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Remote: not held to onsite requirements, however, leadership can request presence onsite for ... Registered Nurse (RN) Required Certifications * N/A PREFERRED QUALIFICATIONS Preferred Work ...
Initial Clinical Reviewer - Remote - AZ
Phoenix, AZ · On-site +1
Remote: not held to onsite requirements, however, leadership can request presence onsite for ... Nursing Licensure Compact (NLC) as an RN, OR an active, current, and unrestricted license to ...
Initial Clinical Reviewer - Remote - AZ
Phoenix, AZ · On-site +1
Remote: not held to onsite requirements, however, leadership can request presence onsite for ... Nursing Licensure Compact (NLC) as an RN, OR an active, current, and unrestricted license to ...
This is a full-time, remote opportunity working Monday-Friday, 8am-5pm. Must reside in Maricopa or Pinal County.* The Workflow Specialist (RN) is responsible for coordinating and managing key ...
Quick apply
This is a full-time, remote opportunity working Monday-Friday, 8am-5pm. Must reside in Maricopa or Pinal County.* The Workflow Specialist (RN) is responsible for coordinating and managing key ...
This is a full-time, remote opportunity working Monday-Friday, 8am-5pm. Must reside in Maricopa or Pinal County.* The Workflow Specialist (RN) is responsible for coordinating and managing key ...
This is a full-time, remote opportunity working Monday-Friday, 8am-5pm. Must reside in Maricopa or Pinal County.* The Workflow Specialist (RN) is responsible for coordinating and managing key ...
This is a full-time, remote opportunity working Monday-Friday, 8am-5pm. Must reside in Maricopa or Pinal County.* The Workflow Specialist (RN) is responsible for coordinating and managing key ...
This is a full-time, remote opportunity working Monday-Friday, 8am-5pm. Must reside in Maricopa or Pinal County.* The Workflow Specialist (RN) is responsible for coordinating and managing key ...
Adjunct - Advanced Pathophysiology and Pharmacology for Nurse Educators- Online (Remote) - College o
Phoenix, AZ · On-site +1
Adjunct - Advanced Pathophysiology and Pharmacology for Nurse Educators- Online (Remote) - College ... Nurses must maintain an active, current, unrestricted and unencumbered AZ or Multi-state RN license ...
Adjunct - Advanced Pathophysiology and Pharmacology for Nurse Educators- Online (Remote) - College o
Phoenix, AZ · On-site +1
Adjunct - Advanced Pathophysiology and Pharmacology for Nurse Educators- Online (Remote) - College ... Nurses must maintain an active, current, unrestricted and unencumbered AZ or Multi-state RN license ...
... weekend/holiday coverage based on business needs 9 10 * Perform additional duties as assigned ... Graduate of an accredited nursing program (RN, LPN, or LVN), or * Graduate of an accredited ...
... weekend/holiday coverage based on business needs 9 10 * Perform additional duties as assigned ... Graduate of an accredited nursing program (RN, LPN, or LVN), or * Graduate of an accredited ...
Sr. Quality of Care Review Nurse
Tempe, AZ · Remote
$83K - $109K/yr
This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas ... Licensed Registered Nurse with active, unrestricted license in state of residence and willingness ...
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Sr. Quality of Care Review Nurse
Tempe, AZ · Remote
$83K - $109K/yr
This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas ... Licensed Registered Nurse with active, unrestricted license in state of residence and willingness ...
Psychiatric Nurse Practitioner for Remote Telepsychiatry - FT - REMOTE
Scottsdale, AZ · Remote
$150K/yr
Job Type: Permanent, Full Time Pay Rate Based on Years of Psych NP Licensure: Less than 2 years ... Monday to Friday - 9 to 5 - No weekends or Call Duty Work Location: Fully Remote Other Details:
Psychiatric Nurse Practitioner for Remote Telepsychiatry - FT - REMOTE
Scottsdale, AZ · Remote
$150K/yr
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Adjunct - Nursing Education Practicum - Online (Remote) - College of Nursing and Health Care Profess
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... RN license. * Three years professional experience required. * Strong communication skills and the ability to build supportive relationships with students * Proficiency in English, grammar, and APA ...
Adjunct - Nursing Education Practicum - Online (Remote) - College of Nursing and Health Care Profess
Phoenix, AZ · On-site +1
... RN license. * Three years professional experience required. * Strong communication skills and the ability to build supportive relationships with students * Proficiency in English, grammar, and APA ...
