Precertification RN: Clinical Utilization Expert
Listed on 2026-10-30
-
Nursing
RN Nurse
Point
32
Health, Inc. is seeking a Clinical Reviewer, Precertification RN, in Massachusetts.
The role requires an RN with an active MA license and at least five years of utilization management or related clinical experience in a managed care setting. The Clinical Reviewer will determine medical necessity and benefit coverage, work within the Precertification/Outpatient Utilization Management team, and collaborate with Medical Directors to ensure compliant, timely decisions for members and
We are seeking a motivated Precertification RN:
Clinical Utilization Expert to join MFS Investments in MA, United States.
The following position is for a Precertification RN:
Clinical Utilization Expert with MFS Investments.
Our group is growing, and we are hiring a Precertification RN:
Clinical Utilization Expert in MA, United States.
This position is for the Precertification RN:
Clinical Utilization Expert role at MFS Investments.
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