Licensed Clinical Denial Nurse

Location: Remote

Compensation: Salary

Reviewed: Wed, Dec 03, 2025

This job expires in: 29 days

Job Category: Healthcare

Weekly Hours: Full Time

Employment Status: Permanent

Employer Type: Employer

Career Level: Experienced

Education Level: Bachelors, Masters

Job Summary

A company is looking for a Clinical Denial RN.

Key Responsibilities

Conduct medical necessity reviews and construct warranted appeals
Perform comprehensive denial root-cause analysis and retrospective medical record reviews
Coordinate pre-service authorization approvals and collaborate with hospital staff

Required Qualifications

Current Registered Nursing License
Bachelor's Degree (or relevant experience may substitute for formal education)
4+ years of clinical experience
Familiarity with medical records assembly and clinical terminology
Basic knowledge of coding guidelines

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