Medicare Appeals Nurse - Remote Medical Review Expert
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Nursing
RN Nurse, Clinical Nurse Specialist, Healthcare Nursing, Nurse Educator
Job Description & How to Apply Below
WPS Health Solutions is hiring an Appeals Nurse RN to review medical records and claims for first-level appeal cases to determine medical necessity according to Medicare guidelines. This remote-friendly role supports timely redeterminations and collaborates with Appeals Examiners to ensure quality reviews.
The position requires an active RN license (state of practice) and 1+ year of clinical experience, with strong communication and organizational skills.
The Medicare Appeals Nurse
- Remote Medical Review Expert position in the Bio & Pharmacology & Health field is open for applications.
Join us at WPS Health Solutions as our next Medicare Appeals Nurse
- Remote Medical Review Expert in Detroit, MI, United States.
We are currently recruiting a Medicare Appeals Nurse
- Remote Medical Review Expert for our team in Detroit, MI, United States.
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