UM Outpatient Clinical Review Nurse, Health New England
Baystate Health(1 month ago)
About this role
The UM Outpatient Clinical Review Nurse is a registered nurse role within Health New England’s Utilization Management team supporting Baystate Health. This remote position (eligible in MA and CT) is focused on the health plan’s outpatient review functions and operates as part of the organization’s clinical oversight for members.
Required Skills
- Clinical Review
- Medical Necessity
- Utilization Management
- Care Collaboration
- Appeals Review
- Critical Thinking
- Time Management
- Computer Literacy
- Communication
- Caseload Management
Qualifications
- Bachelor's Degree in Nursing
- Registered Nurse - State of Massachusetts
About Baystate Health
baystatehealth.orgBaystate Health is a not-for-profit, academic healthcare system offering comprehensive medical services, health information, and community support.
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