Remote Utilization Management RN - Clinical Reviewer

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

For the Remote Utilization Management RN
- Clinical Reviewer position at Yale Corporation, we are reviewing applications now.

We aim to respond to suitable candidates as soon as possible.

Full responsibilities and requirements are described in the listing above.

Learn more about the Remote Utilization Management RN
- Clinical Reviewer role in the description above.

We appreciate your interest in this position.

Join Yale Corporation and contribute to our ongoing work.