Remote Outpatient RN Reviewer Utilization
Quincy, Norfolk County, Massachusetts, 02171, USA
Listed on 2026-09-30
-
Nursing
RN Nurse, Clinical Nurse Specialist, Healthcare Nursing, Nurse Practitioner
Point
32
Health is hiring an Outpatient Clinician RN Reviewer to manage a clinically complex caseload and determine medical necessity for members. This role emphasizes independent work within a collaborative team and involves interfacing with clinicians and Precertification staff to ensure policy interpretation and quality assurance.
The ideal candidate holds an MA RN license, an Associate Degree (BSN preferred), and at least five years in utilization management or related fields.
We are currently recruiting a Remote Outpatient RN Reviewer Utilization for our team in MA, United States.
We are looking to fill the Remote Outpatient RN Reviewer Utilization position at Intelli Resume in MA, United States.
The Remote Outpatient RN Reviewer Utilization role at Intelli Resume is now open for applications in MA, United States.
Join us at Intelli Resume as our next Remote Outpatient RN Reviewer Utilization in MA, United States.
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