RN Appeals Writer - Remote
Piedmont Healthcare · United States · US
Utilization Review
Remote
Nurse
Demand78
Career growth65
Healthcare fit75
Remote potential95
5-year outlook
Stable demand for experienced RN utilization review and appeals writers, especially with Medicare/Medicaid regulatory complexity; compensation likely remains competitive for licensed RNs with InterQual/Milliman and appeals expertise, though growth may be lateral without leadership or coding credentials.
Clinical license
Required
Applicant reach
narrow
Seniority
senior
Employment type
full-time
Date found
2026-09-28
Intelligence details
Flexible work details
- Engagement type
- Permanent
- Hours
- Full-time
- Eligible countries
- United States
- License jurisdiction
- US
- Profession fit
- Nurse
- Rate period
- Annual
Listing via Himalayas.
Eligibility, licensing, and location restrictions can change. Always confirm details on the source posting before applying.
Why this is worth applying to
Worth applying for experienced RNs with utilization review, InterQual/Milliman, and appeals writing backgrounds who want a remote non-bedside role. Early-career nurses or those without UR/medical necessity auditing experience will likely be screened out.
Who should apply
Experienced RNs with acute care, case management, utilization review, Medicare/Medicaid appeals, or medical record auditing experience; nurses with InterQual/Milliman and IQCI or coding knowledge.
CV angle
Frame RN experience around utilization review, medical necessity determination, InterQual/Milliman criteria, Medicare/Medicaid regulations, appeals writing, clinical documentation review, EMR proficiency, and collaboration with legal/regulatory teams. Quantify appeal outcomes and denied-case overturns where possible.
Skills to highlight
- Utilization Review
- Medicare/Medicaid Appeals
- InterQual/Milliman
- Medical Necessity
- Clinical Documentation Review
- Medical Coding
- Regulatory Compliance
- Legal Collaboration
Role summary
Remote RN Appeals Writer at Piedmont Healthcare responsible for reviewing medical records, drafting Medicare/Medicaid appeal narratives, maintaining UR/Medicare regulatory knowledge, and supporting ALJ hearings for denied cases.
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