Manager, Clinical Appeals
Cooper City, FL ยท Remote
Registered Nurse (RN) or clinical degree required; Bachelor's degree in Nursing, Health ... Experience managing remote and/or offshore teams (Philippines experience preferred). * Strong ...
Cooper City, FL ยท Remote
Registered Nurse (RN) or clinical degree required; Bachelor's degree in Nursing, Health ... Experience managing remote and/or offshore teams (Philippines experience preferred). * Strong ...
Cooper City, FL ยท Remote
Registered Nurse (RN) or clinical degree required; Bachelor's degree in Nursing, Health ... Experience managing remote and/or offshore teams (Philippines experience preferred). * Strong ...
Fort Lauderdale, FL ยท On-site +1
$176K - $293K/yr
Remote We are seeking a dynamic Senior Marketing Manager to lead the Surgical franchise within ... operating room environments, clinical solutions, healthcare services, or related regulated ...
Fort Lauderdale, FL ยท On-site +1
$176K - $293K/yr
Remote We are seeking a dynamic Senior Marketing Manager to lead the Surgical franchise within ... operating room environments, clinical solutions, healthcare services, or related regulated ...
Deerfield Beach, FL ยท On-site +1
$120K - $201K/yr
... inside and outside the Operating Room (OR) suite. * Ensures anesthetic services delivered ... VA Nurse Total Rewards Pay: Competitive salary, regular salary increases, potential for performance ...
Deerfield Beach, FL ยท On-site +1
$120K - $201K/yr
... inside and outside the Operating Room (OR) suite. * Ensures anesthetic services delivered ... VA Nurse Total Rewards Pay: Competitive salary, regular salary increases, potential for performance ...
Fort Lauderdale, FL ยท Remote
$26.41 - $43/hr
... . License must be active and unrestricted in state of practice. โข Ability to prioritize and ... room. * Utilization Management (UM) experience highly preferred. #PJHS3 #LI-AC1 To all current ...
Fort Lauderdale, FL ยท Remote
$26.41 - $43/hr
... . License must be active and unrestricted in state of practice. โข Ability to prioritize and ... room. * Utilization Management (UM) experience highly preferred. #PJHS3 #LI-AC1 To all current ...
Plantation, FL ยท On-site +1
$25.75 - $33.25/hr
... operating system, combined with proven expertise, untangles healthcare data to deliver industry ... Effectively work independently and as a team, in a remote setting. Required and Preferred ...
Plantation, FL ยท On-site +1
$25.75 - $33.25/hr
... operating system, combined with proven expertise, untangles healthcare data to deliver industry ... Effectively work independently and as a team, in a remote setting. Required and Preferred ...
Plantation, FL ยท On-site +1
$25.75 - $33.25/hr
... operating system, combined with proven expertise, untangles healthcare data to deliver industry ... Effectively work independently and as a team, in a remote setting. Required and Preferred ...
Plantation, FL ยท On-site +1
$25.75 - $33.25/hr
... operating system, combined with proven expertise, untangles healthcare data to deliver industry ... Effectively work independently and as a team, in a remote setting. Required and Preferred ...
Lake Worth, FL ยท On-site +1
Provide daily supervision of field nurses and Home Health Aides to ensure the quality of services ... Performs duties in an office environment during Agency operating hours. * Ability to work flexible ...
Lake Worth, FL ยท On-site +1
Provide daily supervision of field nurses and Home Health Aides to ensure the quality of services ... Performs duties in an office environment during Agency operating hours. * Ability to work flexible ...
... operating system, combined with proven expertise, untangles healthcare data to deliver industry ... Ability to multitask and work independently in a remote setting. * Knowledge of laws, regulations ...
... operating system, combined with proven expertise, untangles healthcare data to deliver industry ... Ability to multitask and work independently in a remote setting. * Knowledge of laws, regulations ...
Davie, FL ยท Remote
$19 - $20/hr
Comfortable managing virtual group dynamics and de-escalating independently, without in-room ... operating PHP and IOP programs in South Florida. We exist to serve teens and families at their most ...
Quick apply
Davie, FL ยท Remote
$19 - $20/hr
Comfortable managing virtual group dynamics and de-escalating independently, without in-room ... operating PHP and IOP programs in South Florida. We exist to serve teens and families at their most ...
