Remote Utilization Management Nurse: Clinical Triage & Appeals
Springfield, Hampden County, Massachusetts, 01101, USA
Listed on 2026-10-26
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Nursing
RN Nurse, Clinical Nurse Specialist, Healthcare Nursing, Travel Nurse
Mass General Brigham Health Plan is seeking an experienced registered nurse for a remote Utilization Management role near Somerville, MA. You will triage inquiries, assess medical necessity, and collaborate with Nurse Reviewers, Medical Directors, providers, and teams to ensure timely determinations and compliant, evidence-based care.
The role involves escalation of authorizations and coverage determinations, guiding staff on benefit interpretation, and identifying trends for process improvement
We have an opening for a Remote Utilization Management Nurse:
Clinical Triage & Appeals in Somerville, MA, United States within Bio & Pharmacology & Health, Other.
Step into the Remote Utilization Management Nurse:
Clinical Triage & Appeals role at Mass General Brigham in Somerville, MA, United States and grow with us.
Please review the full job details above before applying.
If your experience matches this role, we encourage you to apply.
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