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Clinical Appeals RN – Denials & Revenue Integrity

Job in Paterson, Passaic County, New Jersey, 07544, USA
Listing for: Capital Health
Full Time position
Listed on 2026-10-02
Job specializations:
  • Nursing
    RN Nurse
Salary/Wage Range or Industry Benchmark: 92000 - 121000 USD Yearly USD 92000.00 121000.00 YEAR
Job Description & How to Apply Below

Capital Health in Lawrenceville, NJ, is seeking a Clinical Appeals RN for a full-time day shift to review denied inpatient and outpatient claims and prepare persuasive clinical appeals using MCG criteria and payer policies. You will collaborate with Utilization Review, Case Management, CDI, physicians, and advisors to assemble appeal packets and ensure timely submission, with clear documentation.

Requirements: NJ RN license, nursing degree, 3 years clinical nursing experience; BLS required;

We have an opening for a Clinical Appeals RN – Denials & Revenue Integrity in NJ, United States within Bio & Pharmacology & Health.

We are seeking a motivated Clinical Appeals RN – Denials & Revenue Integrity to join Capital Health in NJ, United States.

Consider building your career as a Clinical Appeals RN – Denials & Revenue Integrity at Capital Health.

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