Remote Utilization Management Nurse
Somerville, Middlesex County, Massachusetts, 02145, USA
Listed on 2026-10-07
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Nursing
RN Nurse, Public Health Nurse, Nurse Practitioner, Healthcare Nursing
Mass General Brigham Health Plan Holding Company, Inc. in Somerville, MA is seeking a UM Nurse to support network adequacy reviews and authorization for ACO, HMO, and EPO products.
The role emphasizes clinical knowledge, medical necessity assessment, and timely determinations. The position requires an RN license and nursing degree, 2–3 years of utilization review experience, and familiarity with Inter Qual or Milliman.
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