Remote Outpatient Utilization RN | Medical Necessity Expert
Springfield, Hampden County, Massachusetts, 01119, USA
Listed on 2026-09-25
-
Nursing
RN Nurse, Healthcare Nursing, Clinical Nurse Specialist
Point
32
Health is seeking an Outpatient Clinician RN Reviewer to manage a clinically complex caseload and determine medical necessity for members. This remote MA role requires an RN license and five years in utilization management or related fields, with BSN preferred.
The position emphasizes independent work within a team, partnering with Medical Directors, and adherence to established processes to ensure timely coverage decisions.
Step into the Remote Outpatient Utilization RN | Medical Necessity Expert role at Intelli Resume in MA, United States and grow with us.
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If your experience matches this role, we encourage you to apply.
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The position is based in MA, United States.
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