Remote Utilization Nurse - Impactful Care Decisions

Santa Barbara Cottage Hospital

Remote job

Mass General Brigham Health Plan Holding Company, Inc. is seeking an RN-based Utilization Management Nurse to support network adequacy reviews and authorization decisions for ACO, HMO, and EPO products. The role emphasizes medical necessity assessment and robust payer knowledge. The position requires an Associate's or Bachelor's in Nursing and a Massachusetts RN license, with 2–3 years in utilization review and familiarity with InterQual or Milliman. #J-18808-Ljbffr Santa Barbara Cottage Hospital

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Vacancy posted 2 days ago

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