• AMEGO INC (Franklin, MA)
    …Amego School. The School RN will maintain all required credentialing as a School Nurse in Massachusetts and will assist in the oversite of the MA Medication ... support for school operations. Maintains status as a MA School Nurse under the DPH Massachusetts Controlled Substance Registration (MCSR) Medication Delegation.… more
    Upward (07/31/25)
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  • Vitra Health (Lynn, MA)
    …key to our success. That is why we are looking for a Non-Clinical Registered Nurse to support our clients of East Boston and its surrounding areas which include ... a qualified setting. Our care teams, comprised of a Nurse and Case Manager, provide vital support for the...with client PCP and other healthcare providers when necessary. Review all information in the client's admission binder, ensuring… more
    Upward (08/09/25)
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  • Vitra Health (Boston, MA)
    …the key to our success. That is why we are looking for a Licensed Practical Nurse to support our clients of Boston and its surrounding areas. Vitra Health is an AFC ... a qualified setting. Our care teams, comprised of a Nurse and Case Manager, provide vital support for the...updating existing plan of care and corresponding goals, medication review and reconciliation and review caregiver communication… more
    Upward (08/09/25)
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  • Home Care Evolution (Holyoke, MA)
    …salary Flexible schedule Paid time off Signing bonus Now Hiring: Registered Nurse (RN) - Medication Management | Excel Home Care Services Location: Patient ... Contact: Heather at ### x 307 Are you a compassionate and detail-oriented Registered Nurse (RN) looking to make a meaningful impact in home healthcare? Excel Home… more
    Upward (08/04/25)
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  • AMEGO INC (Northborough, MA)
    …the lives of the people we serve! Amego Inc is seeking a passionate and caring nurse to join our team. This position offers great flexibility and paid time off to ... ensure an excellent work-life balance. The Nurse is responsible for providing clinical nursing supports and coordination of all medical services for individuals… more
    Upward (07/31/25)
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  • Vitra Health (Dorchester, MA)
    …in need of care, in a qualified setting. Our care teams, comprised of a Nurse and Case Manager, provide vital support for the clients and caregivers in our program. ... and community services. Participate in multidisciplinary care plan creation and review and discharge planning. Address concerns regarding environment and any changes… more
    Upward (08/09/25)
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  • Nurse Reviewer

    State of Massachusetts (Westborough, MA)
    …at ### and select option #4. *Applicants should upload a_cover letter_and_resume_for the Nurse Reviewer requisition.* *First consideration will be given to those ... Services* **Organization:** **Exec Office Of Health and Human Services* **Title:** * Nurse Reviewer * **Location:** *Massachusetts-Westborough - 167 Lyman Street*… more
    State of Massachusetts (09/19/25)
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  • Registered Nurse (RN) Utilization…

    Commonwealth Care Alliance (Boston, MA)
    …clinical and service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role in ensuring CCA ... Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is responsible for day-to-day… more
    Commonwealth Care Alliance (10/02/25)
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  • Registered Nurse - Utilization…

    Beth Israel Lahey Health (Boston, MA)
    …Position Summary: In conjunction with the admitting/attending physician, the Utilization Review RN assists in determining the appropriate admission status based on ... 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
    Beth Israel Lahey Health (09/10/25)
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  • Per Diem Clinical Appeal Nurse

    Fallon Health (Worcester, MA)
    …appeal to the Plan Medical Director, Center for Medicare/Medicaid Services, contracted reviewer , and the Plan contracted external review agency in accordance ... and member expectations. Under the direction of the Director, the Appeal Nurse represents, manages and oversees second level appeal cases (Office of Medicaid,… more
    Fallon Health (09/22/25)
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  • Utilization Review Analyst - Registered…

    Beth Israel Lahey Health (Burlington, MA)
    …necessity of the hospital care. Using the concepts of utilization review , clinical documentation improvement and revenue integrity, these specialized case managers ... necessity of the hospital care. Using the concepts of utilization review , clinical documentation improvement and revenue integrity, these specialized case managers… more
    Beth Israel Lahey Health (10/02/25)
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  • Registered Nurse - Utilization…

