- Evolent (Providence, RI)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior ... policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as... medical necessity and appropriateness of services using clinical review criteria. + Accurately documents all… more
- Beth Israel Lahey Health (Needham, MA)
- …Educator Team Nurse will perform all of the duties of a Team Nurse , including: a. Coordinate and facilitate quality clinical management of a broad based ... Nursing Students. Provides on-going education and training to practice staff. Updates clinical knowledge and skills though consultation, review of literature and… more
- Beth Israel Lahey Health (Needham, MA)
- …care or family medicine practice and serves as a clinical resource for the medical practice. The Team Nurse provides high quality, direct patient care in a ... delegation of clinical and administrative functions as appropriate to the Medical Assistant (MA) staff. Responsible for educating and training our MA team and… more
- Fallon Health (Worcester, MA)
- …any other additional meetings when required. + Any additional tasks deemed necessary by the Clinical Nurse Manager and or Site Director. + Assumes the role of ... therapeutic interventions. + Participates in the development and ongoing review of each participant's care plan. + Delegates and...triage nurse per the direction of the Clinical Nurse Manager or Site Director. +… more
- CenterWell (Providence, RI)
- …complaints. + Makes clinical level of care determination based on discussion, medical records, and any other pertinent clinical data. Matches these needs to ... to work every other holiday.** The **Care Manager, Telephonic Nurse ** helps to ensure optimal continuity of care for...Health, Hospice, and Palliative Care Services. + Assist with clinical eligibility review for alternate services +… more
- Atrius Health (Newton, MA)
- …patients and/or families to bridge the Atrius Health practice to the patient. . Conducts review of the medical record for Atrius Health adult medical or ... - 48 hours (business days of admission). . Subsequent review /progress note at least every 7 days or accompanying...hospice care SKILLS . Extensive knowledge of patient care, medical treatments and clinical procedures, and use… more
- Riverside Community Care (Dedham, MA)
- …What You Do! Registered Nurse - ACCS Riverside is seeking a Registered Nurse to join our Adult Community Clinical Services team in Dedham! ACCS Integrated ... Teams provide clinical interventions and peer and family support to facilitate...and wellness. Nurses will assist with response to urgent medical issues and will monitor and direct the program's… more
- BioLife Plasma Services (Attleboro, MA)
- …You will report to the Plasma Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse ) to support plasma center operations. BioLife ... of laboratory test results, and donor notification of unsuitable test results. The Medical Support Specialist (Plasma Center Nurse ) works under the guidance of… more
- Sunrise Senior Living (Wayland, MA)
- …is to be a part of.** **Job ID** 2025-236113 **JOB OVERVIEW** The Wellness Nurse is responsible for monitoring the health and well-being of our residents and ... administration, communication with resident support services and families and maintaining clinical quality assurance while leading and demonstrating the Mission for… more
- Edward M. Kennedy Community Health Center, Inc. (Worcester, MA)
- …sites to support this growth. We are currently hiring a Primary Care Registered Nurse based in Worcester MA. The Registered Nurse collaborates with the health ... care team in the delivery of quality primary medical care for patients of all ages, races, and...patients' family members, serve as a member of the clinical practice team and work collaboratively with other team… more
- Datavant (Providence, RI)
- …years of CDI experience + 3+ years of clinical experience in an academic medical center + Registered Nurse license, Bachelor's degree in Nursing + CCDS or ... realize our bold vision for healthcare. **What We're Looking For:** As a Clinical Documentation Quality Improvement (CDQI) Specialist, you will play a pivotal role… more
- BioLife Plasma Services (Worcester, MA)
- …You will report to the Plasma Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse ) to support plasma center operations. _BioLife ... results, and donor notification of unsuitable test results. The Medical Support Specialist (Plasma Center Nurse ) works...Medical Support Specialist + Two years in a clinical or hospital setting **More about us:** ** **… more
- Highmark Health (Providence, RI)
- …:** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** This job performs clinical review and data abstraction of patient records to support ... Preferred + Associate's or Bachelor's Degree in Nursing + 1 year performing medical record review and data abstraction for cardiovascular registries + Proficient… more
- Advocates (Framingham, MA)
- …medication reconciliation functions required in the BHCP Model Contract. 5. Review medical sections of Engaged Enrollee's comprehensive assessments, and/or ... bonus *Sign on bonus applicable to external candidates only* The Registered Nurse (RN) participates in the coordination of medical , behavioral health/addiction… more
- Edward M. Kennedy Community Health Center, Inc. (Milford, MA)
- …team is expanding across sites to support this growth. We're hiring a Registered Nurse for our Primary Care Clinic in Milford, MA who collaborates with the ... healthcare team to deliver quality primary medical care for patients of all ages, races, and...support to patients' families, and working collaboratively with the clinical practice team. They also participate in coordinating care,… more
- Prime Healthcare (Woonsocket, RI)
- …cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/236667/case-manager-registered- nurse /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityLandmark … more
- Prime Healthcare (Woonsocket, RI)
- …cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/235322/case-manager-registered- nurse /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityLandmark … more
- Athena Health Care Systems (Worcester, MA)
- We are hiring a Regional MDS Nurse to join our team in Worcester County! This is an on-site position with weekly pay ranging from $55 to $65 an hour, depending on ... are nurtured to allow you to grow within the company. The regional clinical reimbursement specialist provides support and coverage assistance related to MDS and the… more
- CenterWell (Providence, RI)
- …will collaborate with other health care givers in reviewing actual and proposed medical care and services against established CMS Coverage Guidelines/NCQA review ... Compact Nursing License + A minimum of three years clinical RN experience; + Prior clinical experience,...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
- Aveanna Healthcare (Worcester, MA)
- …* Achieve clinical and metrics provided by the executive team * Review weekly/monthly clinical performance reports to assure nursing expectations are being ... Nurse within the last 5 years; in a clinical care setting preferred * Current CPR accredited by...including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate. Notice for Job… more