- CVS Health (Woonsocket, RI)
- …we do it all with heart, each and every day. **Position Summary** The ** Utilization Management Clinical Nurse Consultant** utilizes clinical skills to ... Arizona Time Zone. **Preferred Qualifications** : + Previous experience with utilization management . + Previous clinical experience in Emergency Department,… more
- 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 CCA… more
- CenterWell (Providence, RI)
- …RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability ... Therapy, DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare… more
- Humana (Providence, RI)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… 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
- Evolent (Providence, RI)
- …As a Clinical Reviewer, Nurse , you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference ... Clinical reviewers are supported by Field Medical Directors (MDs) in the utilization management determination process. + Reviews charts and analyzes clinical… more
- Fenway Health (Boston, MA)
- Registered Nurse Boston, MA (http://maps.google.com/maps?q=1340+Boylston+St+Boston+MA+USA+02215) * Nursing Job Type Full-time Description As a Registered Nurse ... care to individuals, families, communities, and patient populations. The Registered Nurse 's care delivery is consistent with the Massachusetts Board of Registration… more
- Atrius Health (Dedham, MA)
- …value-based care system in the country. *_SUMMARY_*__ Physician Assistant/ Nurse Practitioner (MNA) position supporting our Orthopedics department. The Physician ... Assistant/ Nurse Practitioner will work collaboratively on a team to...urgent care, a range of wellness visits, chronic disease management and acute care. We offer superior staffing resources… more
- Dana-Farber Cancer Institute (Boston, MA)
- The Nurse Director for Care Coordination directs and oversees a team responsible for patient care coordination, including utilization review, intake or discharge ... including other Harvard Medical School-affiliated hospitals. **Leadership and Team Management :** Effective leadership in nursing involves creating a positive work… more
- Brockton Hospital (Brockton, MA)
- Registered Nurse (RN), Part- