- Beth Israel Lahey Health (Burlington, MA)
- …**Job Description:** **Job Description:** In conjunction with the admitting/attending physician, the Utilization Review RN assists in determining the ... up to a $3,500 in signing bonuses for our Utilization Review positions. Important Details: * Signing...as required and directed. **Qualifications:** Required Licensure as a Registered Nurse ( RN ), Massachusetts Three… more
- Beth Israel Lahey Health (Burlington, MA)
- …40 **Work Shift:** Day (United States of America) Joint role of Case Manager and Utilization Review Nurse Hospital at Home Full Time Days 8:00am-4:30pm ... weekend and holiday rotations required **Job Description:** The Inpatient Registered Nurse ( RN ) Case Manager...Leads the multidisciplinary team to ensure a timely process. Registered Nurses (RNs) with utilization review… more
- 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 ... Minimum of 1 year Nurse Case Management experience Minimum of 1 year Utilization Review Nurse Experience including solid working knowledge with InterQual… more
- Commonwealth Care Alliance (Boston, MA)
- …We're Looking For:** Qualifications: + Bachelor's Degree or equivalent experience, Masters preferred + Registered Nurse ( RN ) in the State of Mass, preferred ... review and other relevant business related to utilization review process. + Works in collaboration...minimum of 3 years relevant work experience as an RN or equivalent professional experience. + Management experience highly… 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 Skills:** + **Experience:** 3-5 years in Case Management, Utilization review , or similar experience preferred. Hospital… more
- Trinity Health (Springfield, MA)
- …affiliated nursing program. BSN graduate preferred. + **Licensure** : Current Licensure as a Registered Nurse RN in Massachusetts. + **Certification** : BLS ... Nursing BSN degree preferred. + **Experience:** 3-5 years in Case Management, Utilization review , or similar experience preferred. Hospital or community-based… more
- Marriott (Boston, MA)
- …Information** Nurse CARE Manager (CARE - Coordinated Action and Response) Registered Nurse license required **Job Number** 24069165 **Job Category** Finance ... losses. The NCM is responsible for conducting first level Utilization Review and coordinates subsequent levels if...informed **Education or Certification** + Must be a licensed registered nurse + Certification as an occupational… 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...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
- Baystate Health (Springfield, MA)
- …Degree **Certifications:** Basic Cardiac Life Support - American Heart Association, Registered Nurse - State of Massachusetts **Equal Employment Opportunity ... looking for a Patient Flow Coordinator. At Baystate Health, RN means more. It stands for our deep respect...while engaging ancillary departments as necessary 5) Ensures optimal utilization of resources (including but not limited to staff,… more
- Erickson Living (Peabody, MA)
- …leadership meetings such as Wound Rounds, Clinical Operations Meeting, Utilization Review , and Performance Improvement/Risk Management/Safety (PI/RM/S) Committee ... both in our personal and professional lives. As a RN Unit Manager (also known as Clinical Manager), you'll...as other regulatory audits/reviews **What you will need:** + Registered Nurse graduate from an accredited school… more
- Fresenius Medical Center (West Springfield, MA)
- …auditing activities. + Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. + Manages clinic ... financials including efficient utilization of supplies or equipment and regular profits and...of supplies or equipment and regular profits and loss review . + Responsible for all required network reporting and… more
- Amergis (Burlington, MA)
- …and referrals for psychosocial needs + Participates in Quality Assurance and Utilization Review activities, as directed + Empowers patients in decision-making ... Nurse Manager RN -Travel Contract Location:...of care activities for assigned patients and ensuring optimum utilization of resources, service delivery, and compliance with medical… 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 ... Decreasing unit cost, 4) reducing readmissions. **Functions and Responsibilities:** **A. Utilization Management** + Performs review of anticipated admissions… more
- Beth Israel Lahey Health (Cambridge, MA)
- …Description:** **Primary Responsibilities** (including but not limited to): 1. Performs utilization review and discharge planning to inpatient admissions to ... **Required Qualifications:** 1. Bachelor's degree preferred. Current state license as a Registered Nurse . 2. Three years of medical/surgical nursing care… more
- Beth Israel Lahey Health (Cambridge, MA)
- …annually. c. Maintains BLS, ACLS certification d. Attends Emergency Department RN Competency Review Course annually. e. Attends hospital-based Education ... annually. c. Maintains BLS, ACLS certification d. Attends Emergency Department RN Competency Review Course annually. e. Attends hospital-based Education… more
- State of Massachusetts (Marlborough, MA)
- …Qualifications:_* . At least 3-5 years of professional work experience as a Registered Nurse working in a health care facility, preferably nursing homes. ... nursing homes, hospitals and other health care facilities, and review inspection findings. The Health Care Facility Surveyor will...years of full-time, or equivalent part-time, experience as a registered nurse in a recognized hospital, clinic… more
- Veterans Affairs, Veterans Health Administration (Leeds, MA)
- …program office after complete review of the EDRP application. Responsibilities This Registered Nurse (Acute Mental Health) position is located in the Nursing ... as well as customer service programs. The psychiatric Mental Health (MH) Registered Nurse provides and leads the provision of competent, evidence-based… more
- Edward M. Kennedy Community Health Center, Inc. (Framingham, MA)
- …in communication, care coordination, care planning, and education Required Qualifications: + Registered Nurse License in MA + Bachelor's degree in Nursing ... are currently hiring a Clinical Care Manager - MAT RN based in Framingham. As part of a team-based...self-care, decreasing risk status, and minimizing hospital and ER utilization . + Identifies, manages, and coordinates patient care and… more
- Edward M. Kennedy Community Health Center, Inc. (Framingham, MA)
- …in the EHR in accordance with health center and nursing standards Job Requirements: + Registered Nurse License in MA + 1-2 years of clinical experience + Current ... engagement in self-care, decreasing risk status, and minimizing hospital and ER utilization . + Identifies, manages, and coordinates patient care and provides ongoing… more
- Tufts Medicine (Burlington, MA)
- …**Job Description** **Minimum Qualifications:** 1. Bachelor's Degree in Nursing 2. Active Registered Nurse ( RN ) license in Massachusetts or compact ... (ICU, ED, Critical Care, strong Med/Surg Specialty) or equivalent case management, utilization review , denials management, or progressive leadership in an… more