Remote Appeals Nurse - Medicare Medical Review
WPS Health Solutions
Madison, WI
- Remote job
WPS Health Solutions is seeking an Appeals Nurse to review medical records for first-level appeals to determine medical necessity under Medicare guidelines. The RN collaborates with Appeals Examiners to ensure timely redeterminations and compliance with CMS requirements. Minimum ASN/BSN, active RN license, and 1+ year clinical experience are required. Remote work options are available in specified states, with benefits including health coverage and professional development opportunities. #J-18808-Ljbffr WPS Health Solutions
Vacancy posted 2 days ago
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