    Beth Israel Lahey Health (Plymouth, MA)
    …using Interqual criteria. + Integrates clinical knowledge with billing knowledge to review , evaluate, and appeal clinical denials related to the care provided to ... the hospitalized patient. + Conducts concurrent reviews to determine the continued need for acute care setting, appropriateness and timeliness of treatments/procedures and to optimize the potential for reimbursement. + Collaborates with the multidisciplinary… more
    Beth Israel Lahey Health (08/16/25)
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  • Nurse Case Manager - per diem

    Beth Israel Lahey Health (Cambridge, MA)
    …**Primary Responsibilities** (including but not limited to): 1. Performs utilization review and discharge planning to inpatient admissions to MAH. 2. Applies ... of care criteria and reports them to the physician reviewer . 7. Works with patients and families to facilitate...Bachelor's degree preferred. Current state license as a Registered Nurse . 2. Three years of medical/surgical nursing care experience.… more
    Beth Israel Lahey Health (08/13/25)
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  • Registered Nurse Opportunities

    Robert Half Accountemps (Boston, MA)
    …RNs to step into impactful non-clinical roles - including chart review , clinical auditing, utilization management, quality assurance, and case coordination. These ... or corporate healthcare roles. Requirements Featured Opportunity: RN Auditor / Clinical Reviewer + Work for a Fortune 500 healthcare organization + Audit medical… more
    Robert Half Accountemps (09/30/25)
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  • Nurse Educator, Cardiac Cath & EP Lab

    Baystate Health (Springfield, MA)
    …Center (BMC), a Magnet Hospital for Nursing Excellence is looking for a** ** Nurse Educator** **to join our** **Cardiac Cath and Electrophysiology Lab!** **The ... Nurse Educator, utilizes innovative and flexible solutions** **_(including leveraging...advancement of clinical nursing practice and professional development through review , critique, and dissemination of relevant current literature, research… more
    Baystate Health (10/01/25)
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  • Registered Nurse , Assisted Living…

    State of Massachusetts (Boston, MA)
    …service provision, and effective internal quality reviews. Additionally, the ALR Unit Nurse will review and evaluate reports with potentially related clinical ... Office of Aging and Independence (AGE) is seeking a highly motivated*Registered Nurse *to join our Assisted Living Residence (ALR) Certification Unit. This role… more
    State of Massachusetts (09/16/25)
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  • Registered Nurse , Per Diem - PACU

    Baystate Health (Greenfield, MA)
    …safety, and home to **Baystate Franklin Medical Center** is looking for a **Registered Nurse (RN)** to join our PACU team as a Peri-anesthesia RN in **Greenfield, ... Rotation Required** + PACU RN ( **Post-Anesthesia Care Unit Registered Nurse ) - Peri-anesthesia** nursing; admissions and recoveries of surgical patients, minor… more
    Baystate Health (09/30/25)
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  • Registered Nurse - Assistant Nurse

    Veterans Affairs, Veterans Health Administration (Brockton, MA)
    …determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. ... Responsibilities This Registered Nurse - Assistant Nurse Manager - Urgent Care position is within the Nursing service at the Brockton location. This is a… more
    Veterans Affairs, Veterans Health Administration (10/10/25)
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  • Nurse Navigator - Hematology/Oncology…

    Beth Israel Lahey Health (Cambridge, MA)
    …or on-call requirements. Flexible scheduling options are available. The Oncology Nurse Navigators helps patients navigate their care and treatment, from their ... course of the treatment journey! **Job Description:** Description: The Medical Oncology Nurse Navigator is a professional registered nurse with oncology-specific… more
    Beth Israel Lahey Health (08/10/25)
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  • Nurse Liaison for Children with Special…

    Boston Public Schools (Boston, MA)
    …Job Description Reports to: Senior Director of Health Services Position Title : Nurse Liaison for Children with Special Health Care Needs General Description: The ... Nurse Liaison for Children with Special Health Care Needs...discussions with family and care providers. + Request and review medical records from providers and specialists using the… more
    Boston Public Schools (10/01/25)
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