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 ...
Boynton Beach, FL ยท On-site +1
This role is a hybrid role which requires 50% of the time in office, and 50% remote. In this role ... Current registration as a Nurse Practitioner and Registered Nurse * Education: Master's Degree in ...
Boynton Beach, FL ยท On-site +1
This role is a hybrid role which requires 50% of the time in office, and 50% remote. In this role ... Current registration as a Nurse Practitioner and Registered Nurse * Education: Master's Degree in ...
Plantation, FL ยท On-site +1
$25.75 - $33.25/hr
Effectively work independently and as a team, in a remote setting. Required and Preferred Qualifications: * Active unrestricted RN license in good standing, is required. * Must not be currently ...
Plantation, FL ยท On-site +1
$25.75 - $33.25/hr
Effectively work independently and as a team, in a remote setting. Required and Preferred Qualifications: * Active unrestricted RN license in good standing, is required. * Must not be currently ...
Plantation, FL ยท On-site +1
Effectively work independently and as a team, in a remote setting. Required and Preferred Qualifications: * Active unrestricted RN license in good standing, is required. * Must not be currently ...
Plantation, FL ยท On-site +1
Effectively work independently and as a team, in a remote setting. Required and Preferred Qualifications: * Active unrestricted RN license in good standing, is required. * Must not be currently ...
Plantation, FL ยท On-site +1
Effectively work independently and as a team, in a remote setting. Required and Preferred Qualifications: * Active unrestricted RN license in good standing, is required. * Must not be currently ...
Plantation, FL ยท On-site +1
Effectively work independently and as a team, in a remote setting. Required and Preferred Qualifications: * Active unrestricted RN license in good standing, is required. * Must not be currently ...
Plantation, FL ยท On-site +1
$25.75 - $33.25/hr
Effectively work independently and as a team, in a remote setting. Required and Preferred Qualifications: * Active unrestricted RN license in good standing, is required. * Must not be currently ...
Plantation, FL ยท On-site +1
$25.75 - $33.25/hr
Effectively work independently and as a team, in a remote setting. Required and Preferred Qualifications: * Active unrestricted RN license in good standing, is required. * Must not be currently ...
Plantation, FL ยท On-site +1
$14.75 - $19/hr
Remote Opportunity Bilingual Spanish Speaking Preferred Schedule: Monday through Friday, 8:00 AM to ... 23) LPNs and Registered Nurses answer calls and questions from Patient Contact Center ...
Plantation, FL ยท On-site +1
$14.75 - $19/hr
Remote Opportunity Bilingual Spanish Speaking Preferred Schedule: Monday through Friday, 8:00 AM to ... 23) LPNs and Registered Nurses answer calls and questions from Patient Contact Center ...
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 ...
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 ...
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 ...
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 ...
Deerfield Beach, FL ยท 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 ...
Deerfield Beach, FL ยท 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 ...
Delray Beach, FL ยท 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 ...
Delray Beach, FL ยท 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 ...
Plantation, FL ยท Remote
$15.25 - $20.75/hr
Remote Opportunity Bilingual Spanish Speaking Preferred Schedule: Tuesday-Saturday: 12:30 pm-6:00 ... 23) LPNs and Registered Nurses answer calls and questions from Patient Contact Center ...
Plantation, FL ยท Remote
$15.25 - $20.75/hr
Remote Opportunity Bilingual Spanish Speaking Preferred Schedule: Tuesday-Saturday: 12:30 pm-6:00 ... 23) LPNs and Registered Nurses answer calls and questions from Patient Contact Center ...
Ability to multitask and work independently in a remote setting. * Knowledge of laws, regulations ... Current active unrestricted Nursing license in good standing, is required (RN license is required ...
Ability to multitask and work independently in a remote setting. * Knowledge of laws, regulations ... Current active unrestricted Nursing license in good standing, is required (RN license is required ...
Plantation, FL ยท On-site +1
Ability to multitask and work independently in a remote setting. * Knowledge of laws, regulations ... Current active unrestricted Nursing license in good standing, is required (RN license is required ...
