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Remote Medicare Appeals Nurse – Clinical Review

Remote / Online - Candidates ideally in
Sumter, Sumter County, South Carolina, 29150, USA
Listing for: WPS—A health solutions company
Full Time, Remote/Work from Home position Listed on 2026-11-06
Job specializations:
Salary/Wage Range or Industry Benchmark: 66000 - 68000 USD Yearly USD 66000.00 68000.00 YEAR

Job Description & How to Apply Below

WPS Health Solutions is seeking an Appeals Nurse to review medical records and determine the medical necessity of services for first-level Medicare appeal cases. You will collaborate with Appeals Examiners to ensure timely redeterminations and maintain compliance with CMS regulations.

The role offers remote work within approved states and a salary range of 66,000 to 68,000 USD per year. Ideal candidates have an RN license (BSN/ASN) and 1+ year of relevant clinical experience.

This posting is for the Remote Medicare Appeals Nurse – Clinical Review role at WPS—A health solutions company, based in SC, United States.

The position is based in SC, United States.

This opportunity is part of our work in Bio & Pharmacology & Health.

The advertised compensation is 66.000 - 68.000.

We aim to respond to suitable candidates as soon as possible.

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