- Tufts Medicine (Burlington, MA)
- …**Minimum Qualifications:** 1. Bachelor of Science in Nursing (BSN). 2.Massachusetts RN Licensure. 3. Current certification in case/ utilization management (ACM, ... MA. **About Tufts Medicine:** Tufts Medicine is a leading integrated health system bringing together the best of academic and community healthcare to deliver… more
- Cognizant (Boston, MA)
- …to be considered** . Educational background - Registered Nurse ( RN ) . 2-3 years combined clinical and/or utilization management experience with managed ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...submit the medical necessity determinations to the Health Plan/Medical Director based on the review of clinical documentation in… more
- Beth Israel Lahey Health (Cambridge, MA)
- …just taking a job, you're making a difference in people's lives.** Reporting to the Director of Quality & Patient Safety, the Quality and Patient Safety nurse ... on the key performance indicators and quality measures, the RN specialist also aims to foster a culture of...reduce serious safety events and improve patient outcomes. The nurse works with clinical staff to review clinical charts,… more
- Brockton Hospital (Brockton, MA)
- …responsibilities. EDUCATION: + RN with Master's Degree + Current License as Registered Nurse in the Commonwealth of Massachusetts EXPOSURE CATEGORY: It is ... PURPOSE OF POSITION: The Director of Case Management is responsible for planning,...monitoring mechanisms to identify areas for improvement of resource utilization . Plans and develops systems and processes… more
- Tufts Medicine (Boston, MA)
- …research. **Job Overview** Tufts Medical Center is seeking a Clinical Nursing Director reporting to our Associate Chief Nursing Officer for Critical Care/CVC. You ... practices, and professional development of nursing staff. The Clinical Nursing Director SICU works collaboratively with other disciplines and departments to ensure… more
- Erickson Living (Hingham, MA)
- …Linden Ponds by Erickson Senior Living Join our team as the Assistant Director of Nursing is responsible for clinical leadership and outcomes within our Skilled, ... and dehydration. + Participating in Wound Rounds, Operations Meetings, Utilization Review, and Performance Improvement/Risk Management/Safety (PI/RM/S) Committee. +… more
- State of Massachusetts (Westborough, MA)
- …suite (Excel, Access, Word, and Microsoft project). *_Special Requirements:_* Licensed Registered Nurse /*_TO APPLY:_*/ /*__*/ Please upload both Resume ... and Supports (OLTSS) is responsible for managing a robust system of supports for members of all ages who...year of full-time or equivalent part-time, experience as a registered nurse in a recognized hospital, clinic… more
- Beth Israel Lahey Health (Boston, MA)
- …Nursing Program required. Baccalaureate degree in Nursing strongly preferred. + License Registered Nurse required. + American Heart Association - Basic Life ... and Emergency Department. In absence of Admission Facilitator, directs bed utilization . + Provides clinical consultation, support, education and mentoring to… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …experience is preferred. + **Certification/Licensure/Registration:** + Licensed as a Registered Nurse in the Commonwealth of Massachusetts preferred. ... Completes medical literature searches and/or coordinates appropriate provider-to-payer medical director discussions. + Collaborates with attending physicians on treatment… more
- Beth Israel Lahey Health (Danvers, MA)
- …$3000** + **Day 1 Benefits!** + **Schedule: Monday - Friday, days** The Nurse Manager is responsible for the management of the medical/nursing services provided in ... ensuring full compliance with the protocols/directives of the Medical Director and Program Director . They play an...daily operations of the program by providing supervision to RN 's and LPN's. This is a great opportunity to… more
- Beth Israel Lahey Health (Charlestown, MA)
- …& Abilities:** * Must have sound understanding of ICD-10, and CPT coding systems ; prospective reimbursement system . * Ability to review and analyze issues ... **Essential Duties & Responsibilities** including but not limited to: * Maintain a system of reporting that provides timely and relevant information on all aspects… more
- Beth Israel Lahey Health (Boston, MA)
- …Schedules follow-up tests and appointments using hospital or Clinical Research Center (CRC) systems . Collaborates with RN on executing a participant's care plan. ... works under the direction of the research study investigators, study physician and/or nurse to perform clinical activities in the context of a research protocol.… more
- Beth Israel Lahey Health (Milton, MA)
- …for all. Beth Israel Milton is currently seeking a full-time Emergency Department Nurse . POSITION FUNCTION: In collaboration with the Director oversees daily ... AND RESPONSIBILITIES: . Under the general supervision of the Director supports and supervises with-in the framework of the... supports and supervises with-in the framework of the RN license, maintains the standards of practice and evaluates… more
- Commonwealth Care Alliance (Boston, MA)
- …this time._** **Position Summary:** Working under the direction of the Sr. Director , TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. ... financial ability and forecasting for small to large Operations Management + Collaborate system and data configuration into CES (Claims Editing System ) with… more
- Commonwealth Care Alliance (Boston, MA)
- …compliance. The Senior Business Analyst, Clinical Operations reports to the Director , Clinical Operations Support. This role will provide significant BA support ... **Reports and Tools** + Engages with stakeholders to understand current processes/ systems and pain points as well as elicit detailed business needs… more