• Hybrid Registered Nurse

    Commonwealth Care Alliance (Boston, MA)
    …**Position Summary:** Commonwealth Care Alliance's (CCA) Clinical Care Manager is a registered nurse or other independently licensed behavioral health clinician ... Routine member engagement + Quality gap closures, including: + RN Clinical Care Manager + BH Clinical Care Manager...of the job duties. **Required Education (must have):** + RN Clinical Care Managers must have: + Associate degree… more
    Commonwealth Care Alliance (08/21/25)
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  • CIC Registered Nurse - Hybrid

    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
    Commonwealth Care Alliance (11/15/25)
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  • Clinical Fraud Investigator II - Registered

    Elevance Health (Woburn, MA)
    **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 ... locations may be considered. _Please note that per our policy on hybrid /virtual work, candidates not within a reasonable commuting distance from the posting… more
    Elevance Health (11/04/25)
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  • Registered Nurse

    Beth Israel Lahey Health (Boston, MA)
    …**:** 1-3 years related work experience required. **License/Certification(s)** **:** + License Registered Nurse required. + American Heart Association - Basic ... in 2023. The building is designed to accommodate the latest diagnostic, hybrid , and surgical procedures, with patient care spaces developed in collaboration with… more
    Beth Israel Lahey Health (10/30/25)
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  • RN Clinical Program Manager ( Hybrid

    Boston Health Care for the Homeless Program (Boston, MA)
    …Patient Facing: Yes The Clinical Program Manager is a perfect opportunity for a Registered Nurse seeking to grow administrative and leadership skills while still ... ON BONUS Hours: Full Time, Monday - Friday 8:30-5:00pm, Hybrid onsite 3 days and remote 2 days Union:...patient care for a small panel of patients. The Nurse Care Manager (NCM) and the Care Coordinator will… more
    Boston Health Care for the Homeless Program (08/20/25)
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  • LPN Triage - Hybrid (remote/on-site)…

    Tufts Medicine (Boston, MA)
    …and effective therapy for assigned patients under the direct supervision of a registered nurse . Participates in the implementation and evaluation of patient ... **Job Overview** The LPN Outpatient works under the direction of the registered nurse and utilizes the nursing process in the planning, implementing and… more
    Tufts Medicine (11/13/25)
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  • Professional Development Practitioner - RN

    Children's Hospital Boston (Boston, MA)
    …Job Posting Category:NursingJob Posting Description:Department Summary: The Professional Development Practitioner - RN is a registered nurse with nursing ... and presentation skills. Licensure/ Certifications: + Current Massachusetts license as a Registered Nurse ( RN ) + Certification in clinical… more
    Children's Hospital Boston (10/29/25)
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  • Utilization Management Nurse

    Humana (Boston, MA)
    …**Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) Compact license, with no disciplinary ... and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the...+ 3 years of prior clinical experience as an RN + Proven ability to work independently: (ie, taking… more
    Humana (11/13/25)
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  • Utilization Management Appeals Nurse

    Humana (Boston, MA)
    …MRM, SRO **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) in the (appropriate state) with no disciplinary ... caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and… more
    Humana (11/12/25)
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  • UM Behavioral Health Nurse

    Humana (Boston, MA)
    …timeframe **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) Compact license, with no disciplinary action ... and help us put health first** The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and… more
    Humana (11/15/25)
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  • Telephonic Nurse Case Manager

    Humana (Boston, MA)
    …**Required Qualifications** + Bachelor's degree in Nurse (BSN). + Valid and unrestricted Registered Nurse ( RN ) license in the (appropriate state) with no ... community and help us put health first** The Telephonic Nurse Case Manager will be a member of the...Style** : Remote **Work at Home/Remote Requirements** To ensure Hybrid Office/Home associates' ability to work effectively, the self-provided… more
    Humana (11/06/25)
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  • Oncology Nurse Navigator Cutaneous Oncology

