RN Appeals Nurse Consultant

Job Summary

A company is looking for an Appeals Nurse Consultant - Fully Remote.

Key Responsibilities

• Process medical necessity of Medicare appeals for participating providers
• Request and analyze clinical information while applying Medicare Guidelines
• Navigate multiple computer systems in a fast-paced remote environment

Required Qualifications

• 3+ years of clinical experience required
• Active and unrestricted RN licensure in state of residence
• Associates Degree minimum OR Diploma RN required
• Bachelors Degree preferred