Remote Appeals Nurse - Medicare Medical Review

WPS Health Solutions

WPS Health Solutions is seeking an Appeals Nurse (RN) to analyze medical records for first-level appeals and determine medical necessity under Medicare guidelines. The role collaborates with Appeals Examiners to support timely redeterminations.

Qualified candidates hold an ASN or BSN, active RN license, and 1+ year of clinical experience, with strong communication and computer skills. Remote work is available in listed states, including North Carolina.

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Vacancy posted 1 day ago

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