This position is located Remote United States* *This position requires working weekends, and ... Nursing, Physical Therapy, Respiratory Therapy or Occupational Therapy experience * Conducting or ...
This position is located Remote United States* *This position requires working weekends, and ... Nursing, Physical Therapy, Respiratory Therapy or Occupational Therapy experience * Conducting or ...
Mortgage Loan Officer
Austin, TX · Remote
$175K/yr
This is a remote position that will be expected to be based in the Greater Austin area and ... Support weekend coverage once per month to ensure customers have the support they need even on ...
Mortgage Loan Officer
Austin, TX · Remote
$175K/yr
This is a remote position that will be expected to be based in the Greater Austin area and ... Support weekend coverage once per month to ensure customers have the support they need even on ...
Certain roles -- such as field-based sales or other remote-by-design positions -- may have ... ID.me's digital identity network has over 117 million registered members, and is used by fourteen ...
Quick apply
Certain roles -- such as field-based sales or other remote-by-design positions -- may have ... ID.me's digital identity network has over 117 million registered members, and is used by fourteen ...
Remote Weekend Rn information
What are the key skills and qualifications needed to thrive as a Remote Weekend RN, and why are they important?
What is a Remote Weekend RN?
What are some common challenges faced by Remote Weekend RNs, and how can they be managed effectively?
What is the difference between Remote Weekend Rn vs Remote Night Rn?
| Aspect | Remote Weekend Rn | Remote Night Rn |
|---|---|---|
| Work Schedule | Weekend shifts, typically Saturday and Sunday | Night shifts, usually overnight hours |
| Certifications | Registered Nurse (RN) license, CPR, BLS | Registered Nurse (RN) license, CPR, BLS |
| Work Environment | Home-based telehealth or remote hospital settings | Home-based telehealth or remote hospital settings |
| Industry Usage | Healthcare, telehealth services | Healthcare, telehealth services |
The main difference between a Remote Weekend Rn and a Remote Night Rn lies in their work schedules. Weekend RNs work primarily on weekends, while Night RNs cover overnight shifts. Both roles require similar certifications and work in remote healthcare environments, serving telehealth or remote hospital settings. Your choice depends on your preferred working hours and schedule flexibility.

Full-time
Medical, Dental, Vision, Life, Retirement
Re-posted 17 days ago
Job description
*This position is located Remote United States*
*This position requires working weekends, and rotating holidays as needed*
Position Purpose:
Provides dissatisfied patient/beneficiaries and/or providers the opportunity to present documentation to demonstrate why an appeal/dispute should be allowed. Provides an independent second level determination/dispute resolution based on the documentation, facts, laws, regulations, and guidelines.
Essential Responsibilities:
- Oversees and participates in formal pre-decisional appellant/requestor/provider discussions for the purpose of allowing the appellant/requestor/provider to be heard and submit additional documentation; or, engages the parties in other types of communication in order to obtain information and a more complete understanding of the appeal/dispute issues.
- Oversees and reviews medical records/case file, writes a reconsideration that is clear, concise, and impartial and supports the determination made, and documents review.
- Oversees and makes sound, independent decisions based on medical evidence in accordance with statutes, regulation, rulings, and policy.
- Oversees, responds to and ensures that all appeal issues raised by the beneficiary/patient, representative, and provider/supplier have been addressed.
Minimum Qualifications
Education
- Associate's degree or 60 or more credit hours towards a Bachelor's degree from an accredited college or university in healthcare or related discipline
- Additional experience in Medicare appeals, medical review, clinical, or other related experience in a healthcare setting may be substituted for Associate's degree on a year per year basis. (Experience requirements may be satisfied by full-time experience or the prorated part-time equivalent.)
Experience
- Five (5) years conducting or overseeing Medicare appeals, medical review, or utilization management of Medicare claims.
- Supervisory or Team Lead
- Healthcare Professional with demonstrated experience writing, making, or overseeing Medicare related medical necessity decisions
- Nursing, Physical Therapy, Respiratory Therapy or Occupational Therapy experience
- Conducting or overseeing Medicare Part C related appeals activities, preferred
Benefits
C2C offers an excellent benefits package, including:
- Medical, dental, vision, life, accidental death and dismemberment, and short and long-term disability insurance
- Section 125 plan
- 401K
- Competitive salary
- License/credentials reimbursement
- Tuition Reimbursement
EOE Vet/Disability
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
About TMF Health Quality Institute
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
201 - 500 Employees
Headquarters location
Austin, TX, US
Year founded
1971