RN Appeals Nurse Consultant

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

Key Responsibilities

Process medical necessity of Medicare appeals for participating providers

Request and analyze clinical information while applying appropriate Medicare guidelines

Navigate multiple computer systems in a fast-paced environment

Required Qualifications

3+ years of clinical experience required

Active and unrestricted RN licensure in state of residence

Associates Degree or Diploma in Nursing required

Bachelors Degree preferred