Remote Appeals Nurse Medicare Medical Review
Cleveland, Cuyahoga County, Ohio, 44101, USA
Listed on 2026-10-20
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Nursing
RN Nurse, Nurse Educator, Travel Nurse, Clinical Nurse Specialist
WPS Health Solutions in Columbus, OH, is seeking an Appeals Nurse to review medical records and Medicare claims for first-level appeals to determine medical necessity and coverage alignment.
The role collaborates with Appeals Examiners to prepare timely redeterminations, document clinical rationales, and ensure compliance with CMS guidelines. A registered nurse with strong communication and attention to detail is essential for success in this fast-paced environment.
Are you ready to take on the Remote Appeals Nurse for Medicare Medical Review role at WPS Health Solutions?
This role, Remote Appeals Nurse for Medicare Medical Review at WPS Health Solutions, could be your next career step.
We would love to welcome a new Remote Appeals Nurse for Medicare Medical Review to our organisation in Columbus, OH, United States.
For the Remote Appeals Nurse for Medicare Medical Review position at WPS Health Solutions, we are reviewing applications now.
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