• Utilization Management Nurse

    CVS Health (Woonsocket, RI)
    …active current and unrestricted RN licensure in state of residence - Utilization Management is a 24/7 operation and work schedules will include weekends, ... all with heart, each and every day. **Position Summary** Utilization Management is a 24/7 operation and...**Required Qualifications** - 2+ years of experience as a Registered Nurse in adult acute care/critical care… more
    CVS Health (12/17/25)
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  • Temporary to Hire Prior Authorization RN

    Fallon Health (Worcester, MA)
    Nurse in a clinical setting required. * 2 years' experience as a Utilization Management /Prior Authorization nurse in a managed care payer preferred. * ... degree in nursing required **License/Certifications:** Active and unrestricted licensure as a Registered Nurse in Massachusetts. **Experience:** * A minimum of… more
    Fallon Health (12/14/25)
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  • RN - Clinical Care Manager

    Edward M. Kennedy Community Health Center, Inc. (Worcester, MA)
    …may require evening, weekend and/or holiday shifts on a rotating basis. Job Requirements: + Registered Nurse License in MA + 1-2 years of clinical experience + ... The Clinical Care Manager (CCM) provides, coordinates, and organizes evidence-based care management to chronic disease patients, especially to those who are most at… more
    Edward M. Kennedy Community Health Center, Inc. (10/30/25)
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  • Oasis Workflow Coordinator

    Hartford HealthCare (Mansfield Center, CT)
    …settings. Degree from an accredited educational program leading to licensure as a Registered Nurse ( RN ), Physical Therapist (PT), Occupational Therapist ... individual in this role provides clinical staff with guidance on documentation, utilization , and patient care decisions to support optimal clinical and operational… more
    Hartford HealthCare (11/20/25)
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  • Health Coach Consultant - Work at Home

    CVS Health (Woonsocket, RI)
    …chronic conditions. + **Diabetes education experience** is required. + Current, unrestricted ** Registered Nurse ( RN ) license** ; multi-state licensure ... and ensures access to psychosocial support services. The goal is to optimize resource utilization and drive positive health outcomes. The RN will use strong… more
    CVS Health (12/20/25)
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  • Practice Manager, Palmer Primary Care

    Baystate Health (Palmer, MA)
    …schedules and utilization **Requirements** + Bachelor's Degree, Masters preferred + Registered Nurse with leadership experience preferred + Minimum of 3- 5 ... growing practice + 1 Medical Director + 16 Providers + 1Clinical Supervisor + Registered Nurse - 6.5 FTE + Medical Assistant-15.2 FTE + Practice Service… more
    Baystate Health (12/09/25)
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