- Commonwealth Care Alliance (Boston, MA)
- …Utilization Management (UM) Reviewer is responsible for day-to-day timely clinical and service authorization review for medical necessity and ... decision-making. The Utilization Management Reviewer has a key role in ensuring CCA meets...Be Doing:** **Essential Duties & Responsibilities:** + Conducts timely clinical decision review for services requiring prior… more
- Commonwealth Care Alliance (Boston, MA)
- …provisions of CCA's benefits plan. The Nurse Utilization Management (UM) Reviewer is responsible for day-to-day timely clinical and service authorization ... review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key...organizational determinations. **What You'll Be Doing:** + Conducts timely clinical decision review for services requiring prior… more
- Tufts Medicine (Boston, MA)
- …(Associates considered with the review of the Nursing Executive Council). 2. Registered Nurse ( RN ) license. 3. Basic Life Support (BLS) certification. ... In addition, this role focuses on performing the following Clinical Nurse duties: Assesses, plans, implements, and...practice and/or best practices. The professional registered nurse at Tufts Medical Center provides clinical … more
- Fresenius Medical Center (Medford, MA)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical ... or chronic kidney disease. **Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning… more
- Fresenius Medical Center (Boston, MA)
- **PURPOSE AND SCOPE:** Functions as part of the hemodialysis health care team as a Registered Nurse Applicant, under the direction or supervision of a Staff ... Registered Nurse , to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures, and training. Supports the FMCNA's… more
- Highmark Health (Boston, MA)
- **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** The Registered Nurse assesses human responses and plans, implements and ... nursing care for individuals or families for whom the nurse is responsible. The Registered Nurse...in on-going interdisciplinary communication specific to each patient with review of patient status and plan of care. +… more
- Wellpath (Bridgewater, MA)
- …job description. Quick Apply (https://careers-recoverysolutions.icims.com/jobs/164573/ rn - registered - nurse ... approach and patient education. + Assist DON in maintaining clinical skills of registered nurses and ensuring...+ Must have and maintain current licensure as a Registered Nurse within the State of employment.… more
- Sodus Rehab & Nursing Center (Everett, MA)
- …of Science in Nursing (preferred) . Current registration and license to practice as a Registered Nurse in the state employed in MA . Peripheral IV certification ... and evaluate each resident's physical and emotional status . Review the nurse 's notes to ensure that.... Two years of clinical nursing experience . One-year experience in a management… more
- Brockton Hospital (Brockton, MA)
- …patient care, supported by clinical care assistants on all shifts. Resource Nurse ( RN ) Roles and Responsibilities: + Demonstrates respect and regard for the ... Resource Nurse ( RN ), Job, Part-Time Flex, Overnight,...Pool team is where flexibility and diversity define your clinical experience. As a valued member of our Float… more
- State of Massachusetts (Walpole, MA)
- …Services is seeking experienced and highly motivated candidates for the position of Registered Nurse IV. The RN IV provides professional nursing ... DDS staff and provider staff in the area. The RN participates in clinical assessments; risk reviews,...possess a current, active license to practice as a Registered Nurse in the Commonwealth of Massachusetts__… more
- Beth Israel Lahey Health (Brookline, MA)
- …you're not just taking a job, you're making a difference in people's lives.** Team Nurse - Registered Nurse or Licensed Practical Nurse **Job ... from an accredited Nursing Program required. Bachelor's degree preferred. License Registered Nurse required., or Registration Licensed Practical Nurse… more
- Beth Israel Lahey Health (Brookline, MA)
- …this position is responsible for performing the duties of an office Registered Nurse as well as acting as a clinical resource for the medical practice. ... discuss a patient's personal health information without the patient's permission. The Registered Nurse will ensure patient safety practices to prevent/eliminate… more
- Beth Israel Lahey Health (Cambridge, MA)
- …from an accredited Nursing Program required. Bachelor's degree preferred. 2. License Registered Nurse required., or Registration Licensed Practical Nurse ... clinical resource for the medical practice. The Team Nurse provides high quality, direct patient care in a...Provides on-going education and training to practice staff. Updates clinical knowledge and skills though consultation, review … more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …single largest account Position Summary: The RN Clinical Provider Post Service Review Manager , led by a Registered Nurse , is responsible for a ... a member and provider call center, provider correspondence and appeals, clinical review , member correspondence and reconsiderations, enrollment, claims… more
- Tufts Medicine (Boston, MA)
- …**:** 1. Bachelors Degree in Nursing. 2. Basic Life Support (BLS) certification. 3. Registered Nurse ( RN ) license. 4. Two (2) years of nursing ... In addition, this role focuses on performing the following Clinical Nurse duties: Assesses, plans, implements, and...consultation on patient care issues in addition to perioperative registered nursing ( RN ) duties. This role encompasses… more
- Sedgwick (Boston, MA)
- …place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer RN Bill Review **PRIMARY PURPOSE** **:** To review hospital and ... and/or technical bills. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Applies clinical editing. + Reviews operative reports to determine if...two (2) years of experience in daily application of nurse auditing, utilization review and bill … more
- East Boston Neighborhood Health Center (Revere, MA)
- …the annual re-assessment for PACE participants. Essential Duties & Responsibilities: + Review Profile, Sales Plan & Medical Record of potential enrollee. Assess ... MDS. + Complete the MDS, sign, and have provider review and co-sign. Enter in Virtual Gateway. + Upon...month prior to anniversary date. + Collaborate with primary nurse to validate information gathered from medical record. Qualifications… more
- State of Massachusetts (Boston, MA)
- …at least (A) three years of full-time, or equivalent part-time, experience as a registered nurse in a recognized hospital, clinic or medical facility and (B) ... Hospital (LSH) is seeking a Regulatory Readiness Coordinator - RN V. Under the direction of the Chief Quality...of nursing must have applied for the first available registered nurse examination. Special Requirements: Based on… more
- Tufts Medicine (Boston, MA)
- …**Job Description** **Minimum Qualifications** **:** 1. Bachelors degree in Nursing. 2. Registered Nurse ( RN ) License. 3. International Board Certified ... with physician orders. In addition, this role focuses on performing the following Clinical Nurse duties: Assesses, plans, implements, and evaluates the care… more
- Evolent Health (Boston, MA)
- …with the team of Letter Writers on a routine basis. **Qualifications** + Licensed registered nurse or LVN/LPN (current and unrestricted) + Minimum of three years ... decisions against criteria and policy, escalating questions to the physician reviewer , and creating letters that meet regulatory and Plain Language requirements.… more