RN Utilization Review
Jamaica Plain, Massachusetts
Mass General Brigham

RN Utilization Review

Overview

• Remote position
• 11-week contract
• Two schedule options:

  • Monday to Friday, 8:00 AM to 5:00 PM, no weekends, no holidays
  • Friday to Monday, 10-hour days, with start times of 6:00 AM, 7:00 AM, or 8:00 AM

Required Qualifications

• Valid RN license in Massachusetts
• Associate of Science in Nursing / Associate Degree in Nursing
• Utilization Review experience within the last year
• Utilization Review experience, 2 years
• Utilization Management experience, 2 years
• Managed care experience, 2 years
• Line of Business experience with Medicaid, Medicare, and Commercial products

Preferred Qualifications

• EPIC

Onboarding Requirements

• Resume including past 7 years of work experience; all work experience and education must include city and state
• 2 references within 4 years of submission, with at least 1 supervisor or above in the skillset
• Skills checklist completed within 1 year of submission
• MMR documentation or proof of immunity
• Influenza vaccine
• TB test documentation
• Health statement signed by an MD, DO, NP, or PA
• Criminal background check
• Massachusetts CORI
• SSN trace
• National sex offender check
• Exclusion checks
• Education verification
• Confirmation of assignment/POI form
• Beeline attestation

Optional Onboarding Items

• Positive PPD with negative chest X-ray
• Name change documentation
• TB symptom survey if positive PPD