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
• 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 or Diploma RN required; Bachelor's Degree preferred