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Remote Appeals Nurse - Medicare Medical Review

Remote / Online - Candidates ideally in
Cary, Wake County, North Carolina, 28245, USA
Listing for: WPS Health Solutions
Remote/Work from Home position Listed on 2026-11-08
Job specializations:
  • Nursing
    RN Nurse, Nurse Practitioner, Clinical Nurse Specialist, 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 (RN) to analyze medical records for first-level appeals and determine medical necessity under Medicare guidelines. The role collaborates with Appeals Examiners to support timely redeterminations.

Qualified candidates hold an ASN or BSN, active RN license, and 1+ year of clinical experience, with strong communication and computer skills. Remote work is available in listed states, including North Carolina.

We have an opening for a Remote Appeals Nurse - Medicare Medical Review in Charlotte, NC, United States within Bio & Pharmacology & Health.

If your experience matches this role, we encourage you to apply.

All applications are reviewed carefully by our team.

The position is based in Charlotte, NC, United States.

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

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