West Palm Beach, FL ยท On-site +1
$69K - $128K/yr
This nurse provides patient care, care coordination, health promotion, health education and ... As an employee operating in a Whole Health System of care, you will operate in a model that is ...
West Palm Beach, FL ยท On-site +1
$69K - $128K/yr
This nurse provides patient care, care coordination, health promotion, health education and ... As an employee operating in a Whole Health System of care, you will operate in a model that is ...
West Palm Beach, FL ยท On-site +1
$74K - $137K/yr
The Oncology/Hematology Registered RN is a clinical expert who uses advanced specialized knowledge ... As an employee operating in a Whole Health System of care, you will operate in a model that is ...
West Palm Beach, FL ยท On-site +1
$74K - $137K/yr
The Oncology/Hematology Registered RN is a clinical expert who uses advanced specialized knowledge ... As an employee operating in a Whole Health System of care, you will operate in a model that is ...
... room. * Adapt the national playbook to Florida: the treatment-provider map, county referral ... Comfortable managing hybrid: a remote operating rhythm of video one-on-ones, dashboards, and async ...
Quick apply
... room. * Adapt the national playbook to Florida: the treatment-provider map, county referral ... Comfortable managing hybrid: a remote operating rhythm of video one-on-ones, dashboards, and async ...
West Palm Beach, FL ยท Remote
$75K - $95K/yr
Remote, U.S. based Travel : Up to 75%, domestic and international, including weekends and event ... Position Overview The Manager, Client Experience is a high-energy, hands-on operator who owns a ...
Quick apply
West Palm Beach, FL ยท Remote
$75K - $95K/yr
Remote, U.S. based Travel : Up to 75%, domestic and international, including weekends and event ... Position Overview The Manager, Client Experience is a high-energy, hands-on operator who owns a ...
... room. * Adapt the national playbook to Florida: the treatment-provider map, county referral ... Comfortable managing hybrid: a remote operating rhythm of video one-on-ones, dashboards, and async ...
... room. * Adapt the national playbook to Florida: the treatment-provider map, county referral ... Comfortable managing hybrid: a remote operating rhythm of video one-on-ones, dashboards, and async ...
West Palm Beach, FL ยท On-site +1
$75K - $95K/yr
Remote, U.S. based Travel : Up to 75%, domestic and international, including weekends and event ... Position Overview The Manager, Client Experience is a high-energy, hands-on operator who owns a ...
West Palm Beach, FL ยท On-site +1
$75K - $95K/yr
Remote, U.S. based Travel : Up to 75%, domestic and international, including weekends and event ... Position Overview The Manager, Client Experience is a high-energy, hands-on operator who owns a ...
$15.74 - $21.42
3% of jobs
$21.42 - $27.10
2% of jobs
$27.10 - $32.79
15% of jobs
$33.81 is the 25th percentile. Wages below this are outliers.
$32.79 - $38.47
27% of jobs
The median wage is $39.21 / hr.
$38.47 - $44.15
24% of jobs
$45.39 is the 75th percentile. Wages above this are outliers.
$44.15 - $49.83
17% of jobs
$49.83 - $55.52
5% of jobs
$55.52 - $61.20
1% of jobs
$61.20 - $66.88
2% of jobs
$66.88 - $72.56
1% of jobs
$72.56 - $78.24
2% of jobs
$15
$43
$78
| Aspect | Remote Operating Room Nurse | Surgical Technologist |
|---|---|---|
| Credentials | RN license, OR nursing certification | Certified Surgical Technologist (CST) |
| Work Environment | Hospital OR, remote monitoring setups | Hospital OR, surgical centers |
| Job Role | Patient care, assisting during surgeries, monitoring remotely | Preparing OR, passing instruments, assisting surgeons |
Remote Operating Room Nurses and Surgical Technologists both work in surgical environments, but the nurse focuses on patient care and monitoring, often remotely, while the technologist prepares the OR and assists during procedures. Both roles require specialized certifications and are integral to surgical teams.
Full-time
Re-posted 3 days ago
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 leadershipโideally 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:
Qualifications:
Sourced by ZipRecruiter
Health care and social assistance
51 - 200 Employees
Cooper City, FL, US
2002