Your next career move deserves more than “winging it.”

Many remote positions expect experience with MCG/InterQual, payor guidelines, or prior pre-authorization work.  How to Overcome: Highlight related roles like case management, discharge planning, or concurrent review that required medical necessity evaluation. Emphasize transferable skills—like critical thinking, documentation, or EMR proficiency. Consider obtaining certifications like CPUR, CHC, or CMCN to boost your credibility.

Employers want assurance you can stay productive without in-person supervision.  How to Overcome: Share examples of independently managed projects, telehealth experience, or use of digital health tools. Highlight your skills in EMRs, secure file transfer, screen time management, or structured workflows. Practice describing your home office setup with clear language around HIPAA compliance and data security.

Highly structured and clinical interviews demand confidence and fluency in UM language.  How to Overcome: Use a prep guide (like this one!) to rehearse clear, outcome-driven answers. Practice STAR-format responses tailored to UM-specific scenarios (e.g., delayed peer reviews, conflicting documentation). Prepare quantifiable examples—turnaround time improvements, audit scores, or denial rate reductions..