RN Case Management Leader – Utilization Review
Job in
Hingham, Plymouth County, Massachusetts, 02043, USA
Listed on 2026-07-29
Listing for:
Blue Cross and Blue Shield of Massachusetts Inc.
Full Time
position Listed on 2026-07-29
Job specializations:
-
Doctor/Physician
Job Description & How to Apply Below
Blue Cross Blue Shield of Massachusetts in Hingham seeks a Manager, Clinical Review to direct a utilization review clinical team across pre-service, concurrent, and retrospective reviews, ensuring medically necessary, high-quality, cost-effective care.
The role emphasizes leadership, staff development, adherence to NCQA and state regulations, and collaboration with physician reviewers and external partners to improve clinical outcomes.
#J-18808-LjbffrTo View & Apply for jobs on this site that accept applications from your location or country, tap the button below to make a Search.
(If this job is in fact in your jurisdiction, then you may be using a Proxy or VPN to access this site, and to progress further, you should change your connectivity to another mobile device or PC).
(If this job is in fact in your jurisdiction, then you may be using a Proxy or VPN to access this site, and to progress further, you should change your connectivity to another mobile device or PC).
Search for further Jobs Here:
×