Remote Appeals RN: Medicare Medical Necessity Reviewer
Pembroke Pines, Broward County, Florida, 33028, USA
Listed on 2026-11-05
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Nursing
RN Nurse, Nurse Practitioner, Clinical Nurse Specialist, Advanced Practice Nurse/APRN
WPS—A health solutions company is seeking an Appeals Nurse to review medical records and claims information for first-level Medicare appeal cases, determining medical necessity and compliance with CMS guidelines. The RN collaborates with Appeals Examiners to ensure timely redeterminations.
This remote role is eligible in several states, including Florida, with a salary range of 66–68k annually. Benefits include health/dental, 401(k) matching, paid time off, and opportunities for professional
We are currently recruiting a Remote Appeals RN:
Medicare Medical Necessity Reviewer for our team in FL, United States.
Join WPS—A health solutions company and contribute to our ongoing work.
Take a moment to read everything above and see whether this role is right for you.
This posting is for the Remote Appeals RN:
Medicare Medical Necessity Reviewer role at WPS—A health solutions company, based in FL, United States.
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