Remote Utilization Management Nurse
8925 Mass General Brigham Health Plan Holding Company, Inc.
Somerville, MA
- Remote job
Mass General Brigham Health Plan Holding Company, Inc. in Somerville, MA is seeking a UM Nurse to support network adequacy reviews and authorization for ACO, HMO, and EPO products. The role emphasizes clinical knowledge, medical necessity assessment, and timely determinations. The position requires an RN license and nursing degree, 2–3 years of utilization review experience, and familiarity with InterQual or Milliman. #J-18808-Ljbffr 8925 Mass General Brigham Health Plan Holding Company, Inc.
Vacancy posted 2 days ago
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