RN Appeals Nurse Consultant

Job Summary

A company is looking for an Appeals Nurse Consultant to work from home.

Key Responsibilities

• Process medical necessity of Medicare appeals for participating providers
• Request and analyze clinical data while applying appropriate Medicare guidelines
• Utilize multiple computer systems and templates in a fast-paced environment

Required Qualifications

• 3+ years of clinical experience
• Active and unrestricted RN licensure in state of residence
• Associate's Degree minimum or Diploma RN required
• Bachelor's Degree preferred