Prior Authorization UM Nurse Consultant

What you’d do

Review prior authorization requests across medical specialties, evaluating medical necessity using clinical records, guidelines, and benefit plan requirements. Apply InterQual or MCG criteria and work with providers and care teams on a full-time, work-from-home schedule. Found on the employer's careers page on Oct 14, 2026. Apply through the link.

You’ll need

• Active unrestricted multi-state RN license
• 3+ years clinical nursing experience
• InterQual or MCG criteria experience
• Ability to obtain additional state licensure
• Full-time availability