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

This is a great opportunity to take on the Remote Utilization Management RN
- Clinical Reviewer role at Yale Corporation.

We are seeking a motivated Remote Utilization Management RN
- Clinical Reviewer to join Yale Corporation in New Haven, CT, United States.

Consider building your career as a Remote Utilization Management RN
- Clinical Reviewer at Yale Corporation.

The Remote Utilization Management RN
- Clinical Reviewer position in the Human Resources, Bio & Pharmacology & Health field is open for applications.