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Remote Utilization Management Nurse

Remote / Online - Candidates ideally in
Brockton, Plymouth County, Massachusetts, 02301, USA
Listing for: Mass General Brigham
Remote/Work from Home position
Listed on 2026-10-02
Job specializations:
  • Nursing
    Nurse Practitioner, RN Nurse, Healthcare Nursing, Clinical Nurse Specialist
Salary/Wage Range or Industry Benchmark: 90000 - 107000 USD Yearly USD 90000.00 107000.00 YEAR
Job Description & How to Apply Below

Mass General Brigham Health Plan Holding Company, Inc. seeks a Nurse for utilization review to assess medical necessity and benefit coverage for ACO/HMO/EPO members. Remote with occasional on-site team meetings in Somerville, MA.

Strong Inter Qual/Milliman experience and payer background desired. Competitive benefits and equity in a supportive, patient-centered environment. The UM Nurse will handle prior authorizations, review requests, and coordinate with clinical teams while maintaining

As a Remote Utilization Management Nurse, you will play an important part at Mass General Brigham in Somerville, MA, United States.

This is a genuine role to take on the Remote Utilization Management Nurse role at Mass General Brigham.

We invite applications for the Remote Utilization Management Nurse position located in Somerville, MA, United States.

The following opportunity is for a Remote Utilization Management Nurse with Mass General Brigham.

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