Remote Prior Authorization Clinician; RN
Concord, Merrimack County, New Hampshire, 03301, USA
Listed on 2026-10-31
-
Nursing
Healthcare Nursing, RN Nurse
Well Sense 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 Inter Qual guidelines, and managed care knowledge. This is a fully remote position with potential travel to the Charlestown, MA office for meetings.
The Remote Prior Authorization Clinician (RN) position in the Bio & Pharmacology & Health, Management & Operations field is open for applications.
The position is based in NH, United States.
This opportunity is part of our work in Bio & Pharmacology & Health, Management & Operations.
The advertised compensation is 49.000 - 71.000.
This role offers the option to work remotely.
(If this job is in fact in your jurisdiction, then you may be using a Proxy or VPN to access this site, and to progress further, you should change your connectivity to another mobile device or PC).