- Commonwealth Care Alliance (Boston, MA)
- …CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is ... timely clinical and service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role in ensuring… more
- Beth Israel Lahey Health (Boston, MA)
- …Demonstrates professional commitment and is responsible for ensuring patient safety. **Resource Utilization ** + The registered nurse considers factors ... just taking a job, you're making a difference in people's lives.** Operating Room (OR) Registered Nurse - New England Baptist Hospital Full Time Operating room … more
- Beth Israel Lahey Health (Burlington, MA)
- …weekends. This position is on-site at Lahey Hospital and Medical Center. The Utilization Analyst works with physicians, the payers and inpatient case management team ... medical necessity of the hospital care. Using the concepts of utilization review, clinical documentation improvement and revenue integrity, these specialized case… more
- Brockton Hospital (Brockton, MA)
- Registered Nurse ( RN ), Part-Time Flex Varied 5p-3a, 7p-5a, Emergency Signature Healthcare's Brockton Hospital is hiring for a Part-Time Flex Varied 5p-3a, ... 7p-5a Registered Nurse ( RN ) for Emergency...+ Research: uses clinical inquiry in practice + Resource Utilization : considers factors related to safety, effectiveness and cost… more
- Brockton Hospital (Brockton, MA)
- Registered Nurse ( RN ), J ob, (Very Specific Shift-Type) , (Department/Unit) Signature Healthcare's Brockton Hospital is hiring for a (shift type) ... Registered Nurse ( RN ) for (department/unit)...+ Research: uses clinical inquiry in practice + Resource Utilization : considers factors related to safety, effectiveness and cost… more
- Brockton Hospital (Brockton, MA)
- Registered Nurse ( RN ), Part- Time Flex Nights, A2-Telemetry Signature Healthcare's Brockton Hospital is hiring for a Part Time Flex Registered Nurse ... off-shifts to enhance patient care, staffing, and throughput coordination. Registered Nurse ( RN ) Roles and...+ Research: uses clinical inquiry in practice + Resource Utilization : considers factors related to safety, effectiveness and cost… more
- Brockton Hospital (Brockton, MA)
- Registered Nurse ( RN ), Full Time Flex , Evenings, Operating Room Signature Healthcare's Brockton Hospital is hiring for a Full Time Flex, Evenings & On Call, ... Registered Nurse ( RN ) for Operating... Registered Nurse ( RN ) for Operating Room in Brockton,...+ Research: uses clinical inquiry in practice + Resource Utilization : considers factors related to safety, effectiveness and cost… more
- Brockton Hospital (Brockton, MA)
- Registered Nurse ( RN ), Part-Time, Flex, Nights, 8 Hour Shift, Telemetry Signature Healthcare's Brockton Hospital is hiring for a Part-Time, Flex, 8 Hour ... Shift, Registered Nurse ( RN ) for Telemetry...+ Research: uses clinical inquiry in practice + Resource Utilization : considers factors related to safety, effectiveness and cost… more
- Fenway Health (Boston, MA)
- …MA (http://maps.google.com/maps?q=1340+Boylston+St+Boston+MA+USA+02215) * Nursing Job Type Full-time Description As a Registered Nurse ( RN ) at Fenway Health ... patient, and other care team members. + Influences appropriate utilization of healthcare resources by helping to coordinate patient...+ Education: Associate degree in nursing + Current Massachusetts Registered Nurse ( RN ) license degree… more
- Tufts Medicine (Melrose, MA)
- …to review patient records, analyze data, and identify practice and patient outlier utilization , and gaps in quality measures for weekly practice and medical director ... requesting an out-of-area referral. **Job Description** **Minimum Qualifications:** 1. Massachusetts RN Licensure. 2. Five (5) years of experience in acute hospital… more
- Fresenius Medical Center (Peabody, 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
- Veterans Affairs, Veterans Health Administration (Bedford, MA)
- …hours per week. Responsibilities The Patient Aligned Care Team (PACT) Outpatient Staff Registered Nurse ( RN ) is responsible for providing competent, ... Summary This Registered Nurse position is located in...evidence-based care to primary patients. The PACT RN provided direct Veteran care and care coordination as… more
- Massachusetts Institute of Technology (Cambridge, MA)
- Registered Nurse , Care Coordinator + Job Number: 25320 + Functional Area: Health Care + Department: MIT Health + School Area: Executive Vice President + Pay ... Email a Friend Save Save Apply Now Posting Description REGISTERED NURSE , CARE COORDINATOR, MIT Health, will...Graduate of an accredited nursing program; bachelor's degree; current RN license in Massachusetts; CPR Certified; a minimum of… more
- Atrius Health (Boston, MA)
- …Under the direction of the Department Chief Physician and Nursing Supervisor, this Registered Nurse position is responsible for effective care delivery and ... health and welfare benefit package. **Job:** **Nursing* **Organization:** **Cardiology* **Title:** * Registered Nurse (MNA) Cardiology - Kenmore - Full time… more
- CVS Health (Boston, MA)
- …+ Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that...setting. + A Registered Nurse that holds an active, unrestricted… more
- Atrius Health (Boston, MA)
- …health and welfare benefit package. **Job:** **Nursing* **Organization:** **Pulmonary* **Title:** * Registered Nurse (MNA) Pulmonary - Kenmore - Full time ... *SUMMARY * Under the direction of the Department Chief, Nurse Leader or designee, this registered professional...specialty. *EXPERIENCE* Strongly prefer minimum of 2 years of RN experience. Experience with an electronic medical records system… more
- Atrius Health (Boston, MA)
- …health and welfare benefit package. **Job:** **Nursing* **Organization:** **Nephrology* **Title:** * Registered Nurse (MNA) Nephrology - Kenmore - Per diem* ... *SUMMARY * Under the direction of the Department Chief, Nurse Leader or designee, this registered professional...specialty. *EXPERIENCE* Strongly prefer minimum of 2 years of RN experience. Experience with an electronic medical records system… more
- Beth Israel Lahey Health (Boston, MA)
- …you're not just taking a job, you're making a difference in people's lives.** The RN Case Manager working in the Triad Model of Care Transitions partners with the ... the hospitalized patient. Together with the medical provider, the RN Case Manager collaborates with all members of the...of efficient, high-quality care. This position ensures the appropriate utilization of clinical resources with a goal of a… more
- Beth Israel Lahey Health (Cambridge, MA)
- …to the Director of Quality & Patient Safety, the Quality and Patient Safety nurse specialist plays a role in reviewing publicly reported quality data by leading the ... 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
- CVS Health (Boston, MA)
- …do it all with heart, each and every day. **Position Summary** The ** Utilization Management Clinical Nurse Consultant** utilizes clinical skills to coordinate, ... document, and communicate all aspects of the utilization /benefit management program. **Job duties include (but are not...hospital clinical practice. + Must have active and unrestricted RN ( _Registered Nurse_ ) Licensure in the state… more