RN - Case Manager
Worcester, Worcester County, Massachusetts, 01601, USA
Listed on 2026-10-02
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Nursing
RN Nurse, Healthcare Nursing
Profession: Registered Nurse
Specialty: Utilization Review
Duration: 11 months
Shift: Remote Position
Hours per Shift: Full-time, Monday to Friday, 8 AM to 5 PM, or Fri, Sat, Sun, Mon, 10-hour days, options from 6 AM to 8 PM
Experience: 2-4 years in Utilization Management
License: Massachusetts RN License
Certifications: Interqual
Must-Have:- Utilization Management experience
- Managed care experience
- Line of Business experience (Medicaid, Medicare, Commercial products)
- EPIC experience preferred
Description:
This position is remote.
There are three full-time positions available for Monday to Friday, 8 AM to 5 PM.One position requires weekend work on Fri, Sat, Sun, and Mon, with 10-hour shifts from 6 AM to 6 PM, 7 AM to 7 PM, or 8 AM to 8 PM.Candidates must have a current Massachusetts RN license.
Experience with Interqual is necessary.
Two to four years of Utilization Management experience is required.
Candidates should have two to four years of managed care experience.
Experience with Medicaid, Medicare, and Commercial products is essential.
Knowledge of EPIC software is preferred.
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