Medicare Appeals RN - Remote Review Specialist

WPS, a health solutions company, seeks an Appeals Nurse to review first-level appeal cases, assess medical necessity, and prepare rationale-supported letters. You will collaborate with Appeals Examiners to ensure timely redeterminations and adherence to CMS guidelines. Strong clinical background and communication skills are essential. The role offers remote work options across approved states, with a base salary in the 66k–68k USD range and growth opportunities within a supportive team.