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Remote Liberty Mutual Rn Jobs in Oregon (NOW HIRING)

Asante

Clinical Appeals Specialist

Medford, OR · On-site +1

$36.79 - $50.59/hr

This is a remote position. Candidates will be required to have reliable broadband internet and ... Registered Nurse Licensed by the Oregon State Board of Nursing is required * Certified Clinical ...

Centene

Utilization Review Clinician - Behavioral Health

OR · On-site +1

$27.02 - $48.55/hr

Licensed Mental Health Professional (LMHP) required or * RN - Registered Nurse - State Licensure and/or Compact State Licensure required Position is remote. Hours are Monday-Friday 8:00 am-5:00 pm ...

Umpqua Health

Utilization Review Nurse

Roseburg, OR · On-site +1

$85K - $105K/yr

UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR ... Active, unrestricted RN license (BSN or MSN) in Oregon or a compact state * Graduation from an ...

WellSense Health Plan

Clinical Auditor I-Nurse

Our Investment in You: · Full-time remote work · Competitive salaries · Excellent benefits Key ... Valid Registered Nurse License required · Coding Certification Preferred - CPC or CCS ...

Advisors Asset Management

Regional Vice President

... remote locations * Proven experience working collaboratively, improving productivity, and ... mutual fund and ETF assets. AAM is a broker/dealer, member FINRA/SIPC and SEC registered investment ...

Ascension

Director of Nursing Practice

$129K - $183K/yr

Remote with 25% Travel Department: Research and EBP Schedule: Full-Time, Days Salary range: $129 ... Registered Nurse obtained prior to hire date or job transfer date required. * BLS Provider obtained ...

Advisors Asset Management

Regional Vice President

... remote locations * Proven experience working collaboratively, improving productivity, and ... mutual fund and ETF assets. AAM is a broker/dealer, member FINRA/SIPC and SEC registered investment ...

Ascension

Director of Nursing Practice

Remote Department: Research and EBP Schedule: Day l Full-time Salary range: $129,942.00 - $183,447 ... Registered Nurse obtained prior to hire date or job transfer date required. * BLS Provider obtained ...

Corvel

Hospital Bill Audit Supervisor

$76K - $117K/yr

This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Utilize nursing education, experience and industry best practices to lead a team of registered nurses to plan, execute and deliver ...

CERiS

Hospital Bill Audit Supervisor

$76K - $117K/yr

This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Utilize nursing education, experience and industry best practices to lead a team of registered nurses to plan, execute and deliver ...

ZoomCare

Psychiatric Nurse Practitioner

Portland, OR · On-site +1

$140K - $163K/yr

Remote Schedule (Must be located in Oregon) ESSENTIAL FUNCTIONS Reasonable accommodations may be ... Current Registered Nursing licensure in Oregon and Washington. * Master of Science in Nursing (MSN ...

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Remote Liberty Mutual Rn information

What is the difference between Remote Liberty Mutual Rn vs Remote Liberty Mutual Lpn?

AspectRemote Liberty Mutual RnRemote Liberty Mutual Lpn
Required CredentialsRegistered Nurse (RN) licenseLicensed Practical Nurse (LPN) license
Work EnvironmentRemote healthcare case managementRemote healthcare support and patient assistance
Employer & IndustryLiberty Mutual Insurance, healthcare division

The Remote Liberty Mutual Rn and Lpn roles both involve remote healthcare support within Liberty Mutual. RNs typically handle complex case management, assessments, and care planning, requiring an RN license. LPNs focus on patient support, data collection, and basic care tasks, requiring an LPN license. Both roles are remote, serve the insurance industry, and require healthcare credentials, but differ in scope and responsibilities.

What are popular job titles related to Remote Liberty Mutual Rn jobs in Oregon? For Remote Liberty Mutual Rn jobs in Oregon, the most frequently searched job titles are:
What job categories do people searching Remote Liberty Mutual Rn jobs in Oregon look for? The top searched job categories for Remote Liberty Mutual Rn jobs in Oregon are:
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Remote Liberty Mutual Rn jobs near you
Clinical Appeals Specialist

Clinical Appeals Specialist

Asante

Medford, OR • On-site, Remote

$36.79 - $50.59/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 9 days ago

Job description

Additional Position Details: FTE: 1.000000 | Full Time | Primarily Mon - Fri / 8AM - 5PM
Starting Wage: $36.79-$50.59 per hour, depending on experience
PLEASE NOTE: This is a remote position. Candidates will be required to have reliable broadband internet and personal cell phone service. Remote work may include working day-to-day operations during Pacific Standard business hours or online training. Candidates must live within the United States, and due to our pay practices, we are not able to employ candidates living in some states.
Position Summary
The Clinical Appeals Specialist is responsible for managing clinical denials by conducting a comprehensive review of clinical documentation and formulating a timely and defensible written response based on clinical documentation, evidence based medical necessity criteria, physician documentation and medical policies of the payor. Communicates identified denial trends and patterns to the Manager of Patient Accounting, the Director of Revenue Cycle and all applicable patient accounting leaders. Works to review, evaluate and improve the enterprise clinical denial and appeal process. At the direction of the Manager of Patient Accounting, this individual will orchestrate education and other performance improvement initiatives to impact clinical quality, improve efficiency and mitigate lost revenue related to medical necessity denials.
Position Qualifications
Experience
  • 3 years of clinical RN experience, including 1 year of Denial Management or Case Management or related experience and 1 year of current experience with reimbursement methodologies is required
  • Experience preparing appeals for clinical denials- preferred.

Education
  • Bachelor's degree in Nursing or allied health field or equivalent- preferred

Certification/Licensure
  • Registered Nurse Licensed by the Oregon State Board of Nursing is required
  • Certified Clinical Documentation Integrity Specialist (CCDS) by ACDIS- preferred
  • CCM: Certified Case Manager- preferred

Total Rewards
We offer a comprehensive Total Rewards package designed to support your well-being and professional growth, including:
  • Competitive Pay: Hourly and salaried positions earn market-based compensation.
  • Health & Wellness: Medical, dental, and vision coverage for part-time and above employees and their eligible dependents beginning within 30 days of hire.
  • Retirement Savings: Employer-sponsored retirement plan with company contribution and match.
  • Paid Time Off: Generous ETO for part-time and above employees.
  • Professional Development: Continue to enhance your education through our tuition reimbursement and tuition repayment program
  • Additional Benefits: Life insurance, disability coverage, and employee assistance programs.

At Asante, we are guided by our values:
Excellence - Respect - Honesty - Service - Teamwork
Asante is proud to be an Equal Opportunity Employer. We are committed to creating a diverse and inclusive workplace and to employing and advancing qualified individuals of all backgrounds, including women, minorities, individuals with disabilities, and protected veterans.
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About Asante

Sourced by ZipRecruiter

As the largest healthcare provider in nine counties, Asante provides comprehensive medical care to more than 600,000 people throughout southern Oregon and northern California. At Asante, our top priority is you. We believe each person must be treated with compassion, dignity, honesty and skill. Our 6,347 employees work together to make this ideal a reality, supported by new technology, modern facilities, and a common purpose of healing and hope. Asante is based in Medford, Oregon, and governed by a board of directors composed of local volunteers and physicians. Board members give their time to ensure that the people of nine Southern Oregon and Northern California counties receive high-quality health care services provided with compassion. All decisions are made by people who live and work in our community.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Medford, OR, US

Year founded

1995

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