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Remote RN - P2P Utilization Review Nurse
Remote / Online - Candidates ideally in
Somerville, Middlesex County, Massachusetts, 02145, USA
Listed on 2026-06-05
Somerville, Middlesex County, Massachusetts, 02145, USA
Listing for:
Mass General Brigham
Remote/Work from Home
position Listed on 2026-06-05
Job specializations:
-
Nursing
Healthcare Nursing, Clinical Nurse Specialist
Job Description & How to Apply Below
Mass General Brigham is seeking a Peer-to-Peer Utilization Review Nurse to join the Central Utilization Management team. This position focuses on managing complex cases and driving peer-to-peer discussions with payers to ensure appropriate care levels.
The ideal candidate will have a BSN and substantial experience in clinical nursing and utilization review. Key responsibilities include evaluating insurance denials, documenting clinical assessments, and collaborating closely with medical teams to support patient needs.
This role offers a remote work environment with 32 hours per week and competitive wages.
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