Job Type: Part Time, Permanent Pay Rate Based on Years of Psych NP Licensure: Less than 2 years ... Monday to Friday - 9 to 5 - No weekends or Call Duty Work Location: Fully Remote Other Details:
Job Type: Part Time, Permanent Pay Rate Based on Years of Psych NP Licensure: Less than 2 years ... Monday to Friday - 9 to 5 - No weekends or Call Duty Work Location: Fully Remote Other Details:
Clinical Trainer & Auditor - Remote AZ
Phoenix, AZ · On-site +1
Remote: not held to onsite requirements, however, leadership can request presence onsite for ... NLC) as an RN within the first 60 days of hire. Required Certifications * N/A PREFERRED ...
Clinical Trainer & Auditor - Remote AZ
Phoenix, AZ · On-site +1
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Nurse Practitioner or Physician Assistant - Remote
Phoenix, AZ · Remote
$55 - $70/hr
Amaze is seeking a compassionate and skilled Nurse Practitioner (NP) or Physician Assistant (PA ... weekends
Nurse Practitioner or Physician Assistant - Remote
Phoenix, AZ · Remote
$55 - $70/hr
Amaze is seeking a compassionate and skilled Nurse Practitioner (NP) or Physician Assistant (PA ... weekends
Nurse Practitioner or Physician Assistant - Remote
Phoenix, AZ · Remote
$55 - $70/hr
Amaze is seeking a compassionate and skilled Nurse Practitioner (NP) or Physician Assistant (PA ... weekends
Quick apply
Nurse Practitioner or Physician Assistant - Remote
Phoenix, AZ · Remote
$55 - $70/hr
Amaze is seeking a compassionate and skilled Nurse Practitioner (NP) or Physician Assistant (PA ... weekends
Remote Intake Coordinator - Licensed Practical Nurse (LPN) - $21/hr - Day Shift
Phoenix, AZ · On-site +1
$28/hr
Fully remote position - Work from the comfort of your own home in cozy clothes without a commute ... Consistent schedule - Full-Time Monday - Friday, no weekends, rotational on-call-once per year on ...
Remote Intake Coordinator - Licensed Practical Nurse (LPN) - $21/hr - Day Shift
Phoenix, AZ · On-site +1
$28/hr
Fully remote position - Work from the comfort of your own home in cozy clothes without a commute ... Consistent schedule - Full-Time Monday - Friday, no weekends, rotational on-call-once per year on ...
Remote Intake Coordinator - Licensed Practical Nurse (LPN) - $21/hr - Day Shift
Phoenix, AZ · Remote
$28/hr
Fully remote position - Work from the comfort of your own home in cozy clothes without a commute ... Consistent schedule - Full-Time Monday - Friday, no weekends, rotational on-call-once per year on ...
Remote Intake Coordinator - Licensed Practical Nurse (LPN) - $21/hr - Day Shift
Phoenix, AZ · Remote
$28/hr
Fully remote position - Work from the comfort of your own home in cozy clothes without a commute ... Consistent schedule - Full-Time Monday - Friday, no weekends, rotational on-call-once per year on ...
Remote Intake Coordinator - Licensed Practical Nurse (LPN) - $21/hr - Day Shift
Phoenix, AZ · Remote
$28/hr
Fully remote position - Work from the comfort of your own home in cozy clothes without a commute ... Consistent schedule - Full-Time Monday - Friday, no weekends, rotational on-call-once per year on ...
Quick apply
Remote Intake Coordinator - Licensed Practical Nurse (LPN) - $21/hr - Day Shift
Phoenix, AZ · Remote
$28/hr
Fully remote position - Work from the comfort of your own home in cozy clothes without a commute ... Consistent schedule - Full-Time Monday - Friday, no weekends, rotational on-call-once per year on ...
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Remote Pharmacist - Prior Authorization / PBM Experience
Phoenix, AZ · Remote
$53 - $55/hr
One weekend day each week, or * A rotating weekend schedule. Job Summary We are seeking a licensed Registered Pharmacist to support a high-volume, remote Prior Authorization and Coverage ...
New
Quick apply
Be Seen First
Remote Pharmacist - Prior Authorization / PBM Experience
Phoenix, AZ · Remote
$53 - $55/hr
One weekend day each week, or * A rotating weekend schedule. Job Summary We are seeking a licensed Registered Pharmacist to support a high-volume, remote Prior Authorization and Coverage ...
