• RN System Director

    Tufts Medicine (Burlington, MA)
    …**Minimum Qualifications:** 1. Bachelor of Science in Nursing (BSN). 2.Massachusetts RN Licensure. 3. Current certification in case/ utilization management (ACM, ... MA. **About Tufts Medicine:** Tufts Medicine is a leading integrated health system bringing together the best of academic and community healthcare to deliver… more
    Tufts Medicine (10/01/25)
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  • Clinical Registered Nurse

    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...submit the medical necessity determinations to the Health Plan/Medical Director based on the review of clinical documentation in… more
    Cognizant (10/07/25)
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  • Dialysis Clinical Manager Registered

    Fresenius Medical Center (Lowell, MA)
    …+ Develops action plans for unexcused and missed treatments in collaboration with the Director . + Plans, coordinates and acts as the liaison for patient care as per ... management company. Maintains current knowledge of disease management software and systems as pertinent. **STAFF:** + Responsible for implementation of FMS staffing,… more
    Fresenius Medical Center (09/18/25)
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  • Quality & Patient Safety Specialist…

    Beth Israel Lahey Health (Cambridge, MA)
    …just taking a job, you're making a difference in people's lives.** Reporting to the Director of Quality & Patient Safety, the Quality and Patient Safety nurse ... on the key performance indicators and quality measures, the RN specialist also aims to foster a culture of...reduce serious safety events and improve patient outcomes. The nurse works with clinical staff to review clinical charts,… more
    Beth Israel Lahey Health (08/08/25)
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  • After Hours Pediatric Triage RN

    Atrius Health (Boston, MA)
    …delivery market. *SUMMARY * Under the direction of the Clinical Director , Nurse Leader or designee, the professional licensed registered nurse provides ... its partnership with Optum, a leading national value-based care system , Atrius Health continues its longitudinal growth in the...the primary care, and limited specialty service lines. The RN utilizes the nursing process and adheres to current… more
    Atrius Health (08/29/25)
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  • Care Transitions Manager RN Case Manager

    Beth Israel Lahey Health (Boston, MA)
    …you're not just taking a job, you're making a difference in people's lives.** The RN Case Manager working in the Triad Model of Care Transitions partners with the ... the hospitalized patient. Together with the medical provider, the RN Case Manager collaborates with all members of the...of efficient, high-quality care. This position ensures the appropriate utilization of clinical resources with a goal of a… more
    Beth Israel Lahey Health (09/12/25)
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  • Nursing Director SICU Tufts Medical Center

    Tufts Medicine (Boston, MA)
    …research. **Job Overview** Tufts Medical Center is seeking a Clinical Nursing Director reporting to our Associate Chief Nursing Officer for Critical Care/CVC. You ... practices, and professional development of nursing staff. The Clinical Nursing Director SICU works collaboratively with other disciplines and departments to ensure… more
    Tufts Medicine (10/08/25)
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  • Administrative Clinical Supervisor- 20hr Rotating

    Beth Israel Lahey Health (Boston, MA)
    …Nursing Program required. Baccalaureate degree in Nursing strongly preferred. + License Registered Nurse required. + American Heart Association - Basic Life ... and Emergency Department. In absence of Admission Facilitator, directs bed utilization . + Provides clinical consultation, support, education and mentoring to… more
    Beth Israel Lahey Health (09/25/25)
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  • Clinical Authorization Specialist

    Dana-Farber Cancer Institute (Brookline, MA)
    …experience is preferred. + **Certification/Licensure/Registration:** + Licensed as a Registered Nurse in the Commonwealth of Massachusetts preferred. ... Completes medical literature searches and/or coordinates appropriate provider-to-payer medical director discussions. + Collaborates with attending physicians on treatment… more
    Dana-Farber Cancer Institute (10/01/25)
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  • Nurse Manager, Danvers Treatment Center

    Beth Israel Lahey Health (Danvers, MA)
    …$3000** + **Day 1 Benefits!** + **Schedule: Monday - Friday, days** The Nurse Manager is responsible for the management of the medical/nursing services provided in ... ensuring full compliance with the protocols/directives of the Medical Director and Program Director . They play an...daily operations of the program by providing supervision to RN 's and LPN's. This is a great opportunity to… more
    Beth Israel Lahey Health (09/10/25)
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  • Medical Assistant - Research

    Beth Israel Lahey Health (Boston, MA)
    …Schedules follow-up tests and appointments using hospital or Clinical Research Center (CRC) systems . Collaborates with RN on executing a participant's care plan. ... works under the direction of the research study investigators, study physician and/or nurse to perform clinical activities in the context of a research protocol.… more
    Beth Israel Lahey Health (08/29/25)
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  • Emergency Department Nurse Manager

    Beth Israel Lahey Health (Milton, MA)
    …for all. Beth Israel Milton is currently seeking a full-time Emergency Department Nurse . POSITION FUNCTION: In collaboration with the Director oversees daily ... AND RESPONSIBILITIES: . Under the general supervision of the Director supports and supervises with-in the framework of the... supports and supervises with-in the framework of the RN license, maintains the standards of practice and evaluates… more
    Beth Israel Lahey Health (10/09/25)
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  • Medicare/Medicaid Claims Editing Specialist

    Commonwealth Care Alliance (Boston, MA)
    …this time._** **Position Summary:** Working under the direction of the Sr. Director , TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. ... financial ability and forecasting for small to large Operations Management + Collaborate system and data configuration into CES (Claims Editing System ) with… more
    Commonwealth Care Alliance (08/26/25)
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  • Business Analyst (Process Improvement / Clinical…

    Commonwealth Care Alliance (Boston, MA)
    …compliance. The Senior Business Analyst, Clinical Operations reports to the Director , Clinical Operations Support. This role will provide significant BA support ... **Reports and Tools** + Engages with stakeholders to understand current processes/ systems and pain points as well as elicit detailed business needs… more
    Commonwealth Care Alliance (08/28/25)
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