    Dana-Farber Cancer Institute (Boston, MA)
    …through a high spirit of inquiry, innovation and mentoring. + Licensed as a registered Nurse in the Commonwealth of Massachusetts, or State of New Hampshire ... The Oncology Nurse Navigator (ONN) uses their oncology-specific clinical knowledge...a 32 hour/week position. This position's work location is ** hybrid with two or three days per week remote.**… more
    Dana-Farber Cancer Institute (11/01/25)
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  • Utilization Management Nurse

    Humana (Boston, MA)
    …to make an impact** **Required Qualifications** + Associate's Degree or higher + Licensed Registered Nurse ( RN ) in the (appropriate state) with no ... shift between 7:00am - 5:00pm CST. The Utilization Management Nurse 2 uses knowledge, communication, and independent critical thinking...disciplinary action + Compact (multistate) RN license + 3 or more years of clinical… more
    Humana (11/12/25)
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  • Nurse Auditor 2

    Humana (Boston, MA)
    …business needs. Associates will work in their own time zone. **Required Qualifications** + Active Registered Nurse ( RN ) license + Minimum of 3+ years nursing ... part of our caring community and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record… more
    Humana (11/15/25)
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  • Manager, Fraud & Waste Investigation…

    Humana (Boston, MA)
    …Typical work hours are Monday-Friday, 8 hours/day, 5 days/week. **Required Qualifications** + Registered Nurse ( RN ), holding an active and unrestricted ... help us put health first** The Manager, Fraud and Waste Investigator: Nurse Audit/Review performs clinical audit/validation processes to ensure that medical record… more
    Humana (11/04/25)
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  • Quality Management Nurse - Part Time

    Riverside Community Care (Dedham, MA)
    …+ Must be a graduate of an accredited school of nursing + Licensure as a Registered Nurse required; must be in good standing with the Board of Registration of ... Riverside Community Care Love What You Do! Quality Management Nurse - Part Time Riverside Community Care is one...Schedule: Part Time 20 hours per week + flexible hybrid schedule; must be available for weekly Tuesday QM… more
    Riverside Community Care (08/17/25)
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  • Poison Center Specialist - Hybrid

    Children's Hospital Boston (Boston, MA)
    …Minimum Qualifications License Required: Current Massachusetts license as a Pharmacist or Registered Nurse Education: Bachelor's Degree, Pharmacy or Nursing area ... Information Specialist/ Nursing and or Pharmacy experience. Office/Site Location:BostonRegular, Temporary, Per Diem:Regular Remote Eligibility :Part Remote/ Hybrid Pay Range:$29.91-$47.85… more
    Children's Hospital Boston (10/28/25)
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  • Clinical UM Nurse

    CenterWell (Boston, MA)
    …**Use your skills to make an impact** **Required Qualifications** + Must be a licensed Registered Compact Nurse license ( RN ) with no disciplinary action and ... caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent critical thinking… more
    CenterWell (11/12/25)
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  • BIDMC Operating Room Nurse

    Beth Israel Lahey Health (Boston, MA)
    …you're making a difference in people's lives.** **Job Description:** **Operating Room Nurse ( RN ) - Perioperative Services** Beth Israel Deaconess Medical Center ... **(BIDMC)** is seeking dedicated and skilled Operating Room Registered Nurses **(RNs)** to join our nationally recognized Perioperative Services team. We offer… more
    Beth Israel Lahey Health (10/30/25)
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  • Sr Supplier Medical Process Specialist

    Zurich NA (Boston, MA)
    …+ Experience leading operational initiatives and/or work streams Preferred Qualifications: + Licensed Registered Nurse ( RN ) in the state of residence + ... in your career decisions.This position is fully remote. Our hybrid work model is designed to meet our employees'...years of experience in the Nursing areaAND + Licensed registered nurse in state of residence +… more
    Zurich NA (11/07/25)
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