- Beth Israel Lahey Health (Plymouth, MA)
- …years recent, broad clinical experience in the hospital setting + Experience with utilization management within the last 3 years required + An understanding of the ... severity of an array illnesses, intensity of service, and care coordination needs + Ability to identify appropriateness of patients admission and level of care needs (inpatient & observation) utilizing Interqual criteria + Knowledge of Interqual required;… more
- CVS Health (Providence, RI)
- …opportunities to promote quality effectiveness of Healthcare Services and benefit utilization + Consults and lends expertise to other internal and external ... constituents in the coordination and administration of the utilization /benefit management function. + Typical office working environment with productivity and… more
- Beth Israel Lahey Health (Plymouth, MA)
- …years recent, broad clinical experience in the hospital setting + Experience with utilization management within the last 3 years required + An understanding of the ... severity of an array illnesses, intensity of service, and care coordination needs + Ability to identify appropriateness of patients admission and level of care needs (inpatient & observation) utilizing Interqual criteria + Knowledged of Interqual required;… more
- CVS Health (Providence, RI)
- …skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and is knowledgeable in ... opportunities to promote quality effectiveness of healthcare services and benefit utilization . + Consults and lends expertise to other internal and external… more
- Evolent (Providence, RI)
- …for the mission. Stay for the culture. **What You'll Be Doing:** As a Clinical Reviewer, Nurse , you will be a key member of the utilization management team. We ... providing better health outcomes. **Collaboration Opportunities:** As a Clinical Reviewer, Nurse , you will routinely interact with leadership and management staff,… more
- CVS Health (Providence, RI)
- …AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support ... **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in...lower levels of care. + 1+ years' experience in Utilization Review. + CCM and/or other URAC recognized accreditation… more
- CVS Health (Providence, RI)
- …AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support ... **Required Qualifications** - 5+ years' experience as a Registered Nurse with at least 1 year of experience in...lower levels of care - 1+ years' experience in Utilization Review - CCM and/or other URAC recognized accreditation… more
- US Tech Solutions (Canton, MA)
- …required.** **Job Summary The Clinical Reviewer is a licensed professional -a Registered Nurse preferred- that is expected to function independently in her / his ... of clinical decision making and support needed to perform utilization management, medical necessity determinations and benefit determinations using applicable… more
- Atrius Health (Taunton, MA)
- …the direction of the department chief, the incumbent is a certified nurse practitioner (NP) who possesses advanced training/skills in assessing, diagnosing, and ... Serves as a patient educator in areas of specialization. *_EDUCATION/LICENSES/CERTIFICATIONS_* * Nurse Practitioner (NP) *- Must be nationally certified as an FNP… more
- Brockton Hospital (Brockton, MA)
- Registered Nurse (RN), Part-Time Flex Evenings, Emergency Signature Healthcare's Brockton Hospital is hiring for a Part-Time Flex Evenings Registered Nurse (RN) ... commitment to comprehensive patient care. Under the guidance of a Charge nurse , our team emphasizes efficient throughput, flexibility, and autonomy in initiating… more
- Brockton Hospital (Brockton, MA)
- Periop-101/Transition to Practice OR Nurse Signature Healthcare's Brockton Hospital is hiring Full time Registered Nurse (RN)'s for a Periop-101/Transition to ... will be required to fulfill call requirements with a 30-minute response time. Registered Nurse (RN) Roles and Responsibilities: Specific Duties: + The Nurse will… more
- Baylor Scott & White Health (Providence, RI)
- **LOCATION:** Remote **SPECIALTY/DEPARTMENT:** Care Management: Case Management Utilization Management Appeals or grievances **SHIFT/SCHEDULE:** Full-time days, ... vary based on position type and/or level **Job Summary** A Registered Nurse in Nursing Professional Development Generalist role uses expertise to enhance healthcare… more
- Brockton Hospital (Brockton, MA)
- Registered Nurse (RN), J ob, (Very Specific Shift-Type) , (Department/Unit) Signature Healthcare's Brockton Hospital is hiring for a (shift type) Registered Nurse ... stronger than ever. Insert Department/Unit Insert Department/Unit Description Registered Nurse (RN) Roles and Responsibilities: + Assessment: collects relevant… more
- Brockton Hospital (Brockton, MA)
- …and health of our patients. Position Summary: Purpose of Position: The Registered Nurse provides nursing care to assigned patients newborn to geriatric according to ... of the Department of Nursing and in compliance with Massachusetts Nurse Practice Act. Independent Action: Functions independently within established department… more
- Brockton Hospital (Brockton, MA)
- …health of our patients. Position Summary: Purpose of Position : The Registered Nurse provides nursing care to assigned patients newborn to geriatric according to the ... of the Department of Nursing and in compliance with Massachusetts Nurse Practice Act. Independent Action : Functions independently within established department… more
- Brockton Hospital (Brockton, MA)
- Registered Nurse (RN), J ob, Part-Time Flex, Day, 8-hour shift , Relief Nursing - Float Signature Healthcare's Brockton Hospital is hiring for a Part-Time Flex, Day, ... 8-hour shift Registered Nurse (RN) for Relief Nursing - Float in Brockton,...+ Research: uses clinical inquiry in practice + Resource Utilization : considers factors related to safety, effectiveness and cost… more
- Brockton Hospital (Brockton, MA)
- Registered Nurse (RN), Part- Time Flex Evening, A2-Telemetry Signature Healthcare's Brockton Hospital is hiring for a Part Time Flex Registered Nurse (RN) for ... off-shifts to enhance patient care, staffing, and throughput coordination. Registered Nurse (RN) Roles and Responsibilities: + Assessment: collects relevant patient… more
- Brockton Hospital (Brockton, MA)
- Registered Nurse (RN), Part-Time Flex, 8-hour Evening Shift, A3 Medical-Surgical Unit Signature Healthcare's Brockton Hospital is hiring for a Part-Time Flex, 8-hour ... Evening Shift Registered Nurse (RN) for the A3 Medical-Surgical Unit in Brockton,...+ Research: uses clinical inquiry in practice + Resource Utilization : considers factors related to safety, effectiveness and cost… more
- Brockton Hospital (Brockton, MA)
- Registered Nurse (RN), J ob, Part-Time Flex, Varied 1st & 2nd Shift, Operating Room Signature Healthcare's Brockton Hospital is hiring for a Part-Time, Varied 1st & ... 2nd shift Registered Nurse (RN) for Operating Room in Brockton, MA. Type:...+ Research: uses clinical inquiry in practice + Resource Utilization : considers factors related to safety, effectiveness and cost… more
- Sharecare (Providence, RI)
- …appropriate total healthcare management and ensure cost effective, appropriate resource utilization and quality outcomes. The Clinical Registered Nurse is ... To learn more, visit www.sharecare.com . **Job Summary:** The Clinical Registered Nurse has the responsibility for supporting the goals and objectives of the… more