Massachusetts Licensed Vendor Authorization Nurse

To support vendor-related authorizations, the full-time Massachusetts Licensed Vendor Authorization Nurse will manage processing and managing vendor authorizations, assist with issue resolution, and collaborate with the Utilization Management department and vendors in a remote setting. Key responsibilities Processing and managing vendor authorizations Assisting with the identification, escalation, and resolution of vendor authorization issues Collaborating with vendors and UM leadership to address authorization processing issues Required qualifications Associate's Degree in Nursing required; Bachelor's Degree preferred Massachusetts Registered Nurse (RN) license required At least 2-3 years of utilization review experience preferred Experience using Interqual or Milliman preferred 1-2 years of experience in a payer setting preferred