Remote Utilization Management Nurse
Brockton, Plymouth County, Massachusetts, 02301, USA
Listed on 2026-11-01
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Nursing
RN Nurse, Nurse Practitioner, Clinical Nurse Specialist, Healthcare Nursing
Mass General Brigham Health Plan is seeking a Clinical Utilization Management Nurse to provide escalation support, triage inquiries, and determine medical necessity and adherence to guidelines. You will collaborate with Nurse Reviewers, Medical Directors, and providers to ensure timely determinations and evidence-based care.
This is a remote role with occasional on-site meetings in Somerville, MA. A MA RN license and 2–3 years in case management or utilization review are preferred; strong
As a Remote Utilization Management Nurse, you will play an important part at Mass General Brigham Health Plan, Inc. in MA, United States.
Step into the Remote Utilization Management Nurse role at Mass General Brigham Health Plan, Inc. in 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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