Clinical Appeals Specialist

Independent Living Systems

Miami, Florida

Eligibility: Clinical Documentation & Utilization Review NursesAdministrative & Consulting Nurses

Posted Aug 3

Pay: Not posted
Unit and setting: Case Management
Term: Permanent

Pay isn’t listed.

Posted pay in Florida

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Independent Living Systems

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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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Original listing

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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.

What's around it?

In Miami, FL

Miami, FLFrom Census ACS 2024.

Living costs about 14% above the US average

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

Life in Miami, FL

NeighborhoodsCoconut Grove, Miami’s oldest neighborhood, is bohemian, green, and walkable under dense tree canopies, with waterfront parks, bike trails, art festivals, and boutique dining; median home $592,500, median rent $1,401, safer than 84% of Florida cities, 54.4% owner-occupied. Coral Way mixes historic charm and commerce ($404,100 median home, $1,616 rent, safer than 70% of Florida cities). Flagami ($287,165 home / $1,212 rent), Hialeah ($256,900 / $1,210), and West Little River ($169,100 / $1,174, the most affordable of the set) are budget suburban options. Coral Gables—“The City Beautiful”—is a planned Mediterranean community with homes around a $950,000 median (West Coral Gables, Coral Way, Ponce Davis). Young professionals working downtown often look near Dadeland or another metro station rather than paying Brickell prices; beach-oriented choices include South Beach, Surfside, Sunny Isles Beach, Bal Harbour, and Key Biscayne.

Coconut Grove, Miami’s oldest neighborhood, is bohemian, green, and walkable under dense tree canopies, with waterfront parks, bike trails, art festivals, and boutique dining; median home $592,500, median rent $1,401, safer than 84% of Florida cities, 54.4% owner-occupied. Coral Way mixes historic charm and commerce ($404,100 median home, $1,616 rent, safer than 70% of Florida cities).

Flagami ($287,165 home / $1,212 rent), Hialeah ($256,900 / $1,210), and West Little River ($169,100 / $1,174, the most affordable of the set) are budget suburban options. Coral Gables—“The City Beautiful”—is a planned Mediterranean community with homes around a $950,000 median (West Coral Gables, Coral Way, Ponce Davis).

Young professionals working downtown often look near Dadeland or another metro station rather than paying Brickell prices; beach-oriented choices include South Beach, Surfside, Sunny Isles Beach, Bal Harbour, and Key Biscayne.

Sources

As of Sep 11, 2026Source 1: extraspace.com Source 2: realpha.com Source 3: reddit.com Source 4: facebook.com Source 5: quora.com

Getting aroundPeople working downtown are told to live near Dadeland or another metro station so the ride stays easy if they skip living in the core. Closeness to downtown or Brickell is what you pay for; a lifelong resident’s rule of thumb is an hour to 90-minute drive before housing gets cheap. Traffic is widely called nightmarish, South Florida rush hour is treated as a given, and parking in downtown areas is a premium add-on. Auto insurance is described among the highest in the nation, and rideshares jump in tourist season; sources do not name specific hospital campuses or bus/rail line numbers.

People working downtown are told to live near Dadeland or another metro station so the ride stays easy if they skip living in the core. Closeness to downtown or Brickell is what you pay for; a lifelong resident’s rule of thumb is an hour to 90-minute drive before housing gets cheap.

Traffic is widely called nightmarish, South Florida rush hour is treated as a given, and parking in downtown areas is a premium add-on. Auto insurance is described among the highest in the nation, and rideshares jump in tourist season; sources do not name specific hospital campuses or bus/rail line numbers.

Sources

As of Sep 11, 2026Source 1: reddit.com Source 2: quora.com Source 3: thehonestlocal.com Source 4: caddymoving.com

OutdoorsKayak, canoe, or stand-up paddle at Oleta River State Park, the Deering Estate, or Crandon Park. Boat through Biscayne National Park—95% underwater and part of the Florida Reef, the only living coral barrier reef in the United States. Hike or take guided tours in Everglades National Park and Big Cypress National Preserve; stroll Fairchild Tropical Botanic Garden among rare palms, aromatic fruits, and flowering trees. Coconut Grove adds waterfront parks, bike trails, The Barnacle Historic State Park, and Vizcaya Museum & Gardens; Zoo Miami lists over 500 species, and Maurice A. Ferré Park sits by the bay downtown. Snorkeling in a national park is treated as a same-day local outing.

Kayak, canoe, or stand-up paddle at Oleta River State Park, the Deering Estate, or Crandon Park. Boat through Biscayne National Park—95% underwater and part of the Florida Reef, the only living coral barrier reef in the United States.

Hike or take guided tours in Everglades National Park and Big Cypress National Preserve; stroll Fairchild Tropical Botanic Garden among rare palms, aromatic fruits, and flowering trees. Coconut Grove adds waterfront parks, bike trails, The Barnacle Historic State Park, and Vizcaya Museum & Gardens; Zoo Miami lists over 500 species, and Maurice A. Ferré Park sits by the bay downtown.

Snorkeling in a national park is treated as a same-day local outing.

Sources

As of Sep 11, 2026Source 1: miamiandbeaches.com Source 2: caffeinatedexcursions.com Source 3: realpha.com Source 4: facebook.com Source 5: extraspace.com

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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.

AI area guide

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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Original listing

What's around it?

Miami, FLiFrom Census ACS 2024.

Life in Miami, FL

Moving for this role?

Nurses on this role

Nurses on this role

Life in Miami, FL

Moving for this role?

Nurses on this role

Miami, FLFrom Census ACS 2024.