Job Description
This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Clinical Financial Case Manager RN in United States.
This role is a key clinical and financial liaison within a high-impact revenue cycle environment, focused on reducing denials and improving reimbursement outcomes through expert-level clinical review and escalation.
You will evaluate complex inpatient and outpatient cases, interpret payer policies, and determine the appropriate clinical justification for appeals and escalations.
Working in a remote setting, you will collaborate closely with clinical, revenue cycle, and payer relations teams to resolve high-complexity denial cases.
The position also plays a strategic role in identifying denial trends and supporting prevention initiatives that improve organizational financial performance.
In addition to casework, you will contribute to leadership activities by supporting workflow optimization, quality assurance, and team coaching.
This is a highly analytical and detail-driven role requiring strong clinical judgment, regulatory knowledge, and the ability to influence outcomes across multiple stakeholders.
This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Clinical Financial Case Manager RN in United States.
This role is a key clinical and financial liaison within a high-impact revenue cycle environment, focused on reducing denials and improving reimbursement outcomes through expert-level clinical review and escalation.
You will evaluate complex inpatient and outpatient cases, interpret payer policies, and determine the appropriate clinical justification for appeals and escalations.
Working in a remote setting, you will collaborate closely with clinical, revenue cycle, and payer relations teams to resolve high-complexity denial cases.
The position also plays a strategic role in identifying denial trends and supporting prevention initiatives that improve organizational financial performance.
In addition to casework, you will contribute to leadership activities by supporting workflow optimization, quality assurance, and team coaching.
This is a highly analytical and detail-driven role requiring strong clinical judgment, regulatory knowledge, and the ability to influence outcomes across multiple stakeholders.