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 ...
Miami, FL ยท On-site +1
$26 - $27/hr
... Remote) (Spanish Speaking Required) Overview : The Care Coordinator is responsible for developing and providing care coordination services directly to Alopex clients' patients. Reports To : RN ...
Miami, FL ยท On-site +1
$26 - $27/hr
... Remote) (Spanish Speaking Required) Overview : The Care Coordinator is responsible for developing and providing care coordination services directly to Alopex clients' patients. Reports To : RN ...
Miami, FL ยท Remote
$26 - $27/hr
... Remote) (Spanish Speaking Required) Overview : The Care Coordinator is responsible for developing and providing care coordination services directly to Alopex clients' patients. Reports To : RN ...
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Miami, FL ยท Remote
$26 - $27/hr
... Remote) (Spanish Speaking Required) Overview : The Care Coordinator is responsible for developing and providing care coordination services directly to Alopex clients' patients. Reports To : RN ...
Doral, FL ยท Remote
$10K/mo
... RD) or Registered Nurse (RN) REQUIRED within a year of hired date. Experience: * Management ... For positions that are available as remote work, Sentara Health employs associates in the following ...
Doral, FL ยท Remote
$10K/mo
... RD) or Registered Nurse (RN) REQUIRED within a year of hired date. Experience: * Management ... For positions that are available as remote work, Sentara Health employs associates in the following ...
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
$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 ...
Miami Gardens, FL ยท Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
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Miami Gardens, FL ยท Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
Davie, FL ยท Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
Quick apply
Davie, FL ยท Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
Pembroke Pines, FL ยท Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
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Pembroke Pines, FL ยท Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
Sunrise, FL ยท Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
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Sunrise, FL ยท Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
Pompano Beach, FL ยท Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
Quick apply
Pompano Beach, FL ยท Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
Hollywood, FL ยท Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
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Hollywood, FL ยท Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
Miami, FL ยท Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
Quick apply
Miami, FL ยท Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
Miramar, FL ยท Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
Quick apply
Miramar, FL ยท Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
Fort Lauderdale, FL ยท Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
Quick apply
Fort Lauderdale, FL ยท Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
Hialeah, FL ยท Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
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Hialeah, FL ยท Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
Plantation, FL ยท Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
Quick apply
Plantation, FL ยท Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
Miami, FL ยท On-site +1
$42.50/hr
Registered Nurse. * AHA PALS Instructor Certification. * AHA NPR Instructor Certification. * AHA BLS Instructor Certification. * NBRC Registered Respiratory Therapist. * AHA ACLS Instructor ...
Miami, FL ยท On-site +1
$42.50/hr
Registered Nurse. * AHA PALS Instructor Certification. * AHA NPR Instructor Certification. * AHA BLS Instructor Certification. * NBRC Registered Respiratory Therapist. * AHA ACLS Instructor ...
Miami, FL ยท Remote
$250K - $500K/yr
Psychiatric-Mental Health Nurse Practitioner degree and board certification * Valid state medical ... Remote Compensation Range: $250K - $500K
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Miami, FL ยท Remote
$250K - $500K/yr
Psychiatric-Mental Health Nurse Practitioner degree and board certification * Valid state medical ... Remote Compensation Range: $250K - $500K
$27.32 - $28.44
14% of jobs
$28.44 - $29.56
5% of jobs
$30.03 is the 25th percentile. Wages below this are outliers.
$29.56 - $30.68
14% of jobs
$30.68 - $31.80
0% of jobs
$31.80 - $32.92
11% of jobs
The median wage is $33.24 / hr.
$32.92 - $34.04
22% of jobs
$34.04 - $35.16
5% of jobs
$36.14 is the 75th percentile. Wages above this are outliers.
$35.16 - $36.28
4% of jobs
$36.28 - $37.40
12% of jobs
$37.40 - $38.52
7% of jobs
$38.52 - $39.64
5% of jobs
$27
$33
$39
| 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 19 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