We’re hiring a Nurse Practitioner licensed in California to support Medicare and Medicaid members. This is fully remote work, with flexible scheduling (minimum 24 hours/week). You’ll focus on Medicare Annual Wellness Visits, risk adjustment, and HEDIS care gap closure — no travel, no micromanagement, just meaningful clinical work from home.
Job listings
$68,000–$113,000
USD/year
The Remote Clinical Denials RN reviews, analyzes, and appeals clinical denials from insurance companies and third-party payers. A strong clinical background, knowledge of medical necessity criteria, and expertise in appealing denied claims are required. Responsibilities include conducting denial root-cause analysis, retrospective medical record reviews, and collaborating with hospital staff.