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Remote Mother Baby Rn Jobs in Boca Raton, FL (NOW HIRING)

Active LPN or RN license (required) What we would like to see * 1+ year experience in utilization ... US remote-based colleagues are not permitted to work from a location outside of the United States ...

The Part-Time QA Nurse is a remote-based RN who plays a critical role in ensuring the clinical documentation integrity, regulatory compliance, and accreditation readiness of our Florida-based home ...

Clinical Nurse Specialist

Delray Beach, FL ยท Remote

$68K - $100K/yr

Active LPN or RN license (required) What we would like to see * 1+ year experience in utilization ... US remote-based colleagues are not permitted to work from a location outside of the United States ...

Preferred: * Clinical certification (e.g., RN, LPN, PT) or background in nursing or allied health. * Experience working with IT support tools (ticketing systems, remote support platforms)

Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a medical scribe first! Scribe Pay Structure: $11/hour - No scribe experience $12/hour - 6+ months scribe ...

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Remote Mother Baby Rn information

See Boca Raton, FL salary details

$11

$45

$73

How much do remote mother baby rn jobs pay per hour?

As of Jun 9, 2026, the average hourly pay for remote mother baby rn in Boca Raton, FL is $45.87, according to ZipRecruiter salary data. Most workers in this role earn between $33.75 and $60.24 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in the Remote Mother Baby Rn position, and why are they important?

To excel as a Remote Mother Baby RN, you need a current RN license, experience in maternal-newborn care, strong assessment skills, and knowledge of lactation support. Familiarity with telehealth platforms, secure electronic health records (EHRs), and remote monitoring tools is essential. Outstanding verbal communication, empathy, and the ability to educate and reassure new parents are key soft skills for this position. These skills enable you to provide high-quality, family-centered care remotely, supporting safe transitions and positive outcomes for mothers and infants.

What are some common responsibilities of a Remote Mother Baby RN during a typical workweek?

A Remote Mother Baby RN typically conducts virtual assessments of postpartum mothers and newborns, provides guidance on infant care and breastfeeding, and monitors for any complications or concerning symptoms. They coordinate follow-up appointments, document care accurately in electronic health records, and communicate closely with physicians, lactation consultants, and other healthcare providers to ensure comprehensive support. The role may also include educating families on newborn safety, nutrition, and development, while offering emotional support as new parents adjust. This position allows for meaningful patient interactions and follow-up, even while working from home.

What is a Remote Mother Baby RN job?

A Remote Mother Baby RN is a registered nurse who provides postpartum care and support to mothers and newborns through telehealth or virtual consultations. They assess the well-being of both mother and baby, offer breastfeeding guidance, educate on newborn care, and address any postpartum concerns. This role often involves working with healthcare teams to ensure a smooth recovery and proper infant care while leveraging phone or video calls to assist patients remotely.

What are the most commonly searched types of Mother Baby Rn jobs in Boca Raton, FL? The most popular types of Mother Baby Rn jobs in Boca Raton, FL are:
What are popular job titles related to Remote Mother Baby Rn jobs in Boca Raton, FL? For Remote Mother Baby Rn jobs in Boca Raton, FL, the most frequently searched job titles are:
What job categories do people searching Remote Mother Baby Rn jobs in Boca Raton, FL look for? The top searched job categories for Remote Mother Baby Rn jobs in Boca Raton, FL are:
What cities near Boca Raton, FL are hiring for Remote Mother Baby Rn jobs? Cities near Boca Raton, FL with the most Remote Mother Baby Rn job openings:
Manager, Clinical Appeals

Manager, Clinical Appeals

Health Business Solutions LLC

Cooper City, FL โ€ข Remote

Full-time

Posted 26 days ago


Job description

Job Summary:

We are seeking an experienced and highly organized Manager of Clinical Appeals to lead our clinical appeals operations across commercial and government payers. This role is responsible for overseeing day-to-day activities of clinical appeal specialists, managing appeal strategy execution, ensuring quality and compliance, and meeting client-specific performance goals.

The ideal candidate brings a strong background in clinical review, medical necessity denials, payer appeal processes, and team leadershipโ€”ideally across both U.S. and offshore teams (e.g., Philippines). This position is critical to ensuring timely and effective resolution of denied claims, supporting revenue recovery efforts, and maintaining payer and regulatory compliance.

Key Responsibilities:

  • Manage the full-cycle clinical appeals process across multiple payer types, with a focus on government (e.g., Medicare, Medicaid) and commercial payers.
  • Lead and support a team of nurses, clinical reviewers, and appeal specialistsโ€”including potential offshore (Philippines-based) staff.
  • Monitor appeal workloads, productivity, and turnaround times to ensure all appeal deadlines and client service level agreements (SLAs) are met.
  • Review and approve complex or high-value clinical appeal cases, ensuring clinical accuracy and compliance with payer guidelines.
  • Maintain up-to-date knowledge of medical necessity criteria, payer policies, NCDs/LCDs, and applicable CMS regulations.
  • Train new and existing team members on clinical guidelines, appeal writing standards, and regulatory requirements.
  • Work cross-functionally with audit, legal, compliance, and operations teams to align on strategy and escalate trends or systemic payer issues.
  • Identify and implement process improvements to increase efficiency, reduce denials, and improve overturn rates.
  • Support the creation and refinement of appeal templates, clinical arguments, and documentation standards.
  • Generate and deliver performance and quality reports to leadership, identifying risks and opportunities for improvement.

Qualifications:

  • Registered Nurse (RN) or clinical degree required; Bachelor's degree in Nursing, Health Administration, or related field preferred.
  • 5+ years of experience in clinical appeals, utilization review, or medical necessity denials.
  • 2+ years in a leadership or supervisory role, preferably within a revenue cycle or payer appeals setting.
  • In-depth understanding of payer denial processes, especially Medicare Advantage, Medicaid Managed Care, and commercial plans.
  • Experience managing remote and/or offshore teams (Philippines experience preferred).
  • Strong working knowledge of ICD-10, CPT, and HCPCS coding as they relate to clinical justifications.
  • Excellent writing skills and the ability to clearly communicate complex clinical reasoning.
  • Familiarity with appeal submission portals, EHRs, and workflow platforms.
  • Knowledge of HIPAA, CMS, and NCQA standards.