Home-Based)
Nashville, TN · Remote
$52K - $76K/yr
Health, dental, and vision insurance * 401(k) with company match and pension plan * Tuition ... Home office equipment provided by Allstate Why Join Allstate * No Prospecting : Warm leads ...
Licensed Insurance Sales Representative (Remote / Home-Based)
Nashville, TN · On-site +1
$52K - $76K/yr
Health, dental, and vision insurance * 401(k) with company match and pension plan * Tuition ... Home office equipment provided by Allstate Why Join Allstate * No Prospecting : Warm leads ...
Licensed Insurance Sales Representative (Remote / Home-Based)
Nashville, TN · On-site +1
$52K - $76K/yr
Health, dental, and vision insurance * 401(k) with company match and pension plan * Tuition ... Home office equipment provided by Allstate Why Join Allstate * No Prospecting : Warm leads ...
Licensed Insurance Sales Representative (Remote / Home-Based)
Nashville, TN · Remote
$52K - $76K/yr
Health, dental, and vision insurance * 401(k) with company match and pension plan * Tuition ... Home office equipment provided by Allstate Why Join Allstate * No Prospecting : Warm leads ...
Licensed Insurance Sales Representative (Remote / Home-Based)
Nashville, TN · Remote
$52K - $76K/yr
Health, dental, and vision insurance * 401(k) with company match and pension plan * Tuition ... Home office equipment provided by Allstate Why Join Allstate * No Prospecting : Warm leads ...
Work from the comfort of home (fully remote) * Flexible schedule - you set your own hours. * Free ... Also, we are unable to accept substance abuse counselors, school counselors, registered nurses ...
Quick apply
Work from the comfort of home (fully remote) * Flexible schedule - you set your own hours. * Free ... Also, we are unable to accept substance abuse counselors, school counselors, registered nurses ...
This position will be remote within the designated market with occasional in-home patient treatment ... Health's proprietary evidenced based clinical pathways. * Review and approve APP, RN, SW and PharmD ...
This position will be remote within the designated market with occasional in-home patient treatment ... Health's proprietary evidenced based clinical pathways. * Review and approve APP, RN, SW and PharmD ...
Intake Nurse
Nashville, TN · Remote
At the forefront of health tech innovation, CopilotIQ + Biofourmis is transforming in-home care ... Order remote monitoring devices for member * Ability to perform high quality, high volume calls
Quick apply
Intake Nurse
Nashville, TN · Remote
At the forefront of health tech innovation, CopilotIQ + Biofourmis is transforming in-home care ... Order remote monitoring devices for member * Ability to perform high quality, high volume calls
Registered Dietitian (RD) - 100% Remote Telehealth
Nashville, TN · Remote
$40 - $44/hr
... cardio-metabolic health. Position Overview: Hours: Guaranteed 20, 25, or 30 hours per week ... from-home schedule Pay: Competitive hourly rate of $40-$44/hour based on experience Additional ...
Registered Dietitian (RD) - 100% Remote Telehealth
Nashville, TN · Remote
$40 - $44/hr
... cardio-metabolic health. Position Overview: Hours: Guaranteed 20, 25, or 30 hours per week ... from-home schedule Pay: Competitive hourly rate of $40-$44/hour based on experience Additional ...
... health record (EHR) systems and telehealth technologies. * High speed internet at home * Private ... A supportive and collaborative remote work environment. * Medical, dental, and vision coverage ...
... health record (EHR) systems and telehealth technologies. * High speed internet at home * Private ... A supportive and collaborative remote work environment. * Medical, dental, and vision coverage ...
Physician (Tennessee)
Nashville, TN · Remote
$180 - $200/hr
... nursing, home-health, and home-care networks. We are backed by leading healthcare and AI investors ... This is a part-time, remote role supporting dedicated facility NPs. What You'll Do Nurse ...
Quick apply
Physician (Tennessee)
Nashville, TN · Remote
$180 - $200/hr
... nursing, home-health, and home-care networks. We are backed by leading healthcare and AI investors ... This is a part-time, remote role supporting dedicated facility NPs. What You'll Do Nurse ...
Remote Home Health Rn information
See Springfield, TN salary details
$908.06 - $1.1K
2% of jobs
$1.1K - $1.3K
9% of jobs
$1.3K - $1.4K
13% of jobs
$1.4K is the 25th percentile. Wages below this are outliers.
$1.4K - $1.6K
14% of jobs
The median wage is $1.8K / yr.
$1.6K - $1.8K
14% of jobs
$1.8K - $2K
13% of jobs
$2.1K is the 75th percentile. Wages above this are outliers.
$2K - $2.1K
14% of jobs
$2.1K - $2.3K
9% of jobs
$2.3K - $2.5K
5% of jobs
$2.5K - $2.6K
4% of jobs
$2.6K - $2.8K
3% of jobs
$908
$1.8K
$2.8K
How much do remote home health rn jobs pay per week?
What are some common challenges faced by Remote Home Health RNs, and how can they be managed?
What is a Remote Home Health RN?
What is the difference between Remote Home Health Rn vs Home Care Nurse?
| Aspect | Remote Home Health Rn | Home Care Nurse |
|---|---|---|
| Credentials | Registered Nurse (RN) license, certifications in home health | Registered Nurse (RN) license, certifications in home health |
| Work Environment | Primarily remote, telehealth, or telephonic patient monitoring | In-home patient visits, direct care |
| Employer & Industry | Home health agencies, telehealth companies | Home health agencies, private families |
Remote Home Health Rns typically provide patient assessments, care planning, and education remotely, often via telehealth platforms. In contrast, Home Care Nurses perform in-person visits to deliver direct patient care at home. Both roles require RN licensure and focus on home-based healthcare, but Remote Home Health Rns emphasize remote monitoring and consultation, while Home Care Nurses focus on hands-on care.
