Remote Utilization Management Nurse - Part-Time

Mass Digital Health

nirvanaHealth, under RxAdvance Corp., is seeking a part-time Utilization Management Nurse to support medical necessity reviews and care coordination remotely. The role involves prospective, concurrent, and retrospective UM activities with an emphasis on quality, cost efficiency, and regulatory compliance.

The ideal candidate holds an Associate's degree in nursing, RN licensure, 0–2 years in UM or case management, and knowledge of Medicare/Medicaid; bachelor's preferred.

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Vacancy posted 2 days ago

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