Remote Appeals Nurse: Medicare Medical Necessity Expert
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Nursing
RN Nurse, Nurse Educator, Clinical Nurse Specialist, Nurse Practitioner
Job Description & How to Apply Below
WPS Health Solutions is seeking an Appeals Nurse (RN) to review first-level appeal cases for medical necessity and CMS compliance. You will collaborate with Appeals Examiners to ensure timely redeterminations and coordinate medical record reviews.
The role requires an active RN license (state of practice) and 1+ year clinical experience, with strong communication and organization skills. The position supports remote work allowed in approved states, with salary in the 66-68k range and a focus on
We invite applications for the Remote Appeals Nurse:
Medicare Medical Necessity Expert position located in Newark, NJ, United States.
The position is based in Newark, NJ, United States.
This opportunity is part of our work in Bio & Pharmacology & Health.
The advertised compensation is 66.000 - 68.000.
This role offers the option to work remotely.
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