Clinical Appeals Specialist

Independent Living Systems

Miami, Florida

Eligibility: Clinical Documentation & Utilization Review NursesAdministrative & Consulting Nurses

Posted Aug 3

Location

Miami, Florida

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Schedule and commitments

Term: Permanent

The work and the unit

Specialty: Clinical Documentation & Utilization Review Nurses · Administrative & Consulting Nurses
Setting: Case Management

The team behind this role

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What's around it?

Map around Miami, FL — In Miami, FL· © Mapbox © OpenStreetMap

Living costs about 14% above the US average

Median rent: $1,758/mo
Household income: $62,462/yr, all local households, not nurse pay

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Living in Miami

Miami sells year-round tropical living and no state income tax: paddle-board in January, Cuban coffee and Michelin food the same week, Wynwood Walls or PAMM after a shift. Latin culture, Biscayne and Everglades wilderness, and Art Deco South Beach are the draw. Housing is the tax. Coconut Grove (median home $592,500, rent about $1,401) is the safest, greenest landing, with Barnacle Historic State Park; Coral Gables’ Mediterranean streets and top-rated schools run nearer $950,000. Flagami, Hialeah, and West Little River ($169k–$287k homes, rents ~$1,170–$1,210) stretch a nurse salary. Downtown workers often live by Dadeland or another Metrorail stop rather than Brickell rents. Tradeoffs: nightmarish traffic, tourist-priced leisure, June–September storms and hurricanes, wet-blanket summer humidity, and high flood and auto insurance. Off days, kayak Oleta River or Crandon Park, boat Biscayne’s reef, or skip the beach for Vizcaya and Fairchild Tropical Botanic Garden. Safer overall than Orlando or L.A.; still pick the neighborhood carefully.

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Sources

As of 2026-08Source 1: extraspace.com Source 2: realpha.com Source 3: thehonestlocal.com Source 4: miamiandbeaches.com Source 5: caddymoving.com Source 6: reddit.com Source 7: caffeinatedexcursions.com

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About this role

We are seeking a Clinical Appeals Specialist to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations. The Clinical Appeals Specialist plays an essential role managing and resolving clinical appeals related to insurance claims and member care. The Clinical Appeals Specialist ensures that appeals are thoroughly reviewed, accurately documented, and effectively communicated to insurance providers, healthcare professionals, and members.

Sourced from a public job board.

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About the employer

Independent Living Systems

Hiring organization

The job sits in a metro where Baptist Health, Baptist Hospital of Miami, University of Miami, HCA Florida Kendall Hospital, Senior Care Solutions, and Venture Ambulatory Surgery Center also hire, so you have nearby comparison points when you weigh an…

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