- Commonwealth Care Alliance (Boston, MA)
- …CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is ... and service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role in ensuring CCA meets… 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 + Knowledge of Interqual required;… more
- Beth Israel Lahey Health (Boston, MA)
- …lives.** Position Summary: In conjunction with the admitting/attending physician, the Utilization Review RN assists in determining the appropriate admission status ... of care being billed. Conducts concurrent reviews as directed in the hospital's Utilization Review Plan and review of medical records to ensure criteria for… more
- Cognizant (Boston, MA)
- …background - Registered Nurse (RN) . 2-3 years combined clinical and/or utilization management experience with managed health care plan . 3 years' experience in ... to Friday - Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact by performing advanced level work related to clinical… 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
- Commonwealth Care Alliance (Boston, MA)
- …is responsible for overseeing and managing the daily operation of the Utilization Management Review Nurse and Specialist staff responsible for conducting ... 013650 CCA-Auth & Utilization Mgmt Position Summary: Commonwealth Care Alliance's (CCA)...reviews). * Hire, train and mentor UM staff, including nurse reviewers and support personnel. * Act as liaison… more
- CenterWell (Boston, MA)
- …a part of our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent ... your skills to make an impact** **Required Qualifications** + Licensed Registered Compact Nurse license (RN) with no disciplinary action and ability to obtain non… more
- Fenway Health (Boston, MA)
- Registered Nurse Boston, MA (http://maps.google.com/maps?q=1340+Boylston+St+Boston+MA+USA+02215) * Nursing Job Type Full-time Description As a Registered Nurse ... care to individuals, families, communities, and patient populations. The Registered Nurse 's care delivery is consistent with the Massachusetts Board of Registration… more
- State of Massachusetts (Boston, MA)
- …Office of Aging and Independence (AGE) is seeking a highly motivated*Registered Nurse *to join our Assisted Living Residence (ALR) Certification Unit. This role ... arise in the day-to-day operation of an Assisted Living Residence. The Registered Nurse will play a vital role in ensuring quality oversight of incidents reported… more
- Commonwealth Care Alliance (Boston, MA)
- …intensive care management and care delivery. Within the CIC Program, the Registered Nurse (RN) serves as an integral member of an interdisciplinary team for medical ... on the fluctuating needs of the defined panel of members, the Registered Nurse will engage in regular assessments, visits at regularly scheduled intervals, and… more
- Atrius Health (Braintree, MA)
- …value-based care system in the country. *_SUMMARY_*__ Physician Assistant/ Nurse Practitioner (MNA) position supporting our Orthopedics department. The Physician ... Assistant/ Nurse Practitioner will work collaboratively on a team to...care in Specialty. Demonstrated excellence in practice, documentation and utilization . Maintain high patient satisfaction. Ability to work effectively… more
- Sharecare (Boston, MA)
- … utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants for identification ... To learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting the goals and objectives of the… more
- Atrius Health (Weymouth, MA)
- …the direction of the department chief, the incumbent is a certified Nurse Practitioner (NP) or Physician Assistant (PA) who possesses advanced training/skills in ... 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 Nights, Emergency Signature Healthcare's Brockton Hospital is hiring a Part-Time Flex Overnights Registered Nurse (RN) for ... 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)
- Registered Nurse (RN), J ob, Overnights , Maternity Signature Healthcare's Brockton Hospital is hiring for a Part Time Flex Registered Nurse (RN) for Maternity ... stronger than ever. Insert Department/Unit Insert Department/Unit Description Registered Nurse (RN) Roles and Responsibilities: + Assessment: collects relevant… 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 Room in Brockton, MA. Type:...+ 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 (RN) for ... off-shifts to enhance patient care, staffing, and throughput coordination. Registered Nurse (RN) Roles and Responsibilities: + Assessment: collects relevant patient… more
- Atrius Health (Quincy, MA)
- …Growing together.* *SUMMARY* Under the direction and supervision of a Department Chief, Nurse Leader or designee, this licensed practical nurse provides direct ... practical nursing. Possess a current license to practice as a practical nurse in the Commonwealth of Massachusetts.American Heart Association Basic Life Support… more
- Atrius Health (Boston, MA)
- …the country. *SUMMARY* Under the direction and supervision of a Department Chief, Nurse Leader or designee, this licensed practical nurse provides direct patient ... practical nursing. Possess a current license to practice as a practical nurse in the Commonwealth of Massachusetts.American Heart Association Basic Life Support… 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 in Brockton, MA. Type: Part-Time,...+ Research: uses clinical inquiry in practice + Resource Utilization : considers factors related to safety, effectiveness and cost… more