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Remote Medicare Advantage Appeals RN – Case Reviews
Remote / Online - Candidates ideally in
Miramar, Broward County, Florida, USA
Listed on 2026-07-18
Miramar, Broward County, Florida, USA
Listing for:
BayCare Health System
Remote/Work from Home
position Listed on 2026-07-18
Job specializations:
-
Nursing
RN Nurse
Job Description & How to Apply Below
Bay Care Health System is seeking a Medicare Advantage Appeals RN to work remotely. The role involves reviewing medical necessity and quality-of-care for appeals and disputes, ensuring regulatory compliance, and maintaining meticulous documentation.
Collaboration with physicians and internal teams is essential to deliver fair, timely decisions. Qualified candidates will be an RN with 2 years of clinical appeals experience within a health plan, with Medicare Advantage experience highly preferred.
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