Insight Global Health is searching for 2 Registered Nurse Peer Reviewers to support a large health system in their Personal Care Agency division. This RN will be managing a pipeline of 28 Prior Authorizations per day. RNs will be expected to communicate with physicians and Medicare/Medicaid agencies in order to effectively review and authorize the care plans delivered to patients based on Massachusetts state eligibility guidelines and protocols. It is incredibly important that nurses come from a background of Case Management/Utilization Review/Utilization Management. Nurses will be working remotely, but need to be able to commute to Massachusetts to conduct in person reviews at the request of the state. Reviews can be complex, so nurses must be able to problem solve and be self-motivated to complete their day to day metrics.
Benefit packages for this role will start on the 31st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.