- Beth Israel Lahey Health (Burlington, MA)
- …years of medical/surgical nursing care experience. -Two years of Case Management or Utilization Management experience desirable. - Demonstrated ability ... Day (United States of America) Joint role of Case Manager and Utilization Review Nurse ...to ensure a timely process. Registered Nurses (RNs) with utilization review experience, case management experience, and… more
- Beth Israel Lahey Health (Boston, MA)
- …for the health of patients, families, and communities. The Nurse Case Manager provides utilization management , care coordination and discharge planning ... degree in Nursing required. Bachelor's degree in Nursing preferred. 2. License Registered Nurse required....1. Certified Case Manager . 2. Previous clinical nursing experience and/or case management experience. Competencies:… more
- Beth Israel Lahey Health (Cambridge, MA)
- …Three years of medical/surgical nursing care experience. Two years of case management or utilization management experience required. 3. Basic computer ... Inpatient criteria approved by the MACIPA (risk) and MAH (non-risk) Utilization Management Committees to accurately determine appropriateness for inpatient… more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** The Nurse Utilization Management (UM) Reviewer is responsible for day-to-day timely clinical and service authorization ... review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has...accurate documentation of clinical decisions and works with UM Manager to ensure consistency in applying policy + Works… more
- Milford Regional Medical Center (Milford, MA)
- …with dignity, compassion, and respect. Statement of Purpose: The Utilization Review Nurse is responsible for utilization management at MRMC. The UR ... and appeal process under the guidance of the UR Manager . Qualifications: Education: Bachelor of Science in Nursing...experience Minimum of 1 year Nurse Case Management experience Minimum of 1 year Utilization … more
- Children's Hospital Boston (Boston, MA)
- …Experience as a Case Manager (Discharge Planning and or Utilization Management ) preferred. Office/Site Location:BostonRegular, Temporary, Per Diem:Per Diem ... 74825BRJob Posting Title:RN Case Manager , Inpatient & Ambulatory (Per Diem)Department:Patient Services-Patient Care… more
- Children's Hospital Boston (Boston, MA)
- …employment. + Experience as a Case Manager (Discharge Planning and or Utilization Management ) preferred. + Working 16 hours every Saturday and Sunday ... 72065BRJob Posting Title:RN Case Manager , weekend only, on-site (16 hours)Department:Patient Services-Patient Care… more
- Commonwealth Care Alliance (Boston, MA)
- …management and leadership with the development, refinement and enhancement of utilization management workflows, policies and procedures. + Participate in ... Supervisor & The Team Leader reports to the UM Manager . The Team Leader provides management ,oversight and...review, workflow review and other relevant business related to utilization review process. + Works in collaboration with the… more
- Beth Israel Lahey Health (Needham, MA)
- …clinical leader to bring best clinical practice to the bedside. The nurse manager provides 24-hour operational accountability for their unit(s). Collaborates ... to enhance patient care and improve service. Additionally, the Nurse Manager participates in the development of...met and/or exceeded. Optimal patient care and cost effective management is maintained through utilization of data… more
- Milford Regional Medical Center (Milford, MA)
- …care. (https://www.milfordregional.org/app/files/public/1455/ED-exam-room-lightbox.jpg) Statement of Purpose: The Nurse Manager maintains responsibility for ... ( Nursing : Scope and Standards of Practice, 2nd Edition, 2010). The nurse manager is responsible for providing clinical leadership to nursing … more
- Amergis (Burlington, MA)
- Nurse Manager RN -Travel Contract Location: Burlington, MA Duration: 13 weeks Start Date: 5-20-2024 Facility Type: Hospital Hours: 40 hours/week Shifts: Days ... BLS, ACLS Additional Details: + Requires 2+ years of Nurse Manager RN experience + Experience with...of services + Follows State/County mandated guidelines for the nurse case management programs + Participates in… more
- WellSense (Boston, MA)
- Nurse Care Manager (Senior Care Product) - Field Based WellSense Health Plan is a nonprofit health insurance company serving members across Massachusetts and New ... includes a variety of diverse and complex face-to- face and telephonic care management responsibilities. The Care Manager provides care coordination for at-risk… more
- Tufts Medicine (Melrose, MA)
- …We can't wait to grow alongside you. **Position Summary:** The Clinical Manager (CM) plans, organizes and oversees daily clinical and administrative operations of ... the goals, mission and vision of MelroseWakefield Healthcare. Supervises and evaluates nursing and support personnel and participates in selection of new hires.… more
- Edward M. Kennedy Community Health Center, Inc. (Framingham, MA)
- …Clinical Care Manager (CCM) provides, coordinates, and organizes evidence-based care management to chronic disease patients, especially to those who are most at ... of care developed with the PCP, in the EHR in accordance with health center and nursing standards Job Requirements: + Registered Nurse License in MA + 1-2 years… more
- Tufts Medicine (Boston, MA)
- …Profile** **Summary** This role focuses on providing professional and nonprofessional nursing care services in accordance with physician orders. In addition, this ... role focuses on performing the following Clinical Nurse duties: Assesses, plans, implements, and evaluates the care...needs of a designated group of patients or provides nursing care and identified clinical support tasks within the… more
- Edward M. Kennedy Community Health Center, Inc. (Framingham, MA)
- …Care Manager (CCM) provides, coordinates, and organizes evidence-based care management to Medical Assistant Treatment Program (MAT) patients. As an employer of ... this growth. We are currently hiring a Clinical Care Manager - MAT RN based in Framingham. As part...Nurse License in MA + Bachelor's degree in Nursing from an accredited college or university + 1-2… more
- Fenway Health (Boston, MA)
- …Sterile Processing Department Manager , and the Infection Preventionist/Professional Development nurse . + Works with Nursing Leadership Team to plan, ... organization on issues of patient care, clinical quality, compliance, customer service, utilization management , care management , patient access, system… more
- Brockton Hospital (Brockton, MA)
- …Under the supervision of a physician, Practice Manager and/or Director of Nursing , the Licensed Practical Nurse (LPN) is responsible for assisting the ... healthcare team with the care and management of patients during their visit. The LPN will...the Commonwealth. Performs other duties as assigned by Practice Manager /Director/Director of Nursing Required Knowledge and Skill:… more
- Spaulding Rehabilitation (Charlestown, MA)
- Manager of Case Management - ( 3282319 ) **Description** **Summary** Oversee the delivery of consistent, high quality and patient centered care, promote the ... timeframes. * Established department goals are achieved through active participation in Utilization Review Committee. * Case Management Department Standards of… more
- Erickson Living (Peabody, MA)
- …Maintaining clinical practice and processes in accordance with the Erickson Senior Living Management Policies and Procedures and nursing standards of practice. + ... leadership meetings such as Wound Rounds, Clinical Operations Meeting, Utilization Review, and Performance Improvement/Risk Management /Safety (PI/RM/S) Committee… more