Remote Appeals Nurse: Medicare Medical Necessity Review
WPS Health Solutions
Indianapolis, IN
- Remote job
WPS Health Solutions seeks an Appeals Nurse (RN) to review medical records for first-level appeal cases and determine medical necessity under Medicare guidelines. The role collaborates with Appeals Examiners to ensure timely redeterminations and accurate documentation. A strong RN license and clinical experience are required, with remote work options available in designated states. You will assess documentation, prepare comprehensive rationales, and stay updated on healthcare regulations. #J-18808-Ljbffr WPS Health Solutions
Vacancy posted 1 day ago
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