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Remote Utilization Review Nurse; RN
Remote / Online - Candidates ideally in
Somerville, Middlesex County, Massachusetts, 02145, USA
Listed on 2026-01-12
Somerville, Middlesex County, Massachusetts, 02145, USA
Listing for:
Mass General Brigham Health Plan
Remote/Work from Home
position Listed on 2026-01-12
Job specializations:
-
Healthcare
Healthcare Nursing, Healthcare Administration
Job Description & How to Apply Below
A healthcare provider is seeking a Utilization Management Clinical Manager for analyzing medical service requests. The ideal candidate will possess an RN license and extensive experience in prior authorization in managed care. Responsibilities include reviewing authorization requests, managing incoming requests, and ensuring adherence to performance metrics. The role offers the flexibility of remote work with occasional onsite meetings in Somerville, MA.
Excellent communication and problem-solving skills are essential.
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