Plantation, FL ยท On-site +1
Ability to multitask and work independently in a remote setting. * Knowledge of laws, regulations ... Current active unrestricted Nursing license in good standing, is required (RN license is required ...
Delray Beach, FL ยท Remote
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)
Quick apply
Delray Beach, FL ยท Remote
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)
Fort Lauderdale, 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 ...
Quick apply
Fort Lauderdale, 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 ...
Delray Beach, FL ยท Remote
$16 - $18/hr
... RN shifts for all assigned clients. The On-Call Client Services Associate works with a team ... Position Types Available: Full-Time, Remote On-Call Client Service Associate responsibilities ...
Quick apply
Delray Beach, FL ยท Remote
$16 - $18/hr
... RN shifts for all assigned clients. The On-Call Client Services Associate works with a team ... Position Types Available: Full-Time, Remote On-Call Client Service Associate responsibilities ...
Organize and manage remote trainers or preceptors to support distributed or hybrid teams * Provide ... Registered Nurse or LPN required; license in good standing * Minimum of 3 years of experience in ...
Organize and manage remote trainers or preceptors to support distributed or hybrid teams * Provide ... Registered Nurse or LPN required; license in good standing * Minimum of 3 years of experience in ...
Organize and manage remote trainers or preceptors to support distributed or hybrid teams * Provide ... Registered Nurse or LPN required; license in good standing * Minimum of 3 years of experience in ...
Quick apply
Organize and manage remote trainers or preceptors to support distributed or hybrid teams * Provide ... Registered Nurse or LPN required; license in good standing * Minimum of 3 years of experience in ...
Fort Lauderdale, FL ยท On-site +1
$33 - $44.50/hr
Ability to work independently in a remote environment, managing multiple priorities and deadlines ... Clinical background preferred (RN, LPN, PA,NP Computer Skills * Proficiency in Microsoft Office ...
Fort Lauderdale, FL ยท On-site +1
$33 - $44.50/hr
Ability to work independently in a remote environment, managing multiple priorities and deadlines ... Clinical background preferred (RN, LPN, PA,NP Computer Skills * Proficiency in Microsoft Office ...
$27.93 - $29.08
14% of jobs
$29.08 - $30.22
5% of jobs
$30.70 is the 25th percentile. Wages below this are outliers.
$30.22 - $31.36
14% of jobs
$31.36 - $32.51
0% of jobs
$32.51 - $33.65
11% of jobs
The median wage is $33.98 / hr.
$33.65 - $34.80
22% of jobs
$34.80 - $35.94
5% of jobs
$36.95 is the 75th percentile. Wages above this are outliers.
$35.94 - $37.09
4% of jobs
$37.09 - $38.23
12% of jobs
$38.23 - $39.38
7% of jobs
$39.38 - $40.52
5% of jobs
$27
$34
$40
| Aspect | Remote Rn | Remote Lpn |
|---|---|---|
| Required Credentials | Registered Nurse (RN) license, BSN often preferred | Licensed Practical Nurse (LPN) license |
| Work Environment | Hospitals, clinics, telehealth platforms | Long-term care, home health, telehealth |
| Employer & Industry Usage | Hospitals, healthcare providers, telehealth companies | Long-term care facilities, home health agencies |
Remote Rns typically hold a registered nurse license and work in hospitals or telehealth settings, providing comprehensive patient care. Remote Lpns, with a practical nurse license, often work in long-term care or home health. While both roles involve remote patient interaction, Rns usually handle more complex cases, whereas Lpns focus on basic patient care tasks.
To become a remote nurse, you need the same training, education, and qualifications that non-remote nurses possess, namely nursing licensure in your state. Some virtual RN roles may also require some period of on-site training to learn procedures. Since your duties include performing patient triage via telephone, webcam, or chat apps, you also need strong technical skills and a high-speed internet connection. Fluency in more than one language is a big plus, as is a strong track record of success in self-directed roles. Additionally, a variety of telehealth certifications are available, and these increase your appeal with potential employers.
Full-time
Posted 18 hours 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