Top 32 Work from home nurse Jobs in Wheeling Il

Market Appeals Specialist
UHS - Nashville Regional Office —Illinois
- $69,000 - $89,000 a year
- Full-time
- Remote
- Microsoft Excel
- RN License
- Writing skills
- Health insurance
- Dental insurance
Quick Apply
14d
UM Care Review Clinician
AltaStaff, LLC —Chicago, IL
- $40 - $42 an hour
- Full-time
- Remote
- RN License
- Clinic experience
- Mid-level
Quick Apply
Chronic Care Management Nurse (LPN) – Remote | 1099 Contract Position | Illinois Licensed
Beyond Health Inc. —Illinois
- $25 an hour
- Full-time
- Remote
- Bilingual
- Nursing
- Computer literacy
- Flexible schedule
Quick Apply
Holistic Health Specialist - Work From Home
Health Care Service Corporation —Chicago, IL
- $61,500 - $136,100 a year
- Full-time
- Remote
- Nursing
- Management
- RN License
- Work from home
Utilization Management Registered Nurse (RN) - Remote
Guidehealth —Chicago, IL
- $70,000 - $75,000 a year
- Full-time
- Remote
- Microsoft Word
- Nursing
- Microsoft Excel
- Paid parental leave
- Disability insurance
Nurse Care Manager
Evergreen Nephrology —Chicago, IL
- $90,000 - $103,000 a year
- Remote
- Nursing
- Microsoft Outlook
- RN License
- Paid parental leave
- Health savings account
Quick Apply
Registered Nurse (RN) – Part Time Remote Care Manager
CareGenix Solutions LLC —Chicago, IL
- $19 - $24 an hour
- Part-time
- Remote
- Spanish
- Nursing
- RN License
Quick Apply
Mobile IV Therapy Nurse (LPN/RN) | Independent Contractor
AMIV (Advanced Mobile IV) —Du Page County, IL
- $50 - $100 an hour
- Travel nursing
- Remote
- RN License
- Mid-level
- Hotel
- Flexible schedule
Quick Apply
9h
Government Programs Care Manager III - 743
Health Care Service Corporation —Chicago, IL
- $34.90 - $57.89 an hour
- Full-time
- Remote
- LMFT
- RN License
- Word processing
MARKET APPEALS SPECIALIST- CENTRAL APPEALS OFFICE
Behavioral Health Shared Services Group —Chicago, IL
- $69,321 - $90,000 a year
- Full-time
- Remote
- Microsoft Excel
- RN License
- Inventory management
- Health insurance
- Dental insurance
RN Educator Case Management
Ascension —La Grange Park, IL
- $89,736.19 - $126,681.15 a year
- Full-time
- Remote
- Nursing
- RN License
- Hospital
- Disability insurance
- Health insurance
Clinical Manager - (remote - travel required)
Sprinter Health —Chicago, IL
- $125,000 - $140,000 a year
- Full-time
- Remote
- Nursing
- Vital signs
- Up to 50% travel
Quick Apply
Revenue Cycle CDI Lead
CommonSpirit Health —Chicago, IL
- $41.14 - $67.88 an hour
- Full-time
- Remote
- Nursing
- Anatomy knowledge
- 3 years
Clinical Specialist Wound Care Supplies RN LPN
aSure Wound Solutions —Chicago, IL
- $75,000 - $85,000 a year
- Full-time
- Remote
- RN License
- Mid-level
- 3 years
- Travel reimbursement
- Paid holidays
Quick Apply
1d
Bilingual Medical Case Manager II
CorVel Corporation —Downers Grove, IL
- $65,436 - $98,982 a year
- Full-time
- Remote
- Bilingual
- Nursing
- RN License
- Health savings account
- Disability insurance
Quick Apply
Healthcare Consulting Manager - Inpatient CDI
Huron Consulting Services LLC —Chicago, IL
- $145,000 - $250,000 a year
- Full-time
- Remote
- Nursing
- Microsoft Excel
- Bachelor of Science
- Dental insurance
Quick Apply
Medicaid Medical Review RN (Medical Reviewer III)
CoventBridge Group —United States
- $78,000 - $85,000 a year
- Full-time
- Remote
- Nursing
- Microsoft Excel
- RN License
- Paid holidays
- Disability insurance
1d

