Boston Medical Center

Utilization Management Nurse Manager, Hybrid, 40 Hours (Days)

Boston Medical Center

3 months ago
Boston, MA
Onsite
Full Time
Manager
0 applicants
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Boston Medical Center
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About this role

The Nurse Manager for Utilization Review and Clinical Appeal Management oversees daily operations of the Utilization Management and Clinical Appeal teams within a hospital setting, ensuring compliance with policies, payer guidelines, and regulations. The role focuses on improving utilization review, denial management, and reimbursement processes while supporting high-quality patient care. The position also involves leadership, staff development, and collaboration with interdisciplinary teams to drive quality improvement.

Skills

Qualifications

Diploma In NursingASNBSNMaster's Degree In NursingRegistered Nurse License - Massachusetts
Boston Medical Center

About Boston Medical Center

bmccompany.com.ua

N/A

About Boston Medical Center

Headquarters

San Francisco, CA

Company Size

201-500 employees

Founded

2018

Industry

Technology

Glassdoor Rating

4.2 / 5

Leadership Team

Sarah Johnson

Chief Executive Officer

Michael Chen

Chief Technology Officer

Emily Williams

VP of Engineering

David Rodriguez

VP of Product

Jessica Thompson

Chief Financial Officer

Andrew Park

VP of Sales

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