Remote Appeals Registered Nurse - Medicare Medical Review

WPS—A health solutions company

WPS Health Solutions is seeking an Appeals Nurse (RN) to review medical records and claims for first-level appeal cases, determining medical necessity and Medicare coverage compliance. The RN collaborates with Appeals Examiners to ensure redeterminations are reviewed and completed in a timely manner.

This position supports remote work in approved states, including Ohio. Ideal candidates will have an ASN/BSN, active RN license, 1+ year clinical experience, and strong communication skills to

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Vacancy posted 10 hours ago

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