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Registered Nurse (Ohio)
Tuesday Health —Columbus, OH
Valid driver's license with safe driving record. Active and unrestricted Registered Nurse license in the State of Ohio without any board action.
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Medicaid Medical Review RN (Medical Reviewer III)
CoventBridge Group —United States
Must have and maintain a valid driver' license for the state of residence as on-site audits are part of the role as a nurse reviewer.
$78,000 - $85,000 a year
1d

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work from home nurse jobs near wheeling il

Market Appeals Specialist

UHS - Nashville Regional Office
Illinois

Quick Apply

Job Details

Full-time
$69,000 - $89,000 a year
14 days ago

Benefits

Health insurance
Dental insurance
401(k)
Tuition reimbursement
Paid time off
Vision insurance
401(k) matching

Qualifications

Appeals
Microsoft Excel
Writing skills
LPC
Inventory management software
Master's degree
Database management
Case appeal in utilization management
Bachelor's degree
Utilization management
Resource utilization in healthcare
Microsoft Teams
Productivity software
Clinical documentation standards
Insurance claims appeal handling
LCSW-C

Full Job Description

BH Shared Services (a UHS company) is currently seeking an experienced Market Appeals Specialist to join our established team in the Central Appeals Office.

POSITION SUMMARY: This position supports utilization management and shared services within the behavioral health division. This role oversees and completes all standard appeals within a designated market, including both Cerner and non-Cerner facilities.
A successful candidate must have knowledge of utilization management operations, including experience with appeal letters and payer engagement. The ability to apply clinical acumen in a behavioral health setting both verbally and in writing is essential to this role. *This is a fully remote position.

RESPONSIBILITIES:

Complete all standard appeals timely and manage appeal inventory through ongoing tracking and monitoring.
Act as a liaison with local facilities and payers to ensure timely appeal processing including appropriate follow-up with payers for facility reimbursement.
Participate in local facility UM team meetings to support the standard appeal process.
Provide feedback to providers and UM team on opportunities impacting facility recoveries (e.g., documentation)
Performs other duties as assigned/required by this position

This opportunity provides the following:

UHS offers a challenging and rewarding work environment
Growth and development opportunities within UHS and its subsidiaries
Competitive Compensation
Excellent Medical, Dental, Vision and Prescription Drug Plan.
401k plan with company match
Generous Paid Time Off

REQUIREMENTS:

Bachelor's degree required, Master's preferred
RN License or Master's level clinician required,Licenusre preferred
3-5 years related experience required, 5-8 preferred
Knowledge of utilization management operations, including experience with appeal letters and payer engagement.
Proficient in Excel, Microsoft Office/Teams, Word, and database inventory management.
Knowledge of payer requirements for reimbursement across all levels of care and behavioral health business office operations.
Strong oral communication skills to represent patient progress and treatment in behavioral health.
Understanding of medical necessity criteria application for all levels of care.
Ability to apply clinical acumen in behavioral health to written correspondence.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

Avoid and Report Recruitment Scams

We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.

If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.

Pay: $69,000.00 - $89,000.00 per year

Benefits:

401(k)
Dental insurance
Health insurance
Paid time off
Tuition reimbursement
Vision insurance

Education:

Master's (Preferred)

License/Certification:

LCSW-C (Preferred)
LPC (Preferred)

Work Location: Remote

Quick Apply

Refine Your Search

work from home nurse jobs in wheeling il

Market Appeals Specialist

UM Care Review Clinician

Chronic Care Management Nurse (LPN) – Remote | 1099 Contract Position | Illinois Licensed

Holistic Health Specialist - Work From Home

Utilization Management Registered Nurse (RN) - Remote

Nurse Care Manager

Registered Nurse (RN) – Part Time Remote Care Manager

Mobile IV Therapy Nurse (LPN/RN) | Independent Contractor

Government Programs Care Manager III - 743

MARKET APPEALS SPECIALIST- CENTRAL APPEALS OFFICE

RN Educator Case Management

Clinical Manager - (remote - travel required)

Revenue Cycle CDI Lead

Clinical Specialist Wound Care Supplies RN LPN

Bilingual Medical Case Manager II

Healthcare Consulting Manager - Inpatient CDI

Medicaid Medical Review RN (Medical Reviewer III)

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