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Remote Precertification RN Reviewer – Outpatient

Remote / Online - Candidates ideally in
Boston, Suffolk County, Massachusetts, 02298, USA
Listing for: P32HS Point32Health Services Inc
Remote/Work from Home position
Listed on 2026-09-30
Job specializations:
  • Nursing
    RN Nurse, Healthcare Nursing
Salary/Wage Range or Industry Benchmark: 90000 - 134000 USD Yearly USD 90000.00 134000.00 YEAR
Job Description & How to Apply Below

Point
32

Health is seeking a Clinical Reviewer, Precertification RN, in Massachusetts. You will manage a clinically complex caseload, determine medical necessity and coverage for members, and ensure timely, compliant decisions within product-specific time frames.

The role requires an active MA RN license, an associate degree (BSN preferred), and at least five years in utilization management or related fields.

This role, Remote Precertification RN Reviewer – Outpatient at P32HS
Point
32

Health Services Inc, could be your next move.

This opportunity is part of our work in Bio & Pharmacology & Health, Management & Operations.

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 Precertification RN Reviewer – Outpatient role in the description above.

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