2

Remote Pediatric Rn Jobs in Miami, FL (NOW HIRING)

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 ...

Remote Medical Scribe

Miami, FL ยท Remote

$14 - $17/hr

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 ...

Remote Medical Scribe

Hialeah, FL ยท Remote

$14 - $17/hr

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 ...

Showing results 21-40

Remote Pediatric Rn information

See Miami, FL salary details

$892

$2K

$3.4K

How much do remote pediatric rn jobs pay per week?

As of Aug 7, 2026, the average weekly pay for remote pediatric rn in Miami, FL is $2,013.90, according to ZipRecruiter salary data. Most workers in this role earn between $1,361.54 and $2,501.92 per week, depending on experience, location, and employer.

What are some typical daily responsibilities for a remote pediatric RN?

A Remote Pediatric RN typically conducts virtual assessments, monitors patient health, provides education and support to families, and coordinates care with pediatricians and other healthcare professionals. You might spend your day reviewing electronic health records, triaging patient concerns, and following up on treatment plans using secure communication tools. Collaboration with multidisciplinary teams is common, helping ensure comprehensive, coordinated care for young patients. This role offers autonomy and flexibility while maintaining close connections with both patients and medical colleagues.

What is a remote pediatric RN?

A Remote Pediatric RN is a registered nurse who provides care, support, and medical guidance to pediatric patients and their families through telehealth services. They may conduct virtual assessments, educate families on managing health conditions, coordinate care plans, and provide triage support. This role allows nurses to work from home while still delivering high-quality patient care, often in collaboration with physicians and other healthcare professionals.

What are the key skills and qualifications needed to thrive in the remote pediatric RN position, and why are they important?

To thrive as a Remote Pediatric RN, you need a current RN license, solid pediatric nursing experience, and a deep understanding of pediatric-specific care protocols. Familiarity with telemedicine platforms, electronic health records (EHRs), and HIPAA-compliant communication tools is essential. Outstanding interpersonal skills, self-motivation, and the ability to communicate clearly with children and their families make candidates stand out in this role. These capabilities ensure high-quality, patient-centered care is delivered effectively, even in a virtual setting.

What are the most commonly searched types of Pediatric Rn jobs in Miami, FL? The most popular types of Pediatric Rn jobs in Miami, FL are:
What are popular job titles related to Remote Pediatric Rn jobs in Miami, FL? For Remote Pediatric Rn jobs in Miami, FL, the most frequently searched job titles are:
What job categories do people searching Remote Pediatric Rn jobs in Miami, FL look for? The top searched job categories for Remote Pediatric Rn jobs in Miami, FL are:
What cities near Miami, FL are hiring for Remote Pediatric Rn jobs? Cities near Miami, FL with the most Remote Pediatric Rn job openings:
Infographic showing various Remote Pediatric Rn job openings in Miami, FL as of August 2026, with employment types broken down into 3% As Needed, 57% Full Time, 15% Part Time, and 25% Contract. Highlights an 98% Physical, and 2% Remote job distribution, with an average salary of $104,723 per year, or $50.3 per hour.

Manager, Clinical Appeals

Health Business Solutions LLC

Cooper City, FL โ€ข Remote

Full-time

Re-posted 25 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 leadership—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 specialists—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.