Florida Licensed Appeals Nurse Consultant

Job Summary

A company is looking for an Appeals Nurse Consultant.

Key Responsibilities

• Process medical necessity of Medicare Part C appeals from members and providers
• Request and analyze clinical information while applying appropriate Medicare guidelines
• Work independently and collaboratively in a fast-paced remote environment

Required Qualifications

• Active and unrestricted RN licensure in the state of residence
• 3+ years of clinical experience
• Associate's Degree in Nursing required; Bachelor's Degree preferred