- Commonwealth Care Alliance (Boston, MA)
- …**Position Summary:** Reporting to the Manager Utilization Management , the Nurse Utilization Management (UM) Reviewer is responsible for day-to-day ... clinical and service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role in ensuring… more
- CVS Health (Woonsocket, RI)
- …And we do it all with heart, each and every day. **Position Summary** The ** Utilization Management Clinical Nurse Consultant** utilizes clinical ... Arizona Time Zone. **Preferred Qualifications** : + Previous experience with utilization management . + Previous clinical experience in Emergency Department,… more
- Humana (Providence, RI)
- …of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, ... determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent… more
- CenterWell (Providence, RI)
- …RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to ... Therapy, DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare… more
- Evolent (Providence, RI)
- … Reviewer, Nurse , you will routinely interact with leadership and management staff, other CR's ( Clinical Reviewers), providers, office staff and Field ... culture. **What You'll Be Doing:** Job Description As a Clinical Reviewer, Nurse , you will be a..., you will be a key member of the utilization management team. We can offer you… more
- Evolent (Providence, RI)
- …for the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. ... physician-developed medical policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as a member advocate, expediting care… more
- Beth Israel Lahey Health (Boston, MA)
- …Demonstrates professional commitment and is responsible for ensuring patient safety. **Resource Utilization ** + The registered nurse considers factors related to ... job, you're making a difference in people's lives.** Operating Room (OR) Registered Nurse - New England Baptist Hospital Full Time Operating room Registered Nurse… more
- Fenway Health (Boston, MA)
- …patient-centeredness, non-judgmental, harm reduction, behavioral health integration, and team-based care. The nurse serves in a clinical leadership role to the ... Registered Nurse Boston, MA (http://maps.google.com/maps?q=1340+Boylston+St+Boston+MA+USA+02215) * Nursing Job Type...care team with primary responsibilities for disease management , care coordination, and advice/triage needs for the care… more
- Dana-Farber Cancer Institute (Attleboro, MA)
- …Director of Nursing is responsible for the planning, implementation and evaluation of clinical operations and personnel management of the assigned patient care ... the highest quality patient experience while maximizing provider time and space utilization . The Nurse Director uses extensive theoretical, evidence-based, and… more
- Hartford HealthCare (Mansfield Center, CT)
- …you are here. What our nurses love about HHCAH: * Automatic enrollment into the Nurse Residency Program for all graduate RNs with less than one year of experience. * ... innovation and evidence-based practices. We offer our Graduate Registered Nurses clinical instruction and additional learning opportunities as they complete the … more
- Atrius Health (Dedham, MA)
- … Professional* **Organization:** **Orthopedics* **Title:** *Specialty Physician Assistant/ Nurse Practitioner (MNA) - Orthopedics (OR)* **Location:** *Dedham MA ... value-based care system in the country. *_SUMMARY_*__ Physician Assistant/ Nurse Practitioner (MNA) position supporting our Orthopedics department. The Physician… more
- Brockton Hospital (Brockton, MA)
- …patient care in a healing, humane, and caring environment. + Research: uses clinical inquiry in practice + Resource Utilization : considers factors related to ... Registered Nurse (RN), Part- Time Flex Nights, A2-Telemetry Signature...encompassing nursing, hospitalists, social work, physical therapy, and case management , we strategize patient discharge plans. The unit handles… more
- Hartford HealthCare (Norwich, CT)
- …balance. Every moment matters. And this is*your moment*. **Job:** ** Management * **Organization:** **Backus Hospital* **Title:** *Assistant Nurse Manager ... *JOB SUMMARY* The Assistant Nursing manager is a Registered Nurse (RN) who has responsibility for the supervision of...who has responsibility for the supervision of patient care, clinical personnel, and unit operations. This position supervises a… more
- Atrius Health (Boston, MA)
- …providers to ensure efficient and outstanding quality of care. This registered professional nurse provides practice support to a clinical team, recognizing the ... the direction of the Department Chief Physician and Nursing Supervisor, this Registered Nurse position is responsible for effective care delivery and management … more
- Beth Israel Lahey Health (Boston, MA)
- …focusing on the delivery of efficient, high-quality care. This position ensures the appropriate utilization of clinical resources with a goal of a safe and ... quality indicators such as avoidable delays, length of stay, resource utilization , patient satisfaction, patient flow, outlier management , and readmissions… more
- Atrius Health (Easton, MA)
- …of the Department Chief, Nurse Leader or designee, this registered professional nurse provides practice support to a clinical team, recognizing the patient ... across the lifespan. This position is responsible for effective care delivery and management of patient care within a specialty, utilizing the nursing process and… more
- Brockton Hospital (Brockton, MA)
- …patient care in a healing, humane, and caring environment. + Research: uses clinical inquiry in practice + Resource Utilization : considers factors related to ... Registered Nurse (RN), Part-Time, Flex, Nights, 8 Hour Shift,...than ever. Telemetry Support staff include unit secretaries and clinical care assistants. A2 admits patients primarily from the… more
- Atrius Health (Dedham, MA)
- …of the Department Chief, Nurse Leader or designee, this registered professional nurse provides practice support to a clinical team, recognizing the patient ... across the lifespan. This position is responsible for effective care delivery and management of patient care within a specialty, utilizing the nursing process and… more
- Atrius Health (Boston, MA)
- …of the Department Chief, Nurse Leader or designee, this registered professional nurse provides practice support to a clinical team, recognizing the patient ... across the lifespan. This position is responsible for effective care delivery and management of patient care within a specialty, utilizing the nursing process and… more
- Brockton Hospital (Brockton, MA)
- …responsibilities include the development and supervision of staff (RNs, LPN's,SWs and non- clinical support), evaluation and maintenance of case management skills ... include the development and supervision of staff (RNs, LPN's, SWs and non- clinical support), evaluation and maintenance of case management skills and… more
