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Remote P2P Utilization RN — Case & Denial Expert
Remote / Online - Candidates ideally in
Somerville, Middlesex County, Massachusetts, 02145, USA
Listed on 2026-06-03
Somerville, Middlesex County, Massachusetts, 02145, USA
Listing for:
Mass General Brigham (Enterprise Services)
Remote/Work from Home
position Listed on 2026-06-03
Job specializations:
-
Nursing
Clinical Nurse Specialist, Healthcare Nursing
Job Description & How to Apply Below
Mass General Brigham (Enterprise Services) is hiring a Peer-to-Peer Utilization Review Nurse who will manage complex cases with high autonomy. This role involves reviewing peer-to-peer engagement with payers, ensuring accurate level-of-care determinations, and supporting clinical discussions. A BSN and RN license are required, along with significant clinical and utilization review experience.
The position offers a remote work model with a 32-hour work week on a rotating schedule, emphasizing strong clinical judgment and the ability to collaborate effectively with interdisciplinary teams.
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