Remote Appeals Nurse - Medicare Medical Necessity Expert

WPS Health Solutions is hiring an Appeals Nurse to review medical records and determine medical necessity for first-level appeals. The role collaborates with Appeals Examiners to ensure timely redeterminations in line with Medicare guidelines.

The ideal candidate holds ASN/BSN, an active RN license, and 1+ year of clinical experience, with strong communication and organizational skills. Remote work options are available with state-specific approvals.

This is a genuine position to take on the Remote Appeals Nurse
- Medicare Medical Necessity Expert role at WPS Health Solutions.

Join us at WPS Health Solutions as our next Remote Appeals Nurse
- Medicare Medical Necessity Expert in Marion, IL, United States.

We are currently recruiting a Remote Appeals Nurse
- Medicare Medical Necessity Expert for our team in Marion, IL, United States.

This is an excellent position to take on the Remote Appeals Nurse
- Medicare Medical Necessity Expert role at WPS Health Solutions.