- Commonwealth Care Alliance (Boston, MA)
- …clinical and service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role in ensuring CCA ... **Why This Role is Important to Us:** The Nurse Utilization Management (UM) Reviewer is...is responsible for day-to-day timely clinical and service authorization review for medical necessity and decision-making. The Utilization Management… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …us transform healthcare? Bring your true colors to blue. The RoleThe Claims Nurse Reviewer is responsible for reviewing claims, validating coding and medical ... position requires strong clinical and medical coding skills to review claims for medical necessity, appropriate coding, and pricing...integral part of the Complex Claims team, the Claims Nurse Reviewer will serve as a liaison… more
- Elevance Health (Boston, MA)
- ** Nurse Reviewer I** **Location:** Within 50 miles of a pulse point **Shift** : Monday - Friday, from 9:30 am - 6 pm The ** Nurse Reviewer I** is ... on reviews that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or management. Partners with… more
- Milford Regional Medical Center (Milford, MA)
- …our community with dignity, compassion, and respect. Statement of Purpose: The Utilization Review Nurse is responsible for utilization management at MRMC. The UR ... of 1 year Nurse Case Management experience Minimum of 1 year Utilization Review Nurse Experience including solid working knowledge with InterQual criteria more
- Beth Israel Lahey Health (Burlington, MA)
- …is now offering up to a $3,500 in signing bonuses for our Utilization Review positions. Important Details: * Signing Bonuses are paid out in three payments. You ... **Job Description:** In conjunction with the admitting/attending physician, the Utilization Review RN assists in determining the appropriate admission status based… more
- Beth Israel Lahey Health (Cambridge, MA)
- …**Primary Responsibilities** (including but not limited to): 1. Performs utilization review and discharge planning to inpatient admissions to MAH. 2. Applies ... of care criteria and reports them to the physician reviewer . 7. Works with patients and families to facilitate...Bachelor's degree preferred. Current state license as a Registered Nurse . 2. Three years of medical/surgical nursing care experience.… more
- Beth Israel Lahey Health (Cambridge, MA)
- …America) Job Description Job Description Primary Responsibilities 1. The emergency nurse initiates accurate and ongoing assessment of physical, psychological and ... focused subjective and objective data through history taking, physical examination, review of records and communication with health care providers, significant… more
- Veterans Affairs, Veterans Health Administration (Providence County, RI)
- …after complete review of the EDRP application. Responsibilities This CERTIFIED NURSE ANESTHETIST (APN) is located in the Surgical service line within in the ... This is a full time position; 40 hours a week. A CERTIFIED NURSE ANESTHETIST (APN) provides perioperative anesthetic care to patients presenting for Surgery. The… more
- Beth Israel Lahey Health (Burlington, MA)
- …Guidelines - The Trauma PI Coordinator collaborates closely with the Trauma Program Nurse Director and Trauma Medical Director to review the performance and ... Trauma Nurse Director and Trauma Medical Director with tertiary review of morbidity/mortality of all trauma patients. - Identifies performance improvement issues… more
- Beth Israel Lahey Health (Brookline, MA)
- …Regular **Scheduled Hours:** 40 **Work Shift:** Day (United States of America) Team Nurse - Registered Nurse or Licensed Practical Nurse **Job Description:** ... Reporting directly to the Practice Manager and Senior Director of Nursing, the Team Nurse position is responsible for performing the duties of a RN/LPN in an… more
- Beth Israel Lahey Health (Burlington, MA)
- …and other venous access devices as required. Under the general direction of the Nurse Manager and in collaboration with Nursing Education, the Clinical Nurse ... Hospital and Medical Center Professional Practice Model, MA State Nurse Practice Act and ANA Standards of Practice and...appendix **III. SYSTEM COORDINATION:** _Able to participate in systems review using LEAN and other tools to improve quality… more
- Universal Health Services (South Attleboro, MA)
- Responsibilities Psychiatric Nurse Practitioner Opportunity Fuller Hospital is seeking a full-time Psychiatric Nurse Practitioner to join our inpatient provider ... identifying patient treatment needs, medication assessments and adjustments, and utilization review support as needed. Fuller Hospital is a 109-bed licensed, private… more
- Beth Israel Lahey Health (Needham, MA)
- …Needham, MA Wayland, MA Wellesley, MA BIDHC and BILH Primary Care is looking for new nurse graduates, LPNs, and RNs who want to join our Primary Care team! We are ... Friday day shift (no weekends or holidays). The Team Nurse role is now eligible for a $3,000 sign...practice staff. Updates clinical knowledge and skills though consultation, review of literature and formal and informal education including… more
- State of Massachusetts (Tewksbury, MA)
- …Health, Tewksbury Hospital is seeking a highly motivated and experienced RN, Charge Nurse to work with resilient patients navigating their journey on the road to ... meetings to facilitate discharge. * Performs duties of medication and treatment nurse following pertinent policies and procedures to carry out physician's orders in… more
- Universal Health Services (Jamaica Plain, MA)
- Responsibilities Nurse Manager Opportunity - Dual Diagnosis Unit Arbour Hospital is seeking a Full-Time Nurse Manager to join our skilled and dedicated team of ... access to public transportation - Green Line (B) + Psychiatric Nurse Residency Transition-to-Practice Orientation (20 CEUs) + Career development opportunities within… more
- Beth Israel Lahey Health (Dedham, MA)
- …Regular **Scheduled Hours:** 35 **Work Shift:** Day (United States of America) The Team Nurse role is now eligible for a $2,625 sign on bonus. Important Details: ... Reporting directly to the Practice Manager and Senior Director of Nursing, the Team Nurse position is responsible for performing the duties of a RN/LPN in an… more
- Universal Health Services (Jamaica Plain, MA)
- Responsibilities Registered Nurse (RN) Opportunity - New Grad, Training Provided This opportunity is either full-time (40 or 32 hours/week) or part-time (24 or 16 ... aftercare services, community-based programs, and day treatment. Benefits for our Registered Nurse (RN) includes: + BSN Scholarship Program - $5,000/year + Tuition… more
- System One (Boston, MA)
- …in one of the most beautiful locations in Maine! Our company is seeking a Senior Nurse Practitioner to join our client. This is an excellent opportunity to work in a ... scenic and serene environment, surrounded by stunning natural beauty. Senior Nurse Practitioner Overview: + Diagnose, treat and medically manage work-related… more
- Universal Health Services (Brookline, MA)
- Responsibilities Registered Nurse (RN) Opportunity This opportunity is either full-time (32 hours/week) or part-time (24 or 16 hours/week), offers full benefits and ... and we encourage qualified individuals to apply. Benefits for our Registered Nurse (RN) position includes: + Tuition Reimbursement - $2,500/year + Tuition savings… more
- The MITRE Corporation (Bedford, MA)
- …make, then choose MITRE-and make a difference with us. Department Summary: The occupational nurse is a licensed registered nurse who is responsible for assuring ... issues, to increase employee understanding, insight, and individual motivation. The nurse encourages self-management as an essential part of the employee's ability… more