Job Title: USRN Clinical Trainer

Shift: Night Shift

Work Set-up: On-site

Salary Range: 60K to 90K, based on candidate qualifications

Start Date: Dec 31, 2025 / ASAP

Recruitment Process: 2 Virtual Interviews

Qualifications:

• Bachelor’s Degree in Nursing with an active and valid USRN license


• Minimum of 2 years of experience in utilization management and medical necessity approvals and denials


• Experience in virtual or classroom training


• At least 1 year of experience with the InterQual process


• 1 to 2 years of experience in a training role


• Experience in a clinical environment or contact center setting


• Familiarity with Medicare rules and regulations, including coverage criteria and coding principles


• Experience in handling appeals, utilization review, or related healthcare management functions


• Excellent verbal and written communication skills for preparing appeal arguments


• Ability to analyze complex medical information and identify relevant clinical issues


• Willingness to work on-site with flexible schedules, including US hours and holidays