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Remote Northwell Jobs (NOW HIRING)

Aegis Ventures

Clinical Affairs Manager (Part-Time)

$135 - $175/hr

... partnership with Northwell Health and recently announced the Digital Consortium to co-develop ... This is a part-time position (approximately 25 hours per month) and is remote within the U.S., with ...

Aegis Ventures

Senior Operations Manager

... partnership with Northwell Health and recently announced the Digital Consortium to co-develop ... This is a remote, US-based position. What You'll Do * Own camera ordering, inventory management ...

Aegis Ventures

Manager of Customer Success

... partnership with Northwell Health and recently announced the Digital Consortium to co-develop ... This is a remote, US-based position requiring willingness to travel approximately 30-40% for ...

Ascertain

Applied AI Engineer

New York, NY · On-site +1

$130K - $175K/yr

Our backers include Northwell Health, New York's largest health system, and Deerfield Management, a ... This role is remote-friendly. For NYC-based team members, we support a hybrid model with regular in ...

Ascertain

Staff Product Manager, Automation

New York, NY · On-site +1

$160K - $220K/yr

Our backers include Northwell Health, New York's largest health system, and Deerfield Management, a ... This role is remote-friendly. For NYC-based team members, we support a hybrid model with regular in ...

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How much do remote northwell jobs pay per year?

As of Jun 15, 2026, the average yearly pay for remote northwell in the United States is $97,341.00, according to ZipRecruiter salary data. Most workers in this role earn between $63,500.00 and $114,500.00 per year, depending on experience, location, and employer.

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

To thrive in a Remote Northwell position, candidates typically need a background in healthcare or administration, relevant education, and experience aligned to the specific job function. Familiarity with virtual collaboration tools, electronic health records (EHR) systems, and company-specific software is often required. Excellent communication, self-motivation, and time management are crucial soft skills for remote success. These competencies are vital for delivering seamless patient care or support services while collaborating effectively within a distributed team environment.

How to make $80,000 a year working from home?

To earn $80,000 annually working remotely, roles such as remote healthcare professionals, IT specialists, or customer service managers often offer salaries in this range. Developing in-demand skills, obtaining relevant certifications, and gaining experience can help achieve this income level, especially in fields with high demand for remote work.

What are the typical work expectations and team dynamics for a Remote Northwell position?

Remote Northwell roles usually offer flexible scheduling but require a commitment to set hours and consistent availability for virtual meetings or collaboration. Team members primarily communicate through digital platforms and participate in regular check-ins to stay aligned on goals and patient outcomes. You'll work both independently and as part of a collaborative remote team, contributing to shared projects or care initiatives as appropriate. Adaptability and clear communication are essential for overcoming the challenges of working remotely and ensuring a positive, productive work environment.

What job makes $10,000 a month without a degree?

High-paying sales roles, such as real estate brokers or insurance agents, can earn $10,000 or more monthly through commissions and performance-based pay without requiring a college degree. Success in these jobs typically depends on strong communication skills, industry knowledge, and building a client base, often working independently or remotely.

Does Northwell Health offer remote positions?

Northwell Health offers some remote positions across various departments, including administrative and clinical roles, depending on the job requirements. Candidates should review specific job listings for remote work options and any necessary certifications or equipment requirements.

What is the easiest WFH job to get hired at?

Remote customer service representative positions are often considered among the easiest work-from-home jobs to secure, as they typically require basic communication skills, a computer, and internet access. These roles often have high turnover and may not require prior experience or specialized certifications, making them accessible for beginners.

What is a Remote Northwell job?

A Remote Northwell job is a position within Northwell Health that allows employees to work from home or another off-site location. These roles vary across departments and can include administrative, clinical support, IT, and customer service positions. Employees in remote roles are expected to maintain productivity, meet performance standards, and comply with Northwell Health policies while working outside of a traditional office setting.

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Remote Northwell jobs near you
Infographic showing various Remote Northwell job openings in the United States as of June 2026, with employment types broken down into 92% Full Time, and 8% Part Time. Highlights an 100% Remote job distribution, with an average salary of $97,341 per year, or $46.8 per hour.
Clinical Denials Prevention & Appeals Specialist RN- PART TIME

