RN Utilization Management Reviewer

We are hiring a RN Utilization Management Reviewer to conduct timely clinical and service authorization review for medical necessity and decision-making. The role involves ensuring client meets CMS compliance standards in service decisions and organizational determinations.

Requirements

• RN with current license issued by the Massachusetts Board of Registration in Nursing
• 1-2 years Utilization Management experience
• 2 or more years working in a clinical setting
• Ability to complete assigned work in a timely and accurate manner
• Knowledge of the Utilization management process
• Ability to work independently

Benefits

• Medical
• Dental
• Vision
• Life Insurance
• Short-Term and Long-Term Disability
• Flexible Spending Account
• Life Assistance Program
• 401K with employer contribution
• PTO and Sick Time
• Tuition Reimbursement