New

Field-Based RN - Senior Utilization Management

Optum
$72,800-$130,000
medical insurance, 401(k)
United States, Massachusetts, Springfield
Nov 12, 2026
Your nursing experience can help improve care well beyond the bedside. Rather be out in the field than behind a desk? Use your clinical judgment to strengthen care quality and support nursing facilities across Massachusetts. Share your findings with providers and turn clinical insights into better outcomes. On the road across Massachusetts: a 100% travel, field-based role This is a field-based role for the state of Massachusetts, with 100% travel. Qualified candidates must live in the Springfield, MA, regional area and drive daily to different facility locations across the region and the rest of the state. For this role, there will be no weekends, no holidays and no on-call work. What's in it for you Meaningful clinical impact: Bring your expertise to care quality and good clinical decisions. Direct partnership: Collaborate with providers, facility leaders and interdisciplinary teams on findings and corrective plans. Time that's yours: No weekends, no holidays and no on-call work. Continued growth: Keep building your skills as part of a collaborative team. The impact you'll make Review MDS assessments and medical records to support coding accuracy, quality outcomes and reimbursement integrity Apply your clinical skills to documentation, treatment and medication reviews Partner with providers and facility leaders on audit findings and recommendations Help nursing facilities understand corrective actions and compliance expectations Support appropriate care through clinical review and utilization management Protect personal health information and maintain HIPAA compliance What you'll bring Current, active, unrestricted Registered Nurse (RN) license in Massachusetts Current RAC/CT MDS certification, or the ability to obtain it before your start date 4+ years of nursing experience in long-term care and/or medical record review Recent long-term care MMQ, MDS, staff development or management experience Experience working within medical insurance and/or healthcare, with knowledge of Medicare, Medicaid, CMS and utilization management processes Ability to analyze clinical information, research issues and apply sound judgment Must live in the Springfield, MA, regional area to meet the daily travel requirements Comfort with 100% field-based travel, plus reliable transportation, a valid, unrestricted driver's license and current auto insurance Not actively considering a change? The right opportunity can still be worth exploring. If life on the road sounds like you, see how your nursing experience could translate into independent fieldwork, provider partnerships and ways to help strengthen care across Massachusetts. Learn more and apply: https://careers.unitedhealthgroup.com/job/springfield/sr-utilization-management-nurse-rn-field-position/34088/101039688720 Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401(k) contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800-$130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. The job posting may come down early due to the volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes-an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law, and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.