- Cognizant (Boston, MA)
- …you need to have to be considered** . Educational background - Registered Nurse (RN) . 2-3 years combined clinical and/or utilization management ... 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… more
- Beth Israel Lahey Health (Boston, MA)
- … Registered Nurse (RN), Massachusetts + Three years of recent clinical or utilization management experience _Preferred:_ + Bachelor's degree in nursing or ... applying the principles, methods, materials, and equipment necessary in providing utilization management services. Demonstrates clinical expertise to effectively… more
- Commonwealth Care Alliance (Boston, MA)
- …CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is ... responsible for day-to-day timely clinical and service authorization review for medical necessity and...service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key… more
- Beth Israel Lahey Health (Burlington, MA)
- …the medical necessity of the hospital care. Using the concepts of utilization review, clinical documentation improvement and revenue integrity, these specialized ... the medical necessity of the hospital care. Using the concepts of utilization review, clinical documentation improvement and revenue integrity, these specialized… more
- Beth Israel Lahey Health (Burlington, MA)
- …systems, upgrades, and enhancements minimizing disruption and downtime. **Ongoing system utilization throughout clinical areas:** + Troubleshoots questions and ... hours per week (day shifts). As part of the Clinical Informatics team, this position utilizes clinical ...the Clinical Informatics team, this position utilizes clinical practice and hospital operational knowledge to provide day… more
- Fresenius Medical Center (Lowell, MA)
- …requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory ... FMCNA Compliance Program, and FMS patient care and administrative policies as the clinical leader, has the authority to make daily decisions to ensure continuity of… more
- State of Massachusetts (Boston, MA)
- …Executive Office of Aging and Independence (AGE) is seeking a highly motivated* Registered Nurse *to join our Assisted Living Residence (ALR) Certification Unit. ... This role offers a unique opportunity to apply clinical expertise in support of older adults who wish...the day-to-day operation of an Assisted Living Residence. The Registered Nurse will play a vital role… more
- Commonwealth Care Alliance (Boston, MA)
- …in primary care or care management, including: + 5+ years' experience as Registered Nurse in a high touch clinical environment or home care + AND + 2+ ... management and care delivery. Within the CIC Program, the Registered Nurse (RN) serves as an integral...and social needs. The RN uses evidenced-based care approaches, clinical skills, education, and training to influence the … 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 ... and efficient care to individuals, families, communities, and patient populations. The Registered Nurse 's care delivery is consistent with the Massachusetts… 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 ... You will complete preadmission screening assessments, serve as a clinical liaison with outside agencies, supervise other nurse...year of full-time or equivalent part-time, experience as a registered nurse in a recognized hospital, clinic… more
- Tufts Medicine (Lowell, MA)
- …an **ED Clinical Resource Nurse .** The ED Clinical Resource Nurse is a Registered Nurse with responsibility and accountability for the ... customer satisfaction, while striving for optimal efficiency, productivity and utilization of all resources. The ED Clinical ...and utilization of all resources. The ED Clinical Resource Nurse utilizes the nursing process,… more
- Atrius Health (Boston, MA)
- …to ensure efficient and outstanding quality of care. This registered professional nurse provides practice support to a clinical team, recognizing the patient ... of the Department Chief Physician and Nursing Supervisor, this Registered Nurse position is responsible for effective...duties include high quality phone triage for symptoms and clinical assessments, review of lab and test results, and… more
- Atrius Health (Boston, MA)
- …Department Chief, Nurse Leader or designee, this registered professional nurse provides practice support to a clinical team, recognizing the patient as ... health and welfare benefit package. **Job:** **Nursing* **Organization:** **OBGYN* **Title:** * Registered Nurse (MNA) OBGYN - Kenmore/Copley/PO Square - Part… more
- Atrius Health (Boston, MA)
- …Department Chief, Nurse Leader or designee, this registered professional nurse provides practice support to a clinical team, recognizing the patient as ... health and welfare benefit package. **Job:** **Nursing* **Organization:** **Nephrology* **Title:** * Registered Nurse (MNA) Nephrology - Kenmore - Per diem*… more
- Atrius Health (Cambridge, MA)
- …Department Chief, Nurse Leader or designee, this registered professional nurse provides practice support to a clinical team, recognizing the patient as ... health and welfare benefit package. **Job:** **Nursing* **Organization:** **Endocrinology* **Title:** * Registered Nurse (MNA) Endocrinology - Cambridge - Full… more
- Atrius Health (Dedham, MA)
- …Department Chief, Nurse Leader or designee, this registered professional nurse provides practice support to a clinical team, recognizing the patient as ... and welfare benefit package. **Job:** **Nursing* **Organization:** **Internal Medicine* **Title:** * Registered Nurse (MNA) Internal Medicine - Dedham - Full… more
- Atrius Health (Dedham, MA)
- …Department Chief, Nurse Leader or designee, this registered professional nurse provides practice support to a clinical team, recognizing the patient as ... and welfare benefit package. **Job:** **Nursing* **Organization:** **Internal Medicine* **Title:** * Registered Nurse (MNA) Internal Medicine - Dedham - 40HRS*… more
- Beth Israel Lahey Health (Cambridge, MA)
- …high reliability processes to reduce serious safety events and improve patient outcomes. The nurse works with clinical staff to review clinical charts, ... Quality & Patient Safety, the Quality and Patient Safety nurse specialist plays a role in reviewing publicly reported...outliers, compiling reports and serving as the liaison with clinical stakeholder and clinical committees in sharing… more
- Robert Half Accountemps (Boston, MA)
- …step into impactful non- clinical roles - including chart review, clinical auditing, utilization management, quality assurance, and case coordination. These ... Description Now Hiring Registered Nurses (RNs) - Ready for a Change...roles allow you to leverage your clinical knowledge in a different way - without the… more
- CenterWell (Boston, MA)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and ... skills to make an impact** **Required Qualifications** + Licensed Registered Compact Nurse license (RN) with no...Lung or Critical Care Nursing experience required + Prior clinical experience preferably in an acute care, skilled or… more