Yale University is seeking a Clinical Reviewer within the Yale School of Medicine to support medical necessity reviews, Authorization compliance, and reimbursement optimization. This role evaluates clinical records, payer policies, and treatment plans to ensure services meet coverage criteria and regulatory standards.
As a liaison between providers, payers, and operational teams, you will translate clinical information into payer-specific documentation and strategies, requiring strong clinical
#J-18808-LjbffrRemote Utilization Management RN - Clinical Reviewer in new haven at Unknown Company
- Typical pay
- $84,500–$135,200
For context, most registered nurses earn between $84,500–$135,200 a year according to Bureau of Labor Statistics wage data. What this particular role pays is set by the employer — check the description above.
This position is listed as full time and onsite.