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RN Care Coordination & Utilization Reviewer II
Job in
Fall River, Bristol County, Massachusetts, 02720, USA
Listed on 2026-08-26
Listing for:
caresource
Full Time
position Listed on 2026-08-26
Job specializations:
-
Nursing
RN Nurse, Healthcare Nursing
Job Description & How to Apply Below
Commonwealth Care Alliance is seeking a Clinical Care Reviewer II in Massachusetts to process medical necessity reviews for authorization, assist with discharge planning and care coordination, and monitor delivery of care for members.
The role requires an RN license, 3 years of clinical experience, and preferred Utilization Management and Medicaid/Medicare experience. Collaboration with medical directors and guidance to staff are essential components.
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