Position Type
Full-Time/Regular

It’s an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances.

**Job Summary:**

The Inpatient Utilization Management Clinician is responsible for evaluating all inpatient medical treatments for medical necessity, monitoring ongoing treatment, facilitating discharge planning to ensure smooth and successful transitions of care, and collaborating with care management and medical directors to support members in achieving optimal health outcomes.

Our Investment in You:

· Full-time remote work

· Competitive salaries

· Excellent benefits

**Key Functions/Responsibilities:**

· Performs utilization review activities, including concurrent, and retrospective reviews of inpatient cases applying evidenced-based InterQual...