CareSource is seeking a Manager of Utilization Management in Massachusetts. The role leads the UM team, ensuring consistent application of authorization criteria and adherence to NCQA/URAC standards. Requires MA RN license and 5+ years in clinical and UM/quality roles.
Responsibilities include coordinating pre-determination, analyzing utilization trends, and ensuring regulatory compliance. A BSN is preferred; remote/hybrid options available within MA.
#J-18808-LjbffrRemote RN Utilization Management Leader in workfromhome at Unknown Company
- Typical pay
- $88,400–$135,200
For context, most registered nurses earn between $88,400–$135,200 a year according to Bureau of Labor Statistics wage data. What this particular role pays is set by the employer — check the description above.
This position is listed as full time and able to be worked remotely.