Precertification RN — Clinical Utilization Specialist
Listed on 2026-09-25
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Nursing
Clinical Nurse Specialist, RN Nurse, Healthcare Nursing
Point
32
Health is seeking a Clinical Reviewer, Precertification RN, licensed as an RN in Massachusetts, to manage a clinically complex caseload and determine medical necessity and benefit coverage for members.
The role is part of the Precertification / Outpatient Utilization Management team and requires independent work as well as collaboration, with strong clinical judgment and knowledge of utilization management processes to ensure timely decisions within regulatory guidelines.
As a Precertification RN — Clinical Utilization Specialist, you will play an important part at P32HS
Point
32
Health Services Inc in MA, United States.
If your experience matches this role, we encourage you to apply.
All applications are reviewed carefully by our team.
The position is based in MA, United States.
This opportunity is part of our work in Bio & Pharmacology & Health.
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