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Mass General Brigham Health Plan

Remote Medicare Utilization Nurse | UM Case Manager

Mass General Brigham Health Plan, Somerville, Massachusetts, us, 02145

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A healthcare provider is seeking a Medicare UM Case Manager, RN, to perform utilization management activities for Medicare Advantage. This remote role focuses on reviewing authorizations for various services and requires an Associate's Degree in Nursing and a Massachusetts RN license. Candidates should have strong skills in healthcare management, problem solving, and relationship building, alongside at least 2-3 years of utilization management experience. Join a diverse team that values equality and accommodation for all. #J-18808-Ljbffr