What are the key skills and qualifications needed to thrive as a Remote Home Health RN, and why are they important?
RN Appeals Analyst Medicare Part B - CGS
Nashville, TN • On-site, Remote
Full-time
Medical, Vision, Life, Retirement, PTO
Re-posted 4 days ago
BlueCross BlueShield of South Carolina rating
7.4
Based on 67 frontline employees who took The Breakroom Quiz
210th of 281 rated insurance
Job description
We are currently hiring for an Appeals Analyst to join BlueCross BlueShield of South Carolina. In this role as Appeals Analyst, you will research the substance of complex appeal or retrospective review requests including pre-pay and post-payment review appeal requests. Additionally, you will provide thorough clinical review or benefit analysis to determine if the requested services meet medical necessity guidelines. Lastly, you will document decisions within mandated timeframes and in compliance with applicable regulations or standards.
This open position is within one of our subsidiary companies called CGS Administrators. CGS has been a proven provider of administrative and business services for state Medicaid agencies, managed care organizations, commercial health plans, Medicaid members, Medicare beneficiaries, healthcare providers, and medical equipment suppliers for more than 50 years.
Here is your opportunity to join a dynamic team at a diverse company with secure, community roots and an innovative future.
Description
Logistics
CGS -one of BlueCross BlueShield's South Carolina subsidiary companies.
This position is full time (40 hours/week) Monday-Friday 8:00-4:30PM CST and will be W@H OR On-site at One Century Plaza, Nashville TN.
What You Will Do:
- Documents the basis of the appeal or retrospective review in an accurate and timely manner and in accordance with applicable regulations or standards.
- Performs thorough research of the substance of service appeals by both member and provider based on clinical documentation, contractual requirements, governing agencies, policies and procedures, while adhering to confidentiality regulations regarding protected health information.
- Performs appeal and retrospective reviews demonstrating ability to define and determine precedence of pertinent issues in application of policies and procedures to clinical information and or application to benefit or policy provisions.
- Performs special projects including reviews of clinical information to identify quality of care issues.
To Qualify for This Position, You Will Need:
- Associate's in a job related field
- Graduate of Accredited School of Nursing
- 2 years clinical experience plus 1 year utilization/medical review, quality assurance, or home health, OR, 3 years clinical. FOR PALMETTO GBA (CO. 033) ONLY: 2 years clinical experience plus 2 years utilization/medical review, quality assurance, or home health experience or a combination of experience in clinical, utilization/medical review, quality assurance or home health experience totaling four years.
- Working knowledge of word processing software.
- Ability to work independently, prioritize effectively, and make sound decisions.
- Working knowledge of managed care and various forms of health care delivery systems.
- Strong clinical experience to include home health, rehabilitation, and/or broad medical surgical experience.
- Knowledge of specific criteria/protocol sets and the use of the same.
- Good judgment skills.
- Demonstrated customer service, organizational, oral and written communication skills.
- Ability to persuade, negotiate, or influence others.
- Analytical or critical thinking skills.
- Ability to handle confidential or sensitive information with discretion.
- Microsoft Office.
- Required License and Certificate: An active, unrestricted RN license from the United States and in the state of hire, OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC).
What We Prefer You Have:
- Utilization Review / Medical Review experience.
- MCS System Knowledge.
- Medicare Part B.
- CMS Knowledge.
- Knowledge of claims systems.
- Ability to effectively use Microsoft Office applications, such as Word, Power point and Excel.
- Coding experience.
What We Can Do for You:
- 401(k) retirement savings plan with company match.
- Subsidized health plans and free vision coverage.
- Life insurance.
- Paid annual leave - the longer you work here, the more you earn.
- Nine paid holidays.
- On-site cafeterias and fitness centers in major locations.
- Wellness programs and healthy lifestyle premium discount.
- Tuition assistance.
- Service recognition.
- Incentive Plan.
- Merit Plan.
- Continuing education funds for additional certifications and certification renewal.
What to Expect Next:
After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with a recruiter to verify resume specifics and salary requirements.
Management will be conducting interviews with those candidates who qualify, with prioritization given to those candidates who demonstrate the preferred qualifications.
Equal Employment Opportunity Statement
BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.
We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company.
If you need special assistance or an accommodation while seeking employment, please email mycareer.help@bcbssc.com or call 800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.
We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information.
Some states have required notifications. Here's more information.
What BlueCross BlueShield of South Carolina employees say
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Get the full story on Breakroom
About BlueCross BlueShield of South Carolina
Sourced by ZipRecruiter
BlueCross BlueShield of South Carolina, headquartered in Columbia, SC, USA, is a major stakeholder in the country's healthcare sector. The company holds the distinction of being one of the largest health insurers in South Carolina. As an independent licensee of the BlueCross BlueShield Association, it offers an extensive range of health insurance products and services, focusing not just on medical coverage, but also on dental, vision, and other supplementary health options. The company was founded in 1946 and has since established itself as a trusted leader in the health sector, committed to affordability, accessibility, and customer service. Their mission is to ensure that all South Carolinians have access to high-quality healthcare and exemplify the core values of accountability, transparency, and commitment to customer satisfaction.
Industry
Insurance services
Company size
10,000+ Employees
Headquarters location
Columbia, SC, US
Year founded
1946