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.
#J-18808-LjbffrAppeals Nurse in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.