Registered Nurse for Clinical Denials

Job is Expired

Location: Remote

Compensation: Salary

Reviewed: Mon, Feb 23, 2026

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

Secure pre-service approvals and review pre/post service denials
Conduct comprehensive denial root-cause analysis and retrospective medical record reviews
Coordinate pre-service authorization approvals and construct warranted appeals

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
Basic knowledge of coding guidelines

COMPLETE JOB DESCRIPTION

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Job is Expired

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