Registered Nurse Clinical Denials

Job is Expired

Location: Remote

Compensation: Salary

Reviewed: Mon, Dec 15, 2025

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 Denials RN.

Key Responsibilities

Conduct medical necessity reviews and secure pre-service approvals
Perform denial root-cause analysis and retrospective medical record reviews
Coordinate appeals and collaborate with hospital staff and payors

Required Qualifications

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

COMPLETE JOB DESCRIPTION

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Job is Expired

Company Overview

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