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

Seaside Home Health

Clinical Manager

Delray Beach, FL · Remote

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 ...

Scribe-X

Remote Medical Scribe

Fort Lauderdale, FL · 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 ...

Sedgwick

Field Case Manager

West Palm Beach, FL · On-site +1

... remote work environment that allows face-to-face interaction with injured workers and medical ... AND LICENSING RN licensure preferred; or bachelor's degree in health or human services field ...

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Remote Rn Triage information

See Boca Raton, FL salary details

$11

$35

$51

How much do remote rn triage jobs pay per hour?

As of Aug 6, 2026, the average hourly pay for remote rn triage in Boca Raton, FL is $35.71, according to ZipRecruiter salary data. Most workers in this role earn between $29.18 and $40.82 per hour, depending on experience, location, and employer.

What does a typical workday look like for a remote RN triage?

A typical workday for a Remote RN Triage nurse involves fielding calls or online messages from patients seeking medical advice, assessing symptoms based on established protocols, and determining the appropriate level of care or urgency. You may document all interactions in electronic health records, coordinate with physicians or advanced practice providers, and sometimes follow up with patients to ensure their concerns are addressed. While you work independently from a remote location, you are often part of a collaborative virtual team and may attend regular team meetings or briefings. This structure helps ensure consistent, quality patient care and provides ongoing peer support.

What is a remote RN triage?

A Remote RN Triage job involves providing telephone-based or virtual patient care, assessing symptoms, offering medical advice, and directing patients to the appropriate level of care. Triage nurses rely on clinical protocols to determine whether a patient needs emergency care, a doctor's visit, or self-care at home. They work for hospitals, clinics, insurance companies, or telehealth services. This role requires strong critical thinking, decision-making skills, and an active RN license.

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

To thrive as a Remote RN Triage nurse, you need an active registered nurse (RN) license, strong clinical judgment, and experience in patient assessment and telephone triage. Familiarity with telehealth platforms, electronic health records (EHRs), and triage protocols such as Schmitt-Thompson guidelines is typically required. Excellent listening skills, compassion, and the ability to clearly communicate medical advice over the phone or online set outstanding candidates apart. These competencies are critical to accurately evaluating patient needs, ensuring safe care from a distance, and providing reassurance in potentially urgent situations.

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Remote Rn Triage jobs near you
Infographic showing various Remote Rn Triage job openings in Boca Raton, FL as of August 2026, with employment types broken down into 2% As Needed, 74% Full Time, 17% Part Time, and 7% Contract. Highlights an 100% Remote job distribution, with an average salary of $74,275 per year, or $35.7 per hour.

Manager, Clinical Appeals

Health Business Solutions LLC

Cooper City, FL • Remote

Full-time

Re-posted 24 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.

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