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Quality Improvement Division Monday - Friday 8:00am - 4:30pm - remote position. Virtual Training ... Registered Nurse (RN) - License Valid State of Arizona or compact state Registered Nurse license.
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Quality Improvement Division Monday - Friday 8:00am - 4:30pm - remote position. Virtual Training ... Registered Nurse (RN) - License Valid State of Arizona or compact state Registered Nurse license.
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This fully remote role supports readmission avoidance, care continuity, and patient stabilization ... Registered with AHCCCS preferred • Experience with chronic conditions and care management ...
This fully remote role supports readmission avoidance, care continuity, and patient stabilization ... Registered with AHCCCS preferred • Experience with chronic conditions and care management ...
Weekend Remote Prn Rn information
See Chandler, AZ salary details
$23.68 - $27.81
5% of jobs
$27.81 - $31.94
15% of jobs
$33.58 is the 25th percentile. Wages below this are outliers.
$31.94 - $36.07
13% of jobs
$36.07 - $40.21
15% of jobs
The median wage is $41 / hr.
$40.21 - $44.34
14% of jobs
$44.34 - $48.47
11% of jobs
$50.15 is the 75th percentile. Wages above this are outliers.
$48.47 - $52.60
8% of jobs
$52.60 - $56.73
6% of jobs
$56.73 - $60.87
8% of jobs
$60.87 - $65
3% of jobs
$65 - $69.13
2% of jobs
$23
$44
$69
How much do weekend remote prn rn jobs pay per hour?
What is the difference between Weekend Remote Prn Rn vs Full-Time Rn?
| Aspect | Weekend Remote Prn Rn | Full-Time Rn |
|---|---|---|
| Work Schedule | Weekend shifts, as needed | Regular weekly schedule, typically Monday to Friday |
| Work Environment | Remote, flexible location | Hospital, clinic, or healthcare facility |
| Credentials | Valid RN license, CPR certification | Valid RN license, CPR certification |
| Employment Type | Per diem, PRN, or part-time | Full-time employment |
Weekend Remote Prn Rn roles offer flexible, weekend-only shifts often performed remotely, ideal for supplemental income. Full-Time Rn positions provide consistent hours and a stable schedule within healthcare facilities. Both roles require valid RN licensure and certifications, but differ mainly in schedule and work environment.
What are popular job titles related to Weekend Remote Prn Rn jobs in Chandler, AZ?
For Weekend Remote Prn Rn jobs in Chandler, AZ, the most frequently searched job titles are:
What job categories do people searching Weekend Remote Prn Rn jobs in Chandler, AZ look for?
The top searched job categories for Weekend Remote Prn Rn jobs in Chandler, AZ are:
What cities near Chandler, AZ are hiring for Weekend Remote Prn Rn jobs?
Cities near Chandler, AZ with the most Weekend Remote Prn Rn job openings:

Medical Appeals and Grievance (MAG) Registered Nurse Specialist II - Remote
Phoenix, AZ • On-site, Remote
Full-time
Medical
Re-posted 23 days ago
Blue Cross Blue Shield Of Arizona rating
5.9
Based on 13 frontline employees who took The Breakroom Quiz
289th of 307 rated insurance
Job description
At AZ Blue, we have a hybrid workforce strategy, called Workability, that offers flexibility with how and where employees work. Our positions are classified as hybrid, onsite or remote. While the majority of our employees are hybrid, the following classifications drive our current minimum onsite requirements:
- Hybrid People Leaders: must reside in AZ, required to be onsite at least twice per week
- Hybrid Individual Contributors: must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per week
- Hybrid 2 (Operational Roles such as but not limited to: Customer Service, Claims Processors, and Correspondence positions): must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per month
- Onsite: daily onsite requirement based on the essential functions of the job
- Remote: not held to onsite requirements, however, leadership can request presence onsite for business reasons including but not limited to staff meetings, one-on-ones, training, and team building
Please note that onsite requirements may change in the future, based on business need, and job responsibilities. Most employees should expect onsite requirements and at a minimum of once per week.
This position is remote within Arizona or in an approved out-of-state location. Applicants must reside in-and perform work from-the state of Arizona or an approved out-of-state location.
Purpose of the job
Responsible for utilizing clinical acumen and managed care expertise related to researching, resolving and responding to requests for member and provider appeals, grievances, reconsiderations and corrected claims for all lines of business with emphasis on privacy, accuracy, meeting all regulatory and compliance timelines.
