- Novo Nordisk Inc. (Boston, MA)
- …sales volume Utilize discretionary budget for maximum impact on sales Clinical Understanding Deep understanding of cardiometabolic disease state and patient ... hospital faculty, medical students, residents, interns as well as attending physicians, nurse practitioners and pharmacy personnel about the use of Novo Nordisk's… more
- Evolent (Boston, MA)
- …for the mission. Stay for the culture. **What You'll Be Doing:** Job Description As a Clinical Reviewer , Nurse , you will be a key member of the utilization ... while providing better health outcomes. **Collaboration Opportunities:** As a Clinical Reviewer , Nurse , you will...**What You Will Be Doing:** + Functions in a clinical review capacity to evaluate all cases,… more
- Sharecare (Boston, MA)
- …affordable for everyone. To learn more, visit www.sharecare.com . **Job Summary:** The Clinical Registered Nurse has the responsibility for supporting the goals ... and cost-effective manner while ensuring high quality care. The Clinical Registered Nurse coordinates with the Primary...orientation and to take the pre and posttests to review competency during orientation. Yearly competency test is required… more
- Tufts Medicine (Boston, MA)
- …with physician orders. In addition, this role focuses on performing the following Clinical Nurse duties: Assesses, plans, implements, and evaluates the care ... group of patients or provides nursing care and identified clinical support tasks within the scope of practice for...1. Bachelors degree in Nursing. Associates Degree considered with review of the Nurse Executive Council. 2.… more
- Cambridge Health Alliance (Cambridge, MA)
- …is required authorizing practice in an expanded role as a Psychiatric Nurse Clinical Specialist and authorization including prescriptive authority. _In keeping ... Nurse Practitioner - Clinical Specialist II...leader in multi-disciplinary team discussion regarding treatment planning, treatment review , quality assurance and utilization review function/procedures.… more
- Tufts Medicine (Boston, MA)
- …to recruit new patients and referring providers, improve patient selection, review outcomes, provide early and accurate feedback to referring clinicians. This ... person tracks performance data and conducts regular site visits to review results with physician and staff; helps to create, implement and follow-up on action plans… more
- Dana-Farber Cancer Institute (Boston, MA)
- The Research Nurse in collaboration with the physician, is responsible for the implementation and evaluation of clinical research in their specific program/area. ... non-oncology area, eg infection control) and the process of conducting medical clinical research. In addition, the CRN utilizes evidence-based nursing practice and… more
- Evolent (Boston, MA)
- …and client policies and procedures while complying with timeliness guidelines. Our clinical nurse reviewer team values collaboration, continuous learning, ... the culture. **What You'll Be Doing:** The Evolent Appeals Nurse team offers candidates the opportunity to make a...appeals. **What You Bring:** + 1-3 years' experience in clinical Appeals Review or Utilization Management … more
- Beth Israel Lahey Health (Boston, MA)
- …director. Training, evaluation and competencies for this role are overseen by a Nurse Leader to the department. This Clinical Advisor supports the following ... and advocating for the health of patients, families, and communities. The Clinical Advisor provides leadership in the provision of nursing services, supports the… more
- Beth Israel Lahey Health (Boston, MA)
- …growth and development in conjunction with the unit based educator or clinical nurse specialist. Participates in activities that contribute to professional ... include but are not limited to phone triage, lab review and follow-up, medication administration, and emergency management on...frame of reference for practice as a professional registered nurse and provides direct nursing care to patients and… more
- Covenant Health (Nashua, NH)
- …+ Once training and competencies are completed in the RN's designated 'track', and the Clinical Director and Clinical Resource Nurse deem appropriate, the RN ... AAP, BabyFriendly USA, etc.) under care of the Registered Nurse (RN). In the Registered Nurse 's daily...planning and processes for the area of practice + Clinical documentation and care plans completed comprehensively for all… more
- Beth Israel Lahey Health (Boston, MA)
- …or ineligibility criteria with the patients' medical record. Verifies information with clinical research nurse and/or principal investigator. May enroll patients ... making a difference in people's lives.** This position is part of the BDIMC Clinical Research Coordinator Core at Beth Israel Deaconess Medical Center (BIDMC). The … more
- Commonwealth Care Alliance (Boston, MA)
- …to the Manager Utilization Management, 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 a key...direct reports. **Essential Duties & Responsibilities:** + Conducts timely clinical decision review for services requiring prior… more
- Fallon Health (Milford, MA)
- …Information (CORI) results and reliable transportation **Experience:** * 1+ years of clinical experience as a Registered Nurse managing chronically ill members ... the nation's top health plans for member experience, service, and clinical quality. We believe our individual differences, life experiences, knowledge,… more
- Beth Israel Lahey Health (Cambridge, MA)
- …The Medical Oncology Nurse Navigator is a professional registered nurse with oncology-specific clinical knowledge who offers individualized assistance to ... clinical knowledge and skills through consultation, formal and informal education, and review of literature for self and clinical team Provides leadership for… more
- Covenant Health (Nashua, NH)
- …patient in all verbal/written information and communication. + Supports the role of the clinical primary nurse and utilizes their clinical expertise and ... of decreasing fragmentation and duplication of care and enhancing quality, cost-effective clinical outcomes. The RN Case Manager works closely with, and delegates… more
- Abbott (Burlington, MA)
- …Life Sciences (+16 years) + Experience: Minimum 4 years - In related clinical discipline, Registered Nurse (RN) **Preferred Qualifications:** + Registered ... responsibility for complaint handling and is process owner for clinical and regulatory decision making. This role will be...+ Document quality issues and performance measures for management review . + May liaise with external vendors. + Travel… more
- Tufts Medicine (Boston, MA)
- …and expertise. The Endocrinology clinical team has 8 physicians, one clinical pharmacist, three nurse practitioners, one physician assistant, and three RNs ... from highly qualified BC/BE physicians who are collaborative, have strong clinical and communication skills, and are committed to excellent patient care.… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …for insurance waivers and non-covered services. + Collaborate closely with physicians, nurse coordinators, and interdisciplinary clinical teams to gather and ... The Cell Therapy Clinical Authorization Specialist is responsible for the comprehensive... and/or related experience required. + Case Management, Utilization Review , Oncology, Cellular Therapy and/or Prior Authorization experience is… more
- Lincoln Financial (Boston, MA)
- …looking for** * Minimum of 5 years of disability claims experience * Current Registered Nurse license or Licensure in Clinical psychology or Social Work * 4 ... a Glance** We are excited to bring on a Clinical Operations Manager to our organization. As a ...be responsible for leading and managing a team of nurse disability consultants and behavioral health consultants. This includes… more