Clinical Denials Prevention & Appeals Specialist RN- PART TIME

Northwell Health

Danbury, CT • On-site, Remote

Part-time, Per diem

Posted 26 days ago

Northwell Health rating

7.8

Company rating: 7.8 out of 10

Based on 549 frontline employees who took The Breakroom Quiz

130th of 872 rated healthcare providers

Job description

Description
Position at Northwell Health
PART TIME- 20 hours per week- Mon-Fri 8pm- 12am shift- Rotating weekends and holiday coverage expected!
Northwell is the largest not-for-profit health system in the Northeast, serving residents of New York and Connecticut with 28 hospitals, more than 1,000 outpatient facilities, 22,000 nurses and over 20,000 physicians. Northwell cares for more than three million people annually in the New York metro area, including Long Island, the Hudson Valley, Connecticut and beyond, thanks to philanthropic support from our communities. Northwell is New York State's largest private employer with over 104,000 employees - including members of Northwell Health Physician Partners - who are working to change health care for the better.
Hybrid/Remote
Summary:
The purpose of the Denial Prevention Nurse is to ensure that all patient admissions are appropriately status within the first 12-24 hours and that ongoing communication (electronic and telephonic) with payers ensures timely approval of all hospital days, preventing delays in reimbursement. This role plays a critical part in preventing payment denials by providing timely and accurate clinical information to all payers, while ensuring compliance with CMS requirements, guidelines, and standardized published criteria to support the medical necessity of patient admission and continued hospital stays. This role will require specialized system skills, best practice application of investigating payer practices, successfully challenging payers as they prevent obstacles and deny claims and escalating any egregious payer behaviors to internal leadership for assistance in resolution.
Responsibilities:
  1. Review all inpatient admission and observation cases using InterQual, or Milliman Care Guidelines or CMS 2 Midnight Rule (depending on payer) within 12-24 hours of admission, seven days a week for assigned shifts.
  2. Complete an initial screening review within the first few hours of decision to admit from ED and communicate with appropriate Provider if initial status is to be re-considered.
  3. Identify incomplete clinical reviews in work queues and complete them within two hours whenever possible. If clinical information is not available by the time the lack of a review may result in a denial, escalate to the appropriate Provider/VPMA.
  4. Identify and complete clinical reviews required for submission to specific payers.
  5. Validate admission orders for all new admits/observations/outpatients daily.
  6. Ensure that the patient status order documented in the chart aligns with the MCG and/or InterQual criteria, or the CMS Two- Midnight Rule, to support the appropriate status and level of care.
  7. Prioritize review of all outpatient observation and outpatient bedded cases at least every 8 hours for conversion to inpatient status or discharge opportunities.
  8. Participate in daily Observation Huddles.
  9. Conduct concurrent reviews for all payers daily for the first three days of admission, then every 2-3 days, or more frequently if criteria are waning.
  10. Submit concurrent reviews to payers to ensure authorization of all days for per diem and percentage of charge reimbursement payers.
  11. If concurrent inpatient case does not meet medical necessity review criteria during the first level review, discuss with the attending MD to obtain additional clinical information and documentation to support inpatient level of care. If the case still does not meet, send to the Physician Advisor (PA) for a second level review.
  12. Forward cases that require secondary physician review to appropriate resource (e.g., Physician Advisor).
  13. Resolve any discrepancy at the time of review. If unable to resolve, escalate to the PA and Utilization Review (UR) Leadership.
  14. Coordinate with the care team in changing patient status, as needed. ' Notify the care team when patient does not meet medical necessity per InterQual or MCG guidelines or 2 MN Rule and escalate appropriately.
  15. Document and proactively communicate relevant clinical information to payers for authorizations for treatments, procedures, and Length of Stay ' submit clinical information as required by payers.
  16. Ensure completion and delivery of required patient notices (by onsite team member). These include but are not limited to: HINNs, Condition Code 44, MOON, Connecticut notice of conversion, etc.
  17. Tracking and trending all appeals and communicating on a daily/regular basis with the Denials Management team.
  18. Assists with informing Managed Care contracting team with necessary contractual language to protect organization financial position specific to inpatient medical necessity requirements.
  19. Employs creative solutions with team members and leadership to prevent denials.
  20. Performs other duties as assigned.

Other Information:
Education Skills Experience
  • Bachelor's Degree (BSN) is highly preferred.
  • Minimum of Associate's Degree in Nursing required when accompanied by strong demonstrated competencies and significant experience.
  • Minimum of 5 years experience in acute care Nursing
  • Proficiency in Milliman and InterQual Guidelines required
  • Minimum of 2-3 years experience as Utilization Management Nurse in an acute care setting required, minimum of 4 years experience required for Associate's Degreed individuals.
  • PREFER: Master's Degree in related field
  • Required: Current RN License in Connecticut and New York
  • InterQual/MCG proficiency testing completed (preferred); required within 1 year of hire. As certification becomes available, requirement will be revisited.
  • Knowledge of regulatory requirements for CMS
  • Have the positive attitude and aptitude to adapt to the continuing change in payer behaviors
  • Recognizes that education is the responsibility of the individual as well as the organization
  • Seeks external knowledge on payers (such as free email services as Becker's)
  • Must have analytical abilities to assist in obtaining solutions to problems
  • Self-starter and highly motivated
  • Must be able to work independently in a fast-paced environment, manage workload and prioritize work
  • Must be able to manage multiple competing priorities and maintain calm professional demeanor during peak demand
  • Must possess a high degree of prioritization skills
  • Exceptional interpersonal skills to effectively communicate with the physicians, payers, and other members of the interdisciplinary care team
  • Current working knowledge of utilization management, performance improvement and managed care reimbursement.

Working Conditions:
Manual: Some manual skills/motor coord & finger dexterity
Occupational: Little or no potential for occupational risk
Physical Effort: Sedentary/light effort. May exert up to 10 lbs. force
Physical Environment: Generally pleasant working conditions
Company: Nuvance Health
Org Unit: 2092
Department: Care Coordination
Exempt: Yes
Salary Range: $45.29 - $84.11 Hourly

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