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Remote Utilization Management Nurse

Mass General Brigham Health Plan Holding Company, Inc.

Mass General Brigham Health Plan Holding Company, Inc. is seeking a UM Nurse to support network adequacy review and prior authorization for ACO, HMO, and EPO products. Remote role with occasional onsite meetings in Somerville, MA. Requires MA RN license and 2–3 years of utilization review experience. You will review authorization requests, determine medical necessity, collaborate with physicians, and help maintain productive relationships. #J-18808-Ljbffr

Vacancy posted 1 day ago
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