Remote RN Prior Authorization Clinician – Utilization Review

Well Sense 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 Inter Qual 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

We have an opening for a Remote RN Prior Authorization Clinician – Utilization Review in United States within Bio & Pharmacology & Health.

We would love to welcome a new Remote RN Prior Authorization Clinician – Utilization Review to our group in United States.

For the Remote RN Prior Authorization Clinician – Utilization Review position at Well Sense Health Plan, we are reviewing applications now.