Remote Appeals Nurse: Medicare Medical Necessity Review
Terre Haute, Vigo County, Indiana, 47801, USA
Listed on 2026-11-07
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Nursing
RN Nurse, Healthcare Nursing, Clinical Nurse Specialist, Nurse Practitioner
WPS Health Solutions seeks an Appeals Nurse (RN) to review medical records for first-level appeal cases and determine medical necessity under Medicare guidelines. The role collaborates with Appeals Examiners to ensure timely redeterminations and accurate documentation.
A strong RN license and clinical experience are required, with remote work options available in designated states. You will assess documentation, prepare comprehensive rationales, and stay updated on healthcare regulations.
For the Remote Appeals Nurse:
Medicare Medical Necessity Review position at WPS Health Solutions, we are reviewing applications now.
As a Remote Appeals Nurse:
Medicare Medical Necessity Review, you will play an important part at WPS Health Solutions in Indianapolis, IN, United States.
We invite applications for the Remote Appeals Nurse:
Medicare Medical Necessity Review position located in Indianapolis, IN, United States.
The following opening is for a Remote Appeals Nurse:
Medicare Medical Necessity Review with WPS Health Solutions.
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