Utilization Management Nurse

Brigham and Women's Hospital

Brigham and Women's Hospital in Boston is seeking a Staff Nurse - Per Diem Rotating Day in Utilization Management. The role reviews denials, appeals, and ensures appropriate care levels with care coordination and finance teams. A BSN is required with RN licensure in Massachusetts and prior utilization review experience. Responsibilities include applying Milliman/InterQual criteria, collaborating with physicians and staff, and supporting quality and financial outcomes. #J-18808-Ljbffr

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Vacancy posted 3 days ago

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