Remote Appeals Nurse – Medicare Case Review Expert
Waukegan, Lake County, Illinois, 60079, USA
Listed on 2026-11-06
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Nursing
RN Nurse, Clinical Nurse Specialist, Nurse Practitioner, Advanced Practice Nurse/APRN
WPS—A health solutions company is seeking an Appeals Nurse (RN) to review medical records and claims for first-level appeal cases to determine medical necessity under Medicare guidelines. The role collaborates with Appeals Examiners to ensure timely redeterminations.
In Illinois and other approved states, you will prepare appeal letters, support clinical evidence, and stay current with healthcare regulations. A BSN/ASN and active RN license are required, with 1+ year of clinical experience.
Step into the Remote Appeals Nurse – Medicare Case Review Expert role at WPS—A health solutions company in IL, United States and grow with us.
If your experience matches this role, we encourage you to apply.
All applications are reviewed carefully by our team.
This is a Full Time role.
The position is based in IL, United States.
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