- Commonwealth Care Alliance (Boston, MA)
- …CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is ... timely clinical and service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role in ensuring… more
- Brockton Hospital (Brockton, MA)
- Registered Nurse ( RN ), Part-Time Flex Varied 5p-3a, 7p-5a, Emergency Signature Healthcare's Brockton Hospital is hiring for a Part-Time Flex Varied 5p-3a, ... 7p-5a Registered Nurse ( RN ) for Emergency...+ 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 Nights, A2-Telemetry Signature Healthcare's Brockton Hospital is hiring for a Part Time Flex Registered Nurse ... off-shifts to enhance patient care, staffing, and throughput coordination. Registered Nurse ( RN ) Roles and...+ 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, 8-hour Evening Shift, A5 Medical-Surgical Unit Signature Healthcare's Brockton Hospital is hiring for a Part-Time ... Flex, 8 & 12-Hour Night Shift, Registered Nurse ( RN ) for the...+ Research: uses clinical inquiry in practice + Resource Utilization : considers factors related to safety, effectiveness and cost… more
- Brockton Hospital (Brockton, MA)
- Registered Nurse ( RN ), Full Time Flex , Evenings, Operating Room Signature Healthcare's Brockton Hospital is hiring for a Full Time Flex, Evenings & On Call, ... Registered Nurse ( RN ) for Operating... Registered Nurse ( RN ) for Operating Room 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, Nights, 8 Hour Shift, Telemetry Signature Healthcare's Brockton Hospital is hiring for a Part-Time, Flex, 8 Hour ... Shift, Registered Nurse ( RN ) for Telemetry...+ Research: uses clinical inquiry in practice + Resource Utilization : considers factors related to safety, effectiveness and cost… more
- Fenway Health (Boston, MA)
- …MA (http://maps.google.com/maps?q=1340+Boylston+St+Boston+MA+USA+02215) * Nursing Job Type Full-time Description As a Registered Nurse ( RN ) at Fenway Health ... patient, and other care team members. + Influences appropriate utilization of healthcare resources by helping to coordinate patient...+ Education: Associate degree in nursing + Current Massachusetts Registered Nurse ( RN ) license degree… more
- Fresenius Medical Center (Fairhaven, MA)
- …supporting billing and collection activities. + Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve ... combination of education and experience + Graduate of an accredited School of Nursing ( RN ). + Current appropriate state licensure. **EXPERIENCE AND SKILLS:** + 6 - 8… more
- Atrius Health (Boston, MA)
- …health and welfare benefit package. **Job:** **Nursing* **Organization:** **Pulmonary* **Title:** * Registered Nurse (MNA) Pulmonary - Kenmore - Full time ... *SUMMARY * Under the direction of the Department Chief, Nurse Leader or designee, this registered professional...specialty. *EXPERIENCE* Strongly prefer minimum of 2 years of RN experience. Experience with an electronic medical records system… more
- Atrius Health (Boston, MA)
- …health and welfare benefit package. **Job:** **Nursing* **Organization:** **Nephrology* **Title:** * Registered Nurse (MNA) Nephrology - Kenmore - Per diem* ... *SUMMARY * Under the direction of the Department Chief, Nurse Leader or designee, this registered professional...specialty. *EXPERIENCE* Strongly prefer minimum of 2 years of RN experience. Experience with an electronic medical records system… more
- Beth Israel Lahey Health (Boston, MA)
- …you're not just taking a job, you're making a difference in people's lives.** The RN Case Manager working in the Triad Model of Care Transitions partners with the ... the hospitalized patient. Together with the medical provider, the RN Case Manager collaborates with all members of the...of efficient, high-quality care. This position ensures the appropriate utilization of clinical resources with a goal of a… more
- Intermountain Health (Boston, MA)
- …of Intermountain Health, and abide by service behavior standards. **Minimum Qualifications** + Current Registered Nurse ( RN ) license in state of practice. + ... **Job Description:** The RN Ambulatory Care Manager I delivers comprehensive ambulatory...Conducts root cause analysis of extended post-acute stays, inappropriate utilization , readmissions, and tracks key data elements or metrics.… more
- Humana (Boston, MA)
- …**Use your skills to make an impact** **Required Qualifications** + Licensed as a Registered Nurse in the State of Wisconsin, including compact license. + Two ... community and help us put health first** Humana is seeking a Prior Authorization RN to join the Wisconsin Medicaid Market (iCare) team. This position reviews the… more
- Dana-Farber Cancer Institute (Boston, MA)
- …Bachelor's and Master's degrees required, one of which must be in Nursing. + Registered Nurse with 3-5 years' experience in health care, with progressive ... administrative experience **License/Certification/Registration Required** + Licensed as a Registered Nurse in the Commonwealth of Massachusetts and or New… more
- Evolent (Boston, MA)
- …+ Performs other duties as assigned. **The Experience You'll Need (Required):** + Registered Nurse or Licensed Practical/Vocational Nurse with a current, ... Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. Tasks are performed… more
- Dana-Farber Cancer Institute (Attleboro, MA)
- …required, one of which must be in Nursing. 2. Licensed as a Registered Nurse in the Commonwealth of Massachusetts. 3. Hematology-Oncology experience required. ... the highest quality patient experience while maximizing provider time and space utilization . The Nurse Director uses extensive theoretical, evidence-based, and… more
- Atrius Health (Boston, MA)
- …Connecting. Growing together.* **SUMMARY** Under direction of the department chief, nurse leader or designee, this registered professional nurse ... direct patient care to patients, according to established guidelines. The Special Procedure nurse performs a variety of complex tasks which may include assisting in… more
- Brockton Hospital (Brockton, MA)
- …responsibilities. EDUCATION: + RN with Master's Degree + Current License as Registered Nurse in the Commonwealth of Massachusetts EXPOSURE CATEGORY: It is ... and effective delivery of patient care services through the appropriate utilization of healthcare resources. Participates in daily care rounds to collaborate… more
- Deloitte (Boston, MA)
- …Bachelor's degree in nursing, medical degree, or physician assistant required + Current Registered Nurse ( RN ) license required + Certified Clinical ... (CRC, CCA, CCS-P, CCS, CPC, CDIP, CCM) + Experience as clinical registered nurse , physician, physician assistant, case manager, clinical documentation… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …and administrative staff at all levels of the organization. Education and Experience: + Registered nurse with BSN and 3-5 years in a managed care health ... of a member's course of illness, history of service utilization and costs incurred. + Analyze provider utilization... utilization and costs incurred. + Analyze provider utilization trends and audit claims using NASCO, Blue Squared… more
