Remote Utilization Management Nurse - Case Review & Appeals
massgeneralbrigham
Mass General Brigham Health Plan is seeking a skilled RN to provide clinical review and escalation support for Utilization Management activities. You will triage inquiries, evaluate medical necessity, and collaborate with Nurse Reviewers, medical directors, and interdisciplinary teams to ensure accurate determinations and adherence to guidelines.
The role offers a remote work option with occasional onsite meetings in Somerville, MA.
#J-18808-LjbffrVacancy posted 2 days ago
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