Yale University is seeking a Clinical Reviewer (RN) to support medical necessity reviews, approvals, and reimbursement optimization. This non-patient-facing nursing role collaborates with providers, payers, and revenue cycle teams to ensure services meet coverage criteria and regulatory standards.
Reporting to the Associate Director of Specialty and Payer Management, the incumbent will translate clinical information into payer-ready documentation and strategies, reducing denials and facilitating
#J-18808-LjbffrRemote Utilization Management RN Payer & Denials Expert in workfromhome at Unknown Company
- Typical pay
- $85,280–$135,200
For context, most registered nurses earn between $85,280–$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.