RN Appeals Nurse Consultant

A company is looking for an Appeals Nurse Consultant - Work From Home.

Key Responsibilities

Process medical necessity of Medicare Part C appeals from members and providers

Request clinical information and apply appropriate Medicare guidelines

Work independently and as part of a team in a fast-paced remote environment

Required Qualifications

Active and unrestricted RN licensure in state of residence

Associate's Degree in Nursing

Appeals experience and / or utilization review preferred

Medicare experience preferred

Bachelor's Degree preferred