Remote Appeals RN Medicare Medical Necessity

WPS Health Solutions is seeking an Appeals Nurse (RN) to review medical records and claims for first-level appeal cases to determine medical necessity per Medicare guidelines. The role collaborates with Appeals Examiners to ensure timely redeterminations and compliant resolutions.

A valid RN license and clinical experience are required. The position offers remote work options across approved states with competitive benefits and opportunities for professional development.

We are seeking a motivated Remote Appeals RN for Medicare Medical Necessity to join WPS—A health solutions company in NC, United States.

Step into the Remote Appeals RN for Medicare Medical Necessity role at WPS—A health solutions company in NC, United States and grow with us.

Please review the full job details above before applying.

If your experience matches this role, we encourage you to apply.