Qualifications
REQUIRED QUALIFICATIONS
Required Work Experience
Level 1
- 1 year Experience in clinical and health insurance or other healthcare related field
Level 2
- 3 years' Experience in clinical and health insurance or other healthcare related field
- 1 year' Managed care experience with a focus in Utilization Management (UM), Prior Authorization (PA), Claims, Case Management and/or Medical Appeals and Grievance (MAG)
Level 3
- 5 years' Experience in clinical and health insurance or other healthcare related field
- 2 years Managed care experience with a focus in Utilization Management (UM), Prior Authorization (PA), Claims, Case Management and/or Medical Appeals and Grievance (MAG)
Level 4
- 8 years' Experience in clinical and health insurance or other healthcare related field
- 3 years' Above satisfactory job performance in the managed care environment with a focus in Utilization Management (UM), Prior Authorization (PA), Claims, Case Management and/or Medical Appeals and Grievance (MAG)
Required Education
- Associate's Degree in a healthcare field of study or Nursing Diploma (Applies to All Levels)
Required Licenses
- Active, current, and unrestricted license to practice in the State of Arizona (a state in the United States) or a compact state as a Registered Nurse (RN)
Required Certifications
- N/A
PREFERRED QUALIFICATIONS
Preferred Work Experience
Level 1
- 3 years' Experience in clinical and health insurance or other healthcare related field. Working knowledge of eviCore, MCG, McKesson InterQual® criteria and Medical Coverage Guidelines/Medical Policies. Advanced ability to interpret contract language and benefits
Level 2
- 5 years' Experience in clinical and health insurance or other healthcare related field. Working knowledge of eviCore, MCG, McKesson InterQual® criteria and Medical Coverage Guidelines/Medical Policies. Advanced ability to interpret contract language and benefits
- 2 years' Managed care experience with a focus in Utilization Management (UM), Prior Authorization (PA), Claims, Case Management and/or Medical Appeals and Grievance (MAG)
Level 3
- 7 years' Experience in clinical and health insurance or other healthcare related field. Working knowledge of eviCore, MCG, McKesson InterQual® criteria and Medical Coverage Guidelines/Medical Policies. Advanced ability to interpret contract language and benefits
- 5 years' Managed care experience with a focus in Utilization Management (UM), Prior Authorization (PA), Claims, Case Management and/or Medical Appeals and Grievance (MAG)
Level 4
- 9 years' Experience in clinical and health insurance or other healthcare related field. Working knowledge of eviCore, MCG, McKesson InterQual® criteria and Medical Coverage Guidelines/Medical Policies. Advanced ability to interpret contract language and benefits
- 5 years' Above satisfactory job performance in the managed care environment with a focus in Utilization Management (UM), Prior Authorization (PA), Claims, Case Management and/or Medical Appeals and Grievance (MAG)
Preferred Education
- Bachelor's Degree in Nursing or related field of study (Applies to All Levels)
Preferred Licenses
- N/A
Preferred Certifications
- N/A
ESSENTIAL job functions AND RESPONSIBILITIES
Level I
- Perform in-depth analysis, clinical review and resolution of provider appeals/inquiries, corrected claims and subscriber reconsiderations, member appeals, corrected claims and provider grievances for all lines of business
- Identify, research, process, resolve and respond to customer inquiries primarily through written / verbal communication.
- Respond to a diverse and high volume of health insurance appeal related correspondence on a daily basis.
- Analyze medical records and apply medical necessity criteria and benefit plan requirements to determine the appropriateness of appeal, grievance and reconsideration requests.
- Maintain complete and accurate records per department policy.
- Meet quality, quantity and timeliness standards to achieve individual and department performance goals as defined within the department guidelines and required by State, Federal and other accrediting organizations.
- Demonstrate ability to apply plan policies and procedures effectively.
- Consult and coordinate with various internal departments, external plans, providers, businesses, and government agencies to obtain information and ensure resolution of customer inquiries.
- Attend staff and interdepartmental meetings.
- Participate in continuing education and current developments in the fields of medicine and managed care.
- Maintain all standards in consideration of State, Federal, BCBSAZ and other accreditation requirements.
- Maintain productivity and accuracy goals based on regulatory requirements, accreditation standards, and service level agreements.
- Demonstrate ability to acquire specialized knowledge to complete all types of level one appeals, grievances and corrected claims for local lines of business using appropriate benefit plan booklet, administrative guidelines and policies, medical criteria guidelines, claims research, provider contracts and fee schedules, communication records research and precertification research.
