Remote Utilization Management Nurse
Mass General Brigham
Somerville, MA
- Remote job
Mass General Brigham Health Plan Holding Company, Inc. seeks a Nurse for utilization review to assess medical necessity and benefit coverage for ACO/HMO/EPO members. Remote with occasional on-site team meetings in Somerville, MA. Strong InterQual/Milliman experience and payer background desired. Competitive benefits and equity in a supportive, patient-centered environment. The UM Nurse will handle prior authorizations, review requests, and coordinate with clinical teams while maintaining #J-18808-Ljbffr Mass General Brigham
Vacancy posted 1 day ago
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...a LPN/LVN experienced in the managed care payor environment to perform... ...pre-service and post-service utilization reviews and appeals for... ...KNOWLEDGE/SKILLS/ABILITIES The UM Nurse’s responsibilities include... ...Career development opportunities Remote Opportunities We are actively...Remote workTemporary workLocal areaIntegra Partners
Lansing, MI2 days ago$32.01 - $68.55 per hour
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North East Medical Services
Burlingame, CA5 days ago $59.5k - $116.6k
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Rxadvance Corporation
Southborough, MA17 days ago $26.01 - $56.14 per hour
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...find out more about us at: Role and Responsibilities The Utilization Management Nurse collaborates with external entities such as Brokers, Group... ...$500 wellness incentive and a $600 wellness reimbursement Remote work and continuing education reimbursements Discount program...Remote workFull timeWork at officeFlexible hours- ...Team Leader On-site Hospital Utilization Management (UM) Nurse How would you like to work in a place where your contributions and ideas are valued... ...the clinical floor and administrative compliance. Unlike remote roles, this position relies heavily on real-time, face-to...Remote workWork experience placementImmediate startShift work
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The Judge Group
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Well Sense Health Plan
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Virtual Vocations Inc
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United States3 days ago - ...Refer a Friend Back Remote Work from Home Share This... ..., MD 21076 Category: Nursing Schedule: Day Shift Employment... ...Health Plans (JHHP) is the managed care and health services... ...8:00 AM - 5:00 PM As a Utilization Review Registered Nurse for Johns...Remote workFull timeLocal areaWork from homeMonday to FridayDay shift
Johns Hopkins Medicine
Hanover, MD5 days ago - ...Utilization Management Nurse BHPS provides Utilization Management services to its clients. The Utilization Management Nurse performs medical... ...requirements, and a member's benefit coverage while working remotely. Primary Responsibilities: Performs clinical utilization...Remote workContract workWork at office
MagnaCare
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MedTrust LLC
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The Judge Group
Philadelphia, PA3 days ago
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