Remote Outpatient RN Reviewer | Utilization Management
Framingham, Middlesex County, Massachusetts, 01704, USA
Listed on 2026-09-30
-
Nursing
Healthcare Nursing, RN Nurse, Clinical Nurse Specialist
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 have an opening for a Remote Outpatient RN Reviewer | Utilization Management in MA, United States within Bio & Pharmacology & Health.
The advertised compensation is 90..
We aim to respond to suitable candidates as soon as possible.
Full responsibilities and requirements are described in the listing above.
Learn more about the Remote Outpatient RN Reviewer | Utilization Management role in the description above.
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