- Humana (Boston, MA)
- …us put health first** Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral health ... and Utilization Management experience. The Utilization Management Behavioral Health Nurse ...Qualifications** + Minimum of Associate's Degree in Nursing + Registered nurse with active Compact Licensure and… more
- Humana (Boston, MA)
- …+ Minimum 3 years of experience in NCQA Health Plan Accreditation and/or Utilization Management + Experience compiling NCQA File Review Universes and timeliness ... Qualifications** + Expertise on NCQA accreditation standards, especially related to Utilization Management and/or Behavioral Health. + Detailed working knowledge… more
- Beth Israel Lahey Health (Boston, MA)
- …other related duties as required and directed. **Qualifications:** _Required_ + Licensure as a Registered Nurse ( RN ), Massachusetts + Three years of recent ... and Responsibilities:** 1, Performs a variety of concurrent and retrospective utilization management -related reviews and functions to ensure that appropriate… more
- Beth Israel Lahey Health (Burlington, MA)
- …other related duties as required and directed. **Qualifications:** Required Licensure as a Registered Nurse ( RN ), Massachusetts Three years of recent ... Functions and Responsibilities:** Performs a variety of concurrent and retrospective utilization management -related reviews and functions to ensure that… more
- Beth Israel Lahey Health (Burlington, MA)
- …potential for weekends, evenings and varying other shifts **Job Description:** The Inpatient Registered Nurse ( RN ) Case Manager for Hospital at Home ... team to ensure a timely process. Registered Nurses (RNs) with utilization review experience, case management experience, and med/surg experience are… 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 ... years acute or critical care experience Minimum of 1 year Nurse Case Management experience Minimum of 1 year Utilization Review Nurse Experience… more
- Beth Israel Lahey Health (Plymouth, MA)
- …to enable them to negotiate various social systems. **Qualifications:** _Required_ + State of MA Registered Nurse ( RN ) + 3-5 years acute care nursing + Two ... patient care status. This role is structured around four major functions + Utilization Management + Care Coordination + Discharge Planning + Preventing… more
- Trinity Health (Springfield, MA)
- …affiliated nursing program. BSN graduate preferred. + **Licensure** : Current Licensure as a Registered Nurse RN in Massachusetts. + **Certification** : BLS ... eligible for a sign-on bonus of up to $20,000. RN 's with over 3 years of experience are eligible...preferred. **Preferred Skills:** + **Experience:** 3-5 years in Case Management , Utilization review, or similar experience preferred.… more
- Trinity Health (Springfield, MA)
- …affiliated nursing program. BSN graduate preferred. + **Licensure** : Current Licensure as a Registered Nurse RN in Massachusetts. + **Certification** : BLS ... in Nursing BSN degree preferred. + **Experience:** 3-5 years in Case Management , Utilization review, or similar experience preferred. Hospital or community-based… more
- Beth Israel Lahey Health (Burlington, MA)
- …to meet the needs of the department. **Minimum Qualifications:** Education: * Registered Nurse , Bachelors Degree or commensurate experience preferred. Licensure, ... Must hold current Commonwealth of Massachusetts license as a Registered Nurse , and Basic Life Support (BLS)...of medical/surgical nursing care experience. Two years of case management or utilization management experience… more
- Brockton Hospital (Brockton, MA)
- Registered Nurse ( RN ), Job, Part-Time Flex, Nights, 8 hour shift, Telemetry Unit Signature Healthcare's Brockton Hospital is hiring for a Part-Time Flex, ... Nights, 8 hour shift, Registered Nurse ( RN ) for Telemetry...encompassing nursing, hospitalists, social work, physical therapy, and case management , we strategize patient discharge plans. The unit handles… more
- Brockton Hospital (Brockton, MA)
- Registered Nurse ( RN ), Part-Time, Flex , Evenings, 8 Hour Shift, Telemetry Signature Healthcare's Brockton Hospital is hiring for a Part-Time, Flex, ... Evenings, 8 Hour Shift. Registered Nurse ( RN ) for Telemetry...nursing, the hospitalist team, social work, physical therapy, case management to plan for patient discharge. The majority of… more
- Trinity Health (Springfield, MA)
- …Qualifications** + Bachelors in Nursing - Master's Degree Preferred + Current Licensure as a registered nurse ( RN ) in Massachusetts + Five or more years of ... Care Coordination Department. Provide patient-centered leadership while ensuring effective utilization management , compliance with Medicare requirements, and the… more
- Atrius Health (Boston, MA)
- …health and welfare benefit package. **Job:** **Nursing* **Organization:** **Internal Medicine* **Title:** * Registered Nurse RN (MNA) - Internal Medicine - ... *SUMMARY * Under the direction of the Department Chief, Nurse Leader or designee, this registered professional...This position is responsible for effective care delivery and management of patient care within a specialty, utilizing the… more
- Baystate Health (Springfield, MA)
- …Degree **Certifications:** Basic Cardiac Life Support - American Heart Association, Registered Nurse - State of Massachusetts **Equal Employment Opportunity ... for Nursing Excellence is looking for a Patient Flow Coordinator. At Baystate Health, RN means more. It stands for our deep respect for nursing professional practice… more
- Fresenius Medical Center (West Springfield, MA)
- …Classification of Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review. + ... of education and experience. + Graduate of an accredited School of Nursing ( RN ). + Current appropriate state licensure. **EXPERIENCE AND SKILLS:** + Required: + 6+… more
- Baystate Health (Springfield, MA)
- …a Magnet Hospital for Nursing Excellence is looking for a medical telemetry inpatient Registered Nurse to join our team in Springfield, MA. At Baystate Health, ... Nursing: Nursing (Required) **Certifications:** Basic Life Support - American Heart Association, Certified Registered Nurse - Other, Registered Nurse -… more
- Fenway Health (Boston, MA)
- …MA (http://maps.google.com/maps?q=1340+Boylston+St+Boston+MA+02215) * Nursing Job Type Full-time Description As a Registered Nurse ( RN ) at Fenway Health you ... to the care team with primary responsibilities for disease management , care coordination, and advice/triage needs for the care...+ Education: Associate degree in nursing + Current Massachusetts Registered Nurse ( RN ) license degree… more
- Beth Israel Lahey Health (Cambridge, MA)
- …Inpatient criteria approved by the MACIPA (risk) and MAH (non-risk) Utilization Management Committees to accurately determine appropriateness for inpatient ... 1. Bachelor's degree preferred. Current state license as a Registered Nurse . 2. Three years of medical/surgical...of medical/surgical nursing care experience. Two years of case management or utilization management experience… more
- Tufts Medicine (Boston, MA)
- …**:** 1. Associate's Degree in Nursing. 2. Basic Life Support (BLS) Certification. 3. Registered Nurse ( RN ) License. 4. Three (3) years of Case ... physician orders. In addition, this role focuses on performing the following Clinical Nurse duties: Assesses, plans, implements, and evaluates the care needs of a… more