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Nurse Reviewer - Remote
University of Massachusetts Medical School
Location : Easton, MA, US
Job Type : Other
Date Posted : 3 July 2024
Job Category : Registered Nurses
Industry : Health Care
Apply NowPOSITION SUMMARY:
Under the general direction of the Associate Director or the Clinical Leader or designee, the Nurse Reviewer is responsible for medical necessity determinations of provider-requested services (prior authorization requests) consistent with established procedural standards and MassHealth program rules and regulations.
ResponsibilitiesESSENTIAL FUNCTIONS:
REQUIRED QUALIFICATIONS:
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PREFERRED QUALIFICATIONS: