Remote Utilization Management Nurse - Part-Time
Taunton, Bristol County, Massachusetts, 02780, USA
Listed on 2026-09-24
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Nursing
Healthcare Nursing, Nurse Practitioner, Public Health Nurse
nirvana
Health, under RxAdvance Corp., is seeking a part-time Utilization Management Nurse to support medical necessity reviews and care coordination remotely. The role involves prospective, concurrent, and retrospective UM activities with an emphasis on quality, cost efficiency, and regulatory compliance.
The ideal candidate holds an Associate's degree in nursing, RN licensure, 0–2 years in UM or case management, and knowledge of Medicare/Medicaid; bachelor's preferred.
We are currently recruiting a Remote Utilization Management Nurse - Part-Time for our team in Southborough, MA, United States.
Please review the full job details above before applying.
If your experience matches this role, we encourage you to apply.
All applications are reviewed carefully by our team.
This is a Part Time role.
The position is based in Southborough, MA, United States.
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