Inpatient UM Clinician (Remote) in Boston, Massachusetts - #72562 | VanderHouwen

Description

Job Id: 72562

Inpatient UM Clinician (Remote)
Our client is seeking a detail-oriented and clinically driven Inpatient Utilization Management Clinician to support medical necessity reviews, care coordination, and inpatient case oversight in a fully remote environment. The ideal candidate combines strong critical thinking, regulatory awareness, and communication skills with the ability to collaborate across multidisciplinary teams to promote quality outcomes and efficient transitions of care. This opportunity is well-suited for a Registered Nurse who thrives in a fast-paced setting and is passionate about delivering appropriate, evidence-based healthcare services.

This role is fully remote with possible occasional travel.

Inpatient UM Clinician (Remote) Responsibilities

• Evaluate inpatient admissions and continued stays to determine medical necessity and appropriate levels of care using established clinical guidelines.
• Collaborate with physicians, care teams, and healthcare facilities to support timely care decisions and effective discharge planning.
• Review and analyze clinical documentation to ensure compliance with regulatory, contractual, and quality standards.
• Identify barriers to care progression and facilitate appropriate interventions to support optimal patient outcomes.
• Maintain accurate case documentation and communicate review determinations to internal and external stakeholders.

Inpatient UM Clinician (Remote) Qualifications

• Active, unrestricted Registered Nurse (RN) license required; Massachusetts, New Hampshire, or Compact RN licensure preferred.
• Minimum of 2 years of utilization management, utilization review, or related managed care experience.
• Experience applying InterQual or other evidence-based clinical review criteria.
• Strong clinical judgment, critical thinking, and decision-making skills in complex healthcare environments.
• Excellent communication, organization, and time management abilities with proficiency in remote work settings and healthcare technology platforms.

Compensation: (DOE)

VanderHouwen Contractors Enjoy Exceptional Benefit Perks!
As an eligible contract employee with VanderHouwen, you’ll have access to a full suite of benefits designed with your well-being in mind. Our comprehensive package includes medical, dental, vision, life insurance, short- and long-term disability, and a matching 401(k) to help secure your future.

Meet VanderHouwen
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VanderHouwen is an award-winning, Women & Diversity-Owned, WBENC certified professional staffing firm. Founded in 1987, VanderHouwen places experienced professionals across the nation! Our recruitment teams specialize in either Technology and IT, Engineering, Human Resources, or Accounting and Finance career markets. Partner with us to land your next exciting career!

VanderHouwen is an Equal Opportunity Employer and participates in E-Verify. VanderHouwen does not discriminate based on race, color, religion, sex, national origin, age, disability, or any other characteristic protected by applicable local, state, or federal civil rights laws.

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