Remote Outpatient RN Reviewer | Utilization Management
Springfield, Hampden County, Massachusetts, 01119, USA
Listed on 2026-09-25
-
Nursing
RN Nurse, Healthcare Nursing, Clinical Nurse Specialist, Nurse Practitioner
Point
32
Health is seeking an Outpatient Clinician RN Reviewer to manage a clinically complex caseload, determine medical necessity and benefit coverage for members. You can work independently and with a team in a remote MA setting, with a focus on utilization management and quality assurance.
The role requires an active MA RN license, five years of relevant experience, and a willingness to collaborate with Medical Directors to ensure compliant denial decisions and accurate medical necessity
We are currently recruiting a Remote Outpatient RN Reviewer | Utilization Management for our team in MA, United States.
This posting is for the Remote Outpatient RN Reviewer | Utilization Management role at Intelli Resume, based in MA, United States.
We are looking to fill the Remote Outpatient RN Reviewer | Utilization Management position at Intelli Resume in MA, United States.
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