Precertification RN — Clinical Utilization Specialist
Listed on 2026-09-30
-
Nursing
RN Nurse, Clinical Nurse Specialist
Point
32
Health is seeking a Clinical Reviewer, Precertification RN, licensed as an RN in Massachusetts, to manage a clinically complex caseload and determine medical necessity and benefit coverage for members.
The role is part of the Precertification / Outpatient Utilization Management team and requires independent work as well as collaboration, with strong clinical judgment and knowledge of utilization management processes to ensure timely decisions within regulatory guidelines.
Are you ready to take on the Precertification RN — Clinical Utilization Specialist role at P32HS
Point
32
Health Services Inc?
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 Precertification RN — Clinical Utilization Specialist role in the description above.
We appreciate your interest in this position.
Join P32HS
Point
32
Health Services Inc and contribute to our ongoing work.
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