Mass General Brigham Health Plan is seeking a Clinical Utilization Management Nurse to provide escalation support, triage inquiries, and determine medical necessity and adherence to guidelines. You will collaborate with Nurse Reviewers, Medical Directors, and providers to ensure timely determinations and evidence-based care.
This is a remote role with occasional on-site meetings in Somerville, MA. A MA RN license and 2–3 years in case management or utilization review are preferred; strong
#J-18808-LjbffrRemote Utilization Management Nurse in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.