WellSense Health Plan is seeking a Prior Authorization Clinician for a fully remote role in the United States. You will review inpatient and outpatient requests for medical necessity using InterQual criteria and relevant policies to ensure timely, appropriate care for members.
The position requires an active RN license (NH or compact with NH) and prior authorization experience. Strong communication and decision-making skills are essential, with some travel to the Boston area possible for
#J-18808-LjbffrRemote RN Prior Authorization Clinician - Utilization Review in workfromhome at Unknown Company
- Typical pay
- $86,320–$130,102
For context, most registered nurses earn between $86,320–$130,102 a year according to Bureau of Labor Statistics wage data. What this particular role pays is set by the employer — check the description above.
This position is listed as full time and able to be worked remotely.