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Sco Um Review Rn Jobs in Massachusetts (NOW HIRING)

GQR Global Markets

RN - Case Manager

Everett, MA · On-site

$2.9K - $3.0K/wk

Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Everett, Massachusetts Start Date: January 27, 2026 Profession: Registered Nurse (RN) Facility: Estimated Pay ...

Element Care

SCO RN Case Manager I

Lynn, MA

$84K - $108K/yr

The RN Case Manager provides comprehensive case management for assigned SCO members with complex needs to ensure cost effective quality of care. This professional provides quality patient care via ...

Element Care

SCO RN Case Manager I

Lynn, MA · On-site

$84K - $108K/yr

The RN Case Manager provides comprehensive case management for assigned SCO members with complex needs to ensure cost effective quality of care. This professional provides quality patient care via ...

Element Care

SCO RN Case Manager I

Lynn, MA · On-site

$84K - $108K/yr

The RN Case Manager provides comprehensive case management for assigned SCO members with complex needs to ensure cost effective quality of care. This professional provides quality patient care via ...

Element Care

SCO RN Case Manager I

Lynn, MA · On-site

$84K - $108K/yr

The RN Case Manager provides comprehensive case management for assigned SCO members with complex needs to ensure cost effective quality of care. This professional provides quality patient care via ...

Element Care

SCO RN Case Manager I

Lynn, MA · On-site

$84K - $108K/yr

The RN Case Manager provides comprehensive case management for assigned SCO members with complex needs to ensure cost effective quality of care. This professional provides quality patient care via ...

GQR

RN - Case Manager

Everett, MA · On-site

$2.9K - $3.0K/wk

Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Everett, Massachusetts Start Date: January 27, 2026 Profession: Registered Nurse (RN) Facility: Estimated Pay ...

Integrity Placement Group

Registered Nurse SCO RN

Lynn, MA · On-site

$72K - $95K/yr

Registered Nurse Case Manager (RN) The Company : Our Client is a growing healthcare organization that specializes in working with the geriatric population. They offer their employees full benefits ...

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All JobsSco Um Review Rn JobsSco Um Review Rn Jobs in Massachusetts

Sco Um Review Rn information

What is a SCO UM Review RN?

SCO UM Review RNs are registered nurses who specialize in Utilization Management (UM) review for Senior Care Options (SCO) programs. They evaluate medical records, treatment plans, and healthcare services to ensure that care provided to elderly patients is medically necessary and meets health plan guidelines. These nurses play a key role in coordinating care, preventing unnecessary services, and advocating for appropriate patient care within managed care organizations.

What are the key skills and qualifications needed to thrive as a SCO UM Review RN?

To thrive as a SCO UM Review RN (Senior Care Options Utilization Management Review Registered Nurse), you need a valid RN license, strong clinical assessment skills, and a solid understanding of medical necessity criteria for managed care populations. Familiarity with utilization management software, InterQual or Milliman guidelines, and electronic health records is typically required. Exceptional attention to detail, critical thinking, and effective communication are vital soft skills for collaborating with care teams and advocating for patient needs. These skills ensure accurate review processes, regulatory compliance, and optimized patient outcomes in managed care environments.

What are some common challenges faced by a SCO UM Review RN and how can they be managed effectively?

A SCO UM Review RN often faces challenges such as balancing a high volume of case reviews with the need for thorough, accurate assessments and staying updated with frequently changing regulatory requirements. Time management and strong organizational skills are crucial for managing daily responsibilities, which typically include reviewing medical records, collaborating with interdisciplinary teams, and communicating with providers and members. Building strong relationships with both clinical and non-clinical staff can help streamline workflows, while ongoing professional development ensures you remain current with best practices and compliance standards.

What is the difference between Sco Um Review Rn vs Licensed Practical Nurse?

AspectSco Um Review RnLicensed Practical Nurse
CredentialsRegistered Nurse (RN) license, possibly specialized certificationsLicensed Practical Nurse (LPN) license
Work EnvironmentHospitals, clinics, outpatient facilities, often in more complex care settingsLong-term care, nursing homes, clinics, with more routine patient care
Job ResponsibilitiesAssessments, care planning, complex patient care, medication administrationBasic patient care, vital signs, assisting RNs and physicians

Both Sco Um Review Rn and Licensed Practical Nurse roles involve patient care, but Sco Um Review Rn typically requires a higher level of education and certification, allowing for more complex responsibilities. LPNs focus on routine patient care and support roles. The choice depends on your career goals and desired scope of practice.

How to become a Sco Um Review RN?

To become a Sco Um Review RN, you need to obtain a valid nursing license by completing an accredited nursing program and passing the NCLEX-RN exam. Relevant skills include patient assessment, documentation, and familiarity with healthcare software; some roles may also require specialized training or certifications depending on the review scope. Continuing education and maintaining licensure are essential for ongoing employment in this field.

What are popular job titles related to Sco Um Review Rn jobs in Massachusetts?

For Sco Um Review Rn jobs in Massachusetts, the most frequently searched job titles are:

What job categories do people searching Sco Um Review Rn jobs in Massachusetts look for?

The top searched job categories for Sco Um Review Rn jobs in Massachusetts are:

Sco Um Review Rn jobs near you
Infographic showing various Sco Um Review Rn job openings in Massachusetts as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution.

RN - Case Manager

GQR Global Markets

Everett, MA • On-site

$2.9K - $3.0K/wk

Other

Medical, Dental, Vision

Posted 10 days ago

Job description

Contract - W2 Case Management/Utilization Review Registered Nurse (RN)

Job Location: Everett, Massachusetts Start Date: January 27, 2026 Profession: Registered Nurse (RN) Facility: Estimated Pay: $2989.6 - $3084.6 Duration: 13 weeks Specialty: Case Management/Utilization Review Shift: Day

Benefits:

  • Day 1 Insurance
  • Cigna medical, MetLife dental and vision insurance
  • License reimbursement for new licenses needed for each assignment
  • Discounts with hotels and rental cars
  • A dedicated recruiter and support team that will help you every step of the way to ensure you start on time and have an exceptional experience
  • Referral bonus up to $700

About the Company: Finding the right role is about more than just matching skills to a job--it's about aligning with your goals, values, and the way you want to work. As an award-winning talent partner, we support healthcare professionals through every step of that process, offering meaningful opportunities, clear guidance, and long-term partnership. From our first conversation to your first day on the job (and beyond!), we're here to help you move forward with confidence.

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