- Milford Regional Medical Center (Milford, MA)
- …services to our community with dignity, compassion, and respect. Statement of Purpose: The Utilization Review Nurse is responsible for utilization ... 1 year Nurse Case Management experience Minimum of 1 year Utilization Review Nurse Experience including solid working knowledge with InterQual criteria more
- Edward M. Kennedy Community Health Center, Inc. (Framingham, MA)
- …engagement in self-care, decreasing risk status, and minimizing hospital and ER utilization . + Identifies, manages, and coordinates patient care and provides ongoing ... point-of-care testing, treatments, and lab and diagnostic test result review + Provides timely and informed patient triage +...shifts on a rotating basis. Required Qualifications: + Registered Nurse License in MA + Bachelor's degree in Nursing… more
- CenterWell (Marlborough, MA)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking...of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's… more
- Fallon Health (Worcester, MA)
- …and Post-Acute authorization request data and disseminates information to the Utilization Nurses for review . Additionally, supports the authorization process ... for maternity, acute, subacute and discharge planning requests for all Utilization Management requests * Upload clinical to correct authorization, archive to… more
- State of Massachusetts (Wrentham, MA)
- …for but not limited to, maintaining safe nursing staffing patterns, utilization and deployment of staffing resources, management of budgets, overtime costs ... the performance of unit assigned supervisory nursing staff by direct observation, review reports, supervision meetings, and collaboration with Unit Mangers to ensure… more
- Fresenius Medical Center (Waltham, MA)
- …guidelines as mandated by Medicare. + Assures the correct setup and utilization of billing software (Advantx/Medical Manager) and maintains system security and ... include; + Front Desk Coordinator, expectations established and controls set. + Nurse Manager, assuring proper chart documentation is established. + Physician, … more