West Virginia Licensed Clinical Denial Coordinator

A company is looking for a Clinical Denial Coordinator. Key Responsibilities Report, monitor, and analyze clinical denials Coordinate appeals writing for various denial types and manage denial correspondence Provide process improvement initiatives through root cause analysis and maintain current clinical knowledge Required Qualifications Current unencumbered licensure as a registered professional nurse or multi-state licensure through the enhanced Nurse Licensure Compact (eNLC) Five years of clinical experience in a hospital setting Two years of experience in appeal writing, utilization review, or care management Bachelor of Science in Nursing (BSN) preferred Prior case management experience preferred

Mar 11, 2025 - 17:25

A company is looking for a Clinical Denial Coordinator. Key Responsibilities Report, monitor, and analyze clinical denials Coordinate appeals writing for various denial types and manage denial correspondence Provide process improvement initiatives through root cause analysis and maintain current clinical knowledge Required Qualifications Current unencumbered licensure as a registered professional nurse or multi-state licensure through the enhanced Nurse Licensure Compact (eNLC) Five years of clinical experience in a hospital setting Two years of experience in appeal writing, utilization review, or care management Bachelor of Science in Nursing (BSN) preferred Prior case management experience preferred