Remote Utilization Management Nurse - Case Review & Appeals
San Diego, San Diego County, California, 92101, USA
Listed on 2026-10-27
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Nursing
RN Nurse, Clinical Nurse Specialist, Nurse Practitioner
Mass General Brigham Health Plan is seeking a skilled RN to provide clinical review and escalation support for Utilization Management activities. You will triage inquiries, evaluate medical necessity, and collaborate with Nurse Reviewers, medical directors, and interdisciplinary teams to ensure accurate determinations and adherence to guidelines.
The role offers a remote work option with occasional onsite meetings in Somerville, MA.
We are seeking a motivated Remote Utilization Management Nurse - Case Review & Appeals to join massgeneralbrigham in United States.
The position is based in United States.
This opportunity is part of our work in Bio & Pharmacology & Health, Other.
The advertised compensation is 90..
We aim to respond to suitable candidates as soon as possible.
Full responsibilities and requirements are described in the listing above.
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