Job Summary

• Mass General Brigham Health Plan is at the forefront of transformation within the healthcare industry, providing innovative solutions centered on member health needs.
• The Medicare UM Nurse performs utilization management activities primarily for Medicare Advantage, reviewing authorizations for various services against established criteria.
• The organization offers competitive salaries, comprehensive benefits, career growth opportunities, and a supportive environment that embraces diverse backgrounds.

Matching Summary

Salary

Base: $58,656.00 - $142,448.80/Annual; Bonus/Equity: Not specified; Benefits: Comprehensive benefits package

Skills & Requirements

Key Requirements

• Associate's Degree Nursing required
• Bachelor's Degree Nursing preferred
• Massachusetts Registered Nurse license required
• Basic Life Support [BLS Certification] preferred
• 2-3 years utilization management experience
• Experience applying NCD, LCD, Medicare Benefit Policy Manual
• InterQual experience preferred

Work Rights