- Articulate to customers a variety of information about the organization's services, including but not limited to, contract benefits, changes in coverage, eligibility, claims, BCBSAZ programs, and provider networks.
- Adheres to BCBSAZ brand promise of being a "Trusted Advisor" by walking in the customers shoes including processing work using the principles of easy, effective, emotional
level II
- Ability to demonstrate specialized knowledge to administer Federal Employee Program (FEP)inquiries, appeals, grievances and sub-reconsiderations using appropriate service benefit plan provisions, and internal policies, medical criteria guidelines, claims research, provider contracts and fee schedules, communication records research, and precertification research.
- Ability to demonstrate specialized knowledge to perform reviews for local lines of business, Blue Card Home member appeals and grievances, and Blue Card Host provider grievances. MAG Clinicians also support FEP for member reconsiderations, provider appeals, corrected claims and inquiries.
level III
- Ability to demonstrate specialized knowledge to complete all Levels of Medical Appeals and Grievance (MAG) cases (Initial internal, voluntary internal and external review appeals and grievances).
- Under minimal direction, lead interdepartmental meetings and oversee special projects as assigned.
- Assist in developing new policies and procedures, desk levels, and job aids as needed.
- Assist in training new staff and provide ongoing training for existing staff as needed.
- Assist in distribution of staff Flow Manager case assignments.
- Identify and recommend process improvements.
level IV
- Assist in distribution of staff case assignments.
- Under minimal direction, prepare reports and documentation for committee presentation and ad hoc reports as needed.
- Analyze appeals and grievances data and make recommendations based on trends identified.
- Take initiative to follow through on issues and opportunities for process improvements.
- Initiate, develop and implement in-service educational presentations.
- Work collaboratively with management and provide leadership for the department in day to day activities as well as in management's absence.
- Maintain a working knowledge of all activities in the department and provide assistance to departmental staff and interdepartmental staff as necessary.
- Consistently demonstrate alignment with the BCBSAZ "Living our Values" culture by participating in annual, community service campaigns and/or projects such as, CARES Club, United Way and/or community wellness initiatives (Walk for Hope, Walk to Stop Diabetes, Phoenix Heart Walk, etc).
ALL LEVELS
- Each progressive level includes the ability to perform the essential functions of any lower levels.
- The position requires a full-time work schedule. Full-time is defined as working at least 40 hours per week, plus any additional hours as requested or as needed to meet business requirements.
- Perform all other duties as assigned
competencies
REQUIRED COMPETENCIES
Required Job Skills
- Intermediate PC proficiency (All Levels)
- Intermediate skill using office equipment, including copiers, fax machines, scanner and telephones (All Levels)
Required Professional Competencies
- Maintain confidentiality and privacy
- Advanced clinical knowledge
- Practice interpersonal and active listening skills to achieve customer satisfaction
- Compose a variety of business correspondence
- Interpret and translate policies, procedures, programs and guidelines
- Capable of investigative and analytical research
- Navigate, gather, input and maintain data records in multiple system applications
- Follow and accept instruction and direction
- Establish and maintain working relationships in a collaborative team environment
- Organizational skills with the ability to prioritize tasks and work with multiple priorities under limited time constraints
- Independent and sound judgment with good problem solving skills
- Ability to assist in training of new and existing staff (Applies to Levels 3 and 4)
Required Leadership Experience and Competencies
- Ability to revise departmental policies and procedures and desk levels as well as develop new policies and procedures and desk levels as needed (Applies to Levels 3 and 4)
- Proven leadership and assistance through positive reinforcement of processes and company policies
(Applies to Levels 3 and 4.)
PREFERRED COMPETENCIES
Preferred Job Skills
- Advanced PC proficiency
- Knowledge of Current CPT, ICD- 9, ICD-10, HCPCS, and DRG coding
Preferred Professional Competencies
- Working knowledge of McKesson InterQual® criteria and Medical Coverage Guidelines/Medical Policies
- Advanced ability to interpret contract language and benefits
Preferred Leadership Experience and Competencies
- N/A
Our Commitment
AZ Blue does not discriminate in hiring or employment on the basis of race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status or any other protected group.
Thank you for your interest in Blue Cross Blue Shield of Arizona. For more information on our company, see azblue.com. If interested in this position, please apply.
What Blue Cross Blue Shield Of Arizona employees say
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About Blue Cross Blue Shield of Arizona
Sourced by ZipRecruiter
Industry
Insurance services
Company size
1,001 - 5,000 Employees
Headquarters location
Phoenix, AZ, US
Year founded
1939