- Commonwealth Care Alliance (Boston, MA)
- …Duties & Responsibilities:** + Conducts timely clinical decision review for services requiring prior authorization in a variety of clinical areas, including but ... **Required Knowledge, Skills & Abilities (must have):** + Experience with prior authorization and retrospective reviews + Proficiency reviewing clinical/medical… more
- Humana (Boston, MA)
- …part of our caring community and help us put health first** Humana is seeking a Prior Authorization RN to join the Wisconsin Medicaid Market (iCare) team. ... This position reviews the clinical appropriateness of prior authorization (PA) requests and ensures that...make an impact** **Required Qualifications** + Licensed as a Registered Nurse in the State of Wisconsin,… more
- North Shore Community Health (Salem, MA)
- Registered Nurse Salem, MA (http://maps.google.com/maps?q=47+Congress+Street+Salem+MA+USA+01970) Description Primary Purpose of Position: North Shore Community ... community healthcare delivery. We have an opening for a Registered Nurse . Under the general direction of...when needed within the scope of nursing practice, including prior authorization forms . Provides health education… more
- Bear Mountain Health Care (Lowell, MA)
- …within scope of practice + Responsible for completing medication interchange and insurance prior to authorization as assigned + Ordering or arranging for ... Bear Mountain Healthcare has immediate openings for Registered Nurses looking to work in our Long...competency. Initiate the SBAR process and collaborate with the RN for assessment and recommendations. Documents the resident's condition… more
- North Shore Community Health (Gloucester, MA)
- …community healthcare delivery. The Primary Care Team Nurse Care Manager (PC team RN CM) is a registered nurse whose primary responsibility is managing ... Complete patient forms to the furthest extent possible, including prior authorization forms, requests for VNA services,...Perform nurse visits independently and within the registered nurse scope of practice outlined by… more
- Bear Mountain Health Care (Andover, MA)
- …defined in their scope of care to patients under the direction and supervision of a Registered Nurse . Scope of work may be modified by State specific rules under ... own clinical medical record entries and those of assigned RN and Nurse Aides daily. Participates in...practice + Responsible for completing medication interchange and insurance prior to authorization as assigned + Ordering… more
- Beth Israel Lahey Health (Burlington, MA)
- …clinical pharmacists, medical assistants, and a dedicated support staff, including prior authorization specialists. We also have an ACGME-certified endocrinology ... fellowship program and an Advanced Practice Provider fellowship program. We are faculty for UMass Chan-Lahey Medical School and encourage applications from those interested in teaching and academic inquiry. **Benefits** + Full-time position + Excellent on-call… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …Pediatrics All Locations: 10 Gove Street - Taylor Building Position Summary: A registered nurse holds ultimate responsibility for direct and indirect nursing ... the department's immediate needs and long-term goals. In addition, the registered nurse demonstrates initiative, critical thinking, problem solving, leadership… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …10 Gove Street - Taylor Building Position Summary: We are seeking a dedicated Registered Nurse to join our team in delivering comprehensive nursing care, health ... to the health and well-being of our patients and communities. Whether you're a nurse or physician providing direct care, a manager leading dedicated teams, or part… more
- Beth Israel Lahey Health (Cambridge, MA)
- …well-being and as required for license renewal. **Minimum Qualifications:** + License Registered Nurse in the Commonwealth of Massachusetts required. + ... a job, you're making a difference in people's lives.** Reporting to the unit's Nurse Manager, the Wound Care Specialist- RN works collaboratively with members of… more
- East Boston Neighborhood Health Center (Winthrop, MA)
- …26 Sturgis Street - PACE Winthrop Position Summary: Job Description Summary A Registered Nurse holds ultimate responsibility for direct and indirect nursing ... to the health and well-being of our patients and communities. Whether you're a nurse or physician providing direct care, a manager leading dedicated teams, or part… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …to the health and well-being of our patients and communities. Whether you're a nurse or physician providing direct care, a manager leading dedicated teams, or part ... 20 Maverick Square - Cradock Building Position Summary: This RN Advisor role will be a joint position working...reporting half-time to the Director of Nursing supporting the Nurse Education Pipeline program run out of the Education… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …to the health and well-being of our patients and communities. Whether you're a nurse or physician providing direct care, a manager leading dedicated teams, or part ... - PACE Winthrop Position Summary: The Home Care Primary Nurse is responsible for the general oversight, assessment, planning,...and the orders of the participant's medical providers. The RN is responsible for the delivery and documentation of… more
- State of Massachusetts (Chelsea, MA)
- …at least (A) three years of full-time, or equivalent part-time, experience as a registered nurse in a recognized hospital, clinic, or medical facility, or (B) ... by the Executive Office of Health and Human Services prior to the candidate being hired. For more information,...Massachusetts Board of Registration in Nursing. Current and valid authorization to practice as a Nurse Practitioner… more
- Beth Israel Lahey Health (Boston, MA)
- …Associate's degree in Nursing required. Bachelor's degree in Nursing preferred. License Registered Nurse required., and Certificate 1 Basic Life Support ... and advocating for the health of patients, families, and communities. The Nurse Coordinator is responsible for coordinating care for patients receiving treatment in… more
- Beth Israel Lahey Health (Boston, MA)
- …degree in Nursing required. Bachelor's degree in Nursing preferred. 2. License Registered Nurse required., and Certificate 1 Basic Life Support required. ... for patients from referral/consultation to discharge /follow up. Assists with pre- authorization process. 2. Serves as contact and facilitator to receive consults… more
- Boston Health Care for the Homeless Program (Boston, MA)
- …the highest quality care to the McInnis House patients by collaborating with the team RN . With direction from the team RN , the Respite Aide will offer clinical ... + Act as a member of the team of caregivers; collaborates with the team RN throughout the shift to determine appropriate work assignments and priorities, as well as… more
- Boston Health Care for the Homeless Program (Boston, MA)
- …nursing department at the Barbara McInnis House (BMH). With direction from the team RN , the Respite Aide will offer clinical support services to the patients and ... as a member of the team of care givers + Collaborates with the team RN throughout the shift to determine appropriate work assignments and priorities, as well as… more
