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RN Care & Utilization Reviewer II

Job in Newton, Middlesex County, Massachusetts, 02165, USA
Listing for: CareSource
Full Time position
Listed on 2026-08-26
Job specializations:
  • Nursing
    RN Nurse
Salary/Wage Range or Industry Benchmark: 63000 - 100000 USD Yearly USD 63000.00 100000.00 YEAR
Job Description & How to Apply Below

Care Source is seeking a Clinical Care Reviewer II to process medical necessity reviews and support discharge planning and care coordination for members. The role includes reviewing various admission types and collaborating with care partners to ensure appropriate levels of care.

Ideal candidates hold an RN license with an ASN degree and at least three years of clinical experience, with preference for utilization management and Medicaid/Medicare exposure.

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