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RN Precertification Clinician — Outpatient UM

Job in Lowell, Middlesex County, Massachusetts, 01856, USA
Listing for: Point32Health
Full Time position
Listed on 2026-09-30
Job specializations:
  • Nursing
    RN Nurse, Clinical Nurse Specialist, Healthcare Nursing
Salary/Wage Range or Industry Benchmark: 90000 - 134000 USD Yearly USD 90000.00 134000.00 YEAR
Job Description & How to Apply Below

Point
32

Health is seeking a Clinical Reviewer, Precertification RN, to manage a clinically complex caseload and determine medical necessity and coverage for members. This role works within the Precertification/Outpatient Utilization Management team and reports to the Team Manager, operating independently while collaborating with physicians and internal departments.

The successful candidate will hold MA RN licensure, have 5+ years in utilization management, case management or quality assurance,

We have an opening for a RN Precertification Clinician — Outpatient UM in MA, United States within Bio & Pharmacology & Health, Management & Operations.

This role, RN Precertification Clinician — Outpatient UM at Point
32

Health, could be your next move.

Are you ready to take on the RN Precertification Clinician — Outpatient UM role at Point
32

Health?

We would love to welcome a new RN Precertification Clinician — Outpatient UM to our group in MA, United States.

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