$60-$130/hr utilization management work, on your schedule
Review AI-drafted authorizations, necessity determinations, and appeals against criteria, flagging the wrongful denial, the misapplied InterQual or MCG rule, the safety issue a flowchart misses. Remote, paid hourly, on your schedule.
Trusted by top research companies
Hi, we're Zac and Jack, the founders of Terac. We want to talk to you directly, because you are the most important part of what we're building.
Terac is a community of experts. People who have spent years getting good at something specific and hard. The world is about to need more of you, not less. As AI takes on more of the world's work, the bottleneck shifts to the people who actually know what they're talking about.
Expert labor is the rarest resource in the world right now, and it is shockingly hard to find. The companies that need a UM nurse's eye on a prior auth that shouldn't be denied spend weeks chasing people, paying placement fees, and settling for whoever is available. Meanwhile thousands of qualified people are sitting with knowledge that no one ever asks for.
That gap is what we're here to close. Every project that lands on Terac is routed to the people who actually know the answer, on their schedule, paid fairly, and only when the work is verified. No middleman taking a cut of your time. No vague gigs. No chasing checks.
We care about every single person in this community. If you join Terac, you're not a row in a database to us. We read the feedback. We answer the emails. We will fight for you when a customer is being unreasonable, and we will be honest with you when something on our side is broken. The quality of this panel is our entire company, and we owe you a serious bar.
If you've made it this far, here is what we're asking: claim your profile. Put your expertise on the record. Let the world's most ambitious teams come find you for the work only you can do.
Utilization Management questions
Still curious? Write to us at support@terac.com.
Acute inpatient UM is one of the highest-demand areas, because models are actively trained on complex necessity decisions, InterQual and MCG application, and payer denial reasoning, exactly your territory. Outpatient and behavioral health reviewers are also needed, but you do not need cross-functional experience. Depth in one area beats a shallow generalist background.
You need an active, unencumbered RN license in at least one U.S. state. A Compact license counts, and single-state licensure is fine. Lapsed, surrendered, or retired licenses do not qualify, because the work involves evaluating clinical reasoning and active licensure shows you are in good standing with current practice standards.
No. Every case is a de-identified synthetic or historical scenario built for model training, and none of your outputs reach a payer, provider, or patient. You evaluate the quality of AI-drafted UM reasoning, not render coverage decisions, so nothing you produce is a determination under URAC, NCQA, or state insurance regulations.
CCM and ACM are recognized and can strengthen your application, especially for tasks blending care coordination with UR. Criteria experience matters: reviewers with hands-on InterQual or MCG are prioritized for tasks evaluating whether a model cited a level-of-care guideline correctly. If you have used proprietary payer criteria, note it, since some tasks are scoped to specific payer logic.
Tasks include reviewing AI-drafted necessity letters, critiquing denial rationale for clinical accuracy and regulatory language (including MOON notice and PASRR reasoning), annotating AI-drafted appeals, and writing worked examples of how a UM nurse applies InterQual criteria to a scenario. You may also flag errors in a model's care transition plans or discharge summaries.
Why your expertise matters
UM nurses make medical necessity calls daily using InterQual and MCG criteria, payer contracts, and CMS guidelines. When a model gets a determination wrong, the result is denied care or delayed authorization. Your judgment, formed over thousands of cases across DRGs, CPT codes, and payer LCDs, separates a calibrated model from one that is plausible but wrong.
How pay works
The top of the band reflects depth in behavioral health UM, complex case management, or Medicare Advantage prior auth, plus fluency across InterQual, MCG, and Milliman. Appeals, peer-to-peer, or IRO experience commands more. All work is remote, paid hourly on verified completion. No weekly minimum.
What the work looks like
A sample of the utilization management work you would pick up. Every project is scoped, remote, and paid on verified completion.
- Review an AI-drafted prior authorization denial and flag necessity reasoning that misapplies InterQual Level of Care criteria for acute inpatient admission.
- Evaluate a model's recommended discharge disposition for a post-surgical patient and find where it conflicts with the CMS Two-Midnight Rule.
- Write a worked example of a behavioral health concurrent review note, annotating your necessity reasoning at each decision point for the model to learn from.
- Score AI-drafted appeal responses against the payer's stated LCD and flag language that would not survive an IRO review.
- Review a model's responses to common peer-to-peer scenarios and mark where the clinical justification is too thin to support the requested level of care.
- Write a reference case applying MCG criteria to a skilled nursing facility authorization, showing which evidence you weigh most and why the criteria alone do not resolve it.
Specialties we match
Utilization Management projects span a wide range of focus areas. Tell us where you go deep and we route the work that fits.
- InterQual criteria application
- MCG (Milliman Care Guidelines)
- Prior authorization review
- Concurrent inpatient review
- Discharge planning
- Medicare Advantage coverage policy
- Appeals and grievances
- Behavioral health UM
- DRG and level-of-care determination
- CMS Conditions of Participation
- URAC and NCQA UM standards
- Peer-to-peer review facilitation
