- 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
- Commonwealth Care Alliance (Boston, MA)
- …(must have): - Meaningful clinical experience including: - 3+ years' experience as a Registered Nurse in a high-touch clinical environment or home care, OR - ... role. Supervision Exercised: - Assumes responsibility for all nursing ( RN , LPN) and MA roles in the practice. 10...management team, shared accountability for reductions in acute care utilization - Attend team meetings and huddles to provide… more
- Beth Israel Lahey Health (Boston, MA)
- …other related duties as required and directed. **Qualifications:** _Required_ + Licensure as a Registered Nurse ( RN ), Massachusetts + Three years of recent ... lives.** Position Summary: In conjunction with the admitting/attending physician, the Utilization Review RN assists in determining the appropriate admission… more
- Cognizant (Boston, MA)
- …to be considered** . Educational background - Registered Nurse ( RN ) . 2-3 years combined clinical and/or utilization management experience with managed ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...care revenue cycle or clinic operations . Experience in utilization management to include Clinical Appeals and Grievances, precertification,… more
- Beth Israel Lahey Health (Burlington, MA)
- …weekends. This position is on-site at Lahey Hospital and Medical Center. The Utilization Analyst works with physicians, the payers and inpatient case management team ... medical necessity of the hospital care. Using the concepts of utilization review, clinical documentation improvement and revenue integrity, these specialized case… 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 ... care, supported by recent additions of paramedics and LPNs. 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, 12-hour Day Shift, A5 Medical-Surgical Unit Signature Healthcare's Brockton Hospital is hiring for a Part-Time Flex, ... 12-Hour Day 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, 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, 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
- Atrius Health (Somerville, MA)
- …health and welfare benefit package. **Job:** **Nursing* **Organization:** **Urgent Care* **Title:** * Registered Nurse RN (MNA) Adult Urgent Care - ... *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
- 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
- Commonwealth Care Alliance (Boston, MA)
- …complexities that require intensive care management and care delivery. Within the CIC Program, the Registered Nurse ( RN ) serves as an integral member of an ... and based on the fluctuating needs of the defined panel of members, the Registered Nurse will engage in regular assessments, visits at regularly scheduled… more
- State of Massachusetts (Marlborough, MA)
- The Massachusetts Department of Public Health (DPH) is seeking a Registered Nurse ( RN ) dedicated to public health, quality of life and safety to conduct ... in order to determine the degree of acceptance and utilization of health care, type and breadth of service,...requires a current and valid Massachusetts license as a Registered Nurse ( RN ) and valid… more
- State of Massachusetts (Chelsea, MA)
- MVH at Chelsea is actively seeking an Admissions Nurse ( Registered Nurse III) to join their team. In this role, you will provide clinical oversight for the ... have at least (A) one year of full-time or equivalent part-time, experience as a registered nurse in a recognized hospital, clinic or medical facility, and (B)… more
- Veterans Affairs, Veterans Health Administration (Bedford, MA)
- … Nurse Total Rewards The Home Based Primary Care (HBPC) Outpatient Staff Registered Nurse ( RN ) is responsible for providing competent, evidence-based care ... to this occupational series. For more information, refer to Required Documents below Registered Nurse - Outpatient Home Based Primary Care position is located at… more
- State of Massachusetts (Marlborough, MA)
- …Qualifications:_*__ * At least 3-5 years of professional work experience as a Registered Nurse working in a health care facility, preferably nursing homes. ... in order to determine the degree of acceptance and utilization of health care, type and breadth of service,...years of full-time, or equivalent part-time, experience as a registered nurse in a recognized hospital, clinic… more
- CVS Health (Boston, MA)
- …+ Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that...setting. + A Registered Nurse that holds an active, unrestricted… more
- Atrius Health (Boston, MA)
- …health and welfare benefit package. **Job:** **Nursing* **Organization:** **Endocrinology* **Title:** * Registered Nurse (MNA) Endocrinology - Kenmore - Part 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, ideally in an ambulatory care or Endocrine… more
- Atrius Health (Dedham, MA)
- …. Competitive health and welfare benefit package. **Job:** **Nursing* **Organization:** **ENT* **Title:** * Registered Nurse (MNA) ENT - Dedham - Full time 40HRS* ... *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
