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Remote Appeals Nurse - Medicare Medical Review

Remote / Online - Candidates ideally in
Appleton, Outagamie County, Wisconsin, 54911, USA
Listing for: WPS Health Solutions
Full Time, Remote/Work from Home position Listed on 2026-11-07
Job specializations:
  • Nursing
    RN Nurse, Clinical Nurse Specialist, Nurse Practitioner, Healthcare Nursing
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 for first-level appeals to determine medical necessity under Medicare guidelines. The RN collaborates with Appeals Examiners to ensure timely redeterminations and compliance with CMS requirements.

Minimum ASN/BSN, active RN license, and 1+ year clinical experience are required. Remote work options are available in specified states, with benefits including health coverage and professional development opportunities.

We invite applications for the Remote Appeals Nurse
- Medicare Medical Review position located in Madison, WI, 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.

Full responsibilities and requirements are described in the listing above.

Learn more about the Remote Appeals Nurse
- Medicare Medical Review role in the description above.

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