Point32Health 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
#J-18808-LjbffrRemote Outpatient RN Reviewer | Utilization Management in workfromhome at Unknown Company
- Typical pay
- $88,140–$137,280
For context, most registered nurses earn between $88,140–$137,280 a year according to Bureau of Labor Statistics wage data. What this particular role pays is set by the employer — check the description above.
This position is listed as full time and able to be worked remotely.