Remote Outpatient Utilization RN | Medical Necessity Expert
Brockton, Plymouth County, Massachusetts, 02411, USA
Listed on 2026-09-30
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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 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.
The Remote Outpatient Utilization RN | Medical Necessity Expert position in the Bio & Pharmacology & Health field is open for applications.
Take a moment to read everything above and see whether this role is right for you.
This posting is for the Remote Outpatient Utilization RN | Medical Necessity Expert role at Intelli Resume, based in MA, United States.
We are looking to fill the Remote Outpatient Utilization RN | Medical Necessity Expert position at Intelli Resume in MA, United States.
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