WellSense Health Plan is seeking a Prior Authorization Clinician to review proposed hospitalization, home care, and inpatient/outpatient services for medical necessity and efficiency to ensure timely, appropriate care for members.
The role requires RN licensure in NH or a compact state, 2+ years of prior authorization experience with InterQual guidelines, and managed care knowledge. This is a fully remote position with potential travel to the Charlestown, MA office for meetings.
#J-18808-LjbffrRemote Prior Authorization Clinician (RN) in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.