WPS Health Solutions is hiring an Appeals Nurse to review medical records and determine medical necessity for first-level appeals. The role collaborates with Appeals Examiners to ensure timely redeterminations in line with Medicare guidelines.
The ideal candidate holds ASN/BSN, an active RN license, and 1+ year of clinical experience, with strong communication and organizational skills. Remote work options are available with state-specific approvals.
#J-18808-LjbffrAppeals Nurse in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.