Icon hamburger
What job do you want?
Apply to this job.
Think you're the perfect candidate?
Apply Now

You’re being taken to an external site to apply.

Enter your email below to receive job recommendations for similar positions.

UM Nurse (Contract) MA License required

The Jacobson Group Worcester Contractor
Apply Now

Job Description:

Our health plan client is seeking a Utilization Management Nurse to support their growing membership. This opportunity is a remote position but will require two days of travel to Massachusetts for training. Jacobson will cover travel expenses including hotel, airfare, rental car and a $40 per diem.


  • Organize, coordinate, monitor, evaluate and modify plans of care or service requests, focusing on select complex medical and psychosocial needs of members.
  • Work with Medical Directors, Authorization Coordinators, and Service Coordinators to perform first-level reviews to pre-certify elective services, procedures and tests, utilizing established care coordination policies and protocols, client criteria, regulatory review criteria, and nationally accepted criteria for medical necessity determination.


  • Active RN license in Massachusetts
  • 2 years of utilization management experience in a payer setting
  • 1 year as a case manager in a payer setting (preferred)
  • Discharge planning background (preferred)

Recommended skills

Authorization (Medical)
Authorization (Computing)
Operating Expense
Utilization Management
Apply to this job.
Think you're the perfect candidate?
Apply Now

Help us improve CareerBuilder by providing feedback about this job: Report this job

Report this Job

Once a job has been reported, we will investigate it further. If you require a response, submit your question or concern to our Trust and Site Security Team

Job ID: BHJOB1899_20101


For your privacy and protection, when applying to a job online, never give your social security number to a prospective employer, provide credit card or bank account information, or perform any sort of monetary transaction. Learn more.

By applying to a job using CareerBuilder you are agreeing to comply with and be subject to the CareerBuilder Terms and Conditions for use of our website. To use our website, you must agree with the Terms and Conditions and both meet and comply with their provisions.