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Regulatory Nurse Specialist - UM & Compliance

Job in Springfield, Hampden County, Massachusetts, 01119, USA
Listing for: Baystate Medical Center
Full Time position
Listed on 2026-02-23
Job specializations:
  • Healthcare
    Healthcare Nursing
Salary/Wage Range or Industry Benchmark: 70000 - 90000 USD Yearly USD 70000.00 90000.00 YEAR
Job Description & How to Apply Below
A leading health care provider in Springfield, Massachusetts is seeking a UM Regulatory Nurse Specialist responsible for medical and behavioral health utilization management. The role requires a Massachusetts RN license and 3-5 years of experience as a Clinical Review Nurse. The Specialist will assist with compliance efforts and coding review within state and federal regulations. This position includes excellent employee benefits such as generous PTO, high-quality insurance, and wellbeing programs.
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