- Evolent (Boston, MA)
- …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
- Commonwealth Care Alliance (Boston, MA)
- …for day-to-day timely clinical and service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer ... CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is responsible… more
- Fresenius Medical Center (Lowell, MA)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical ... kidney disease. **Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture...a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in… more
- Dana-Farber Cancer Institute (Boston, MA)
- …for a non-oncology area, eg infection control) and the process of conducting medical clinical research. In addition, the CRN utilizes evidence-based nursing ... The Research Nurse in collaboration with the physician, is responsible...physician, is responsible for the implementation and evaluation of clinical research in their specific program/area. The CRN has… more
- Fallon Health (Worcester, MA)
- …clinical information from medical care providers as needed for the clinical review process * Conducts pre-authorization and concurrent clinical ... care professionals, member and/or family * Refers cases to medical review according to policy and procedure...**Experience:** * A minimum of three to five years clinical experience as a Registered Nurse in… more
- BAYADA Home Health Care (Wilmington, MA)
- …DCO to ensure cohesive and consistent management of all field staff. + Review all clinical documentation to ensure consistent, accurate, high-quality services. + ... BAYADA Home Health Care is seeking a Registered Nurse (RN) to fill the position of **Home...holidays, vacation and sick leave. + Vision, dental and medical health plans. + Employer paid life insurance, 401k… more
- Beth Israel Lahey Health (Burlington, MA)
- … necessity of the hospital care. Using the concepts of utilization review , clinical documentation improvement and revenue integrity, these specialized case ... of the hospital care. Using the concepts of utilization review , clinical documentation improvement and revenue integrity,...staff on best practices to ensure reimbursement based on medical care provided. 11. Maintains and reports clinical… more
- Dana-Farber Cancer Institute (Boston, MA)
- …modify nursing assignments, as needed, to meet the needs of patients. The Nurse Manager provides clinical leadership and management and promotes professional ... inquiry, facilitation of learning and advocacy for patients and staff. The Nurse Manager collaborates with the Clinical Specialist to provide clinical… more
- Fresenius Medical Center (Roxbury, MA)
- …12 weeks of paid & structured training with an assigned Preceptor & Nurse Educator** + 70,000+ dedicated employees, 200,000+ patients, 2,600+ dialysis centers, 350+ ... of the hemodialysis health care team as a Registered Nurse Applicant under the direction or supervision of a...transcribes and enters physician lab orders accurately into the Medical Information System. + Ensures appropriate preparation of lab… more
- Beth Israel Lahey Health (Cambridge, MA)
- …reduce serious safety events and improve patient outcomes. The nurse works with clinical staff to review clinical charts, interpret data, and implement ... Quality & Patient Safety, the Quality and Patient Safety nurse specialist plays a role in reviewing publicly reported...state and federal regulators, insurance appeals, internal correspondence, and clinical summaries for medical peer review… 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 (Jamaica Plain, 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
- State of Massachusetts (Chelsea, MA)
- …group of staff working to meet the needs of our veterans. As the Nurse Practitioner, you will provide general medical care and treatment to assigned ... issues. * Confers with physicians when appropriate to review the residents' medical conditions and their...of latest methods of evaluation and treatment acquired through clinical experience, review of cases with the… 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
- Humana (Boston, MA)
- …guidance where needed. Follows established guidelines/procedures. **KEY ACCOUNTABILITIES** + Review medical documentation, obtain additional information that may ... community and help us put health first** The Appeals Nurse 2 resolves clinical complaints and appeals....TRICARE, all HGB policies and procedures as well as medical necessity review criteria and privacy requirements… more
- Dana-Farber Cancer Institute (Boston, MA)
- The staff nurse 's responsibilities include assessment, planning, implementation and evaluation of nursing care for a complex patient population. The infusion ... nurse provides patient and family education and psychosocial and...own professional goals and learning needs. The role requires clinical expertise, critical thinking, collaborative practice, excellent communication skills… more
- Tufts Medicine (Stoneham, 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...Bachelor's degree in Nursing (BSN). Associates degree considered with review of Nurse Executive Council. 2. Registered… more
- Veterans Affairs, Veterans Health Administration (Jamaica Plain, MA)
- …and record relevant patient information. Completed work should need only a general review by a registered nurse (RN) or physician (MD/DO) for appropriateness ... Summary This Licensed Practical Nurse position is at the VA Boston Healthcare...are not limited to: Nursing Standing Orders by Protocol, Clinical Reminders with appropriate consults and alerts as indicated… more
- Beth Israel Lahey Health (Boston, MA)
- …close contact within three feet for at least five minutes). Examples: physicians, clinical nurses, phlebotomist, medical assistants, PFT tech, and x-ray tech.- ... of patients, families, and communities. Reporting directly to the Ambulatory Hematology/Oncology Nurse Manager, the LPN II performs the duties of a Licensed… more
- Fallon Health (Boston, 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