Guidehouse
The Clinical Denial RN conducts pre- and post-service medical necessity reviews and performs retrospective medical record reviews to validate documentation for hospital encounters. This role involves identifying denial root causes, preparing and submitting clinical appeals, and collaborating with various hospital teams to resolve denials and prevent recurrence. The position requires expertise in evidence-based criteria and payer policies to support appeal arguments and improve processes.
Headquarters
Mclean, Virginia, United States
Company Size
10001+ employees
Founded
2018
Guidehouse is a leading advisory firm that specializes in integrating commercial and public sector solutions to tackle complex challenges faced by clients. As a unique scaled advisory organization, it leverages insights from both government and commercial perspectives within its various industry segments. Guidehouse provides a range of technology and managed services, focusing on key sectors such as healthcare, financial services, defense, and infrastructure. The firm is recognized for its innovative approach to problem-solving, which combines strategic expertise with practical implementation.
Headquarters
San Francisco, CA
Company Size
201-500 employees
Founded
2018
Industry
Technology
Glassdoor Rating
4.2 / 5
Sarah Johnson
Chief Executive Officer
Michael Chen
Chief Technology Officer
Emily Williams
VP of Engineering
David Rodriguez
VP of Product
Jessica Thompson
Chief Financial Officer
Andrew Park
VP of Sales
View leadership team, funding history,
and employee contacts for Guidehouse.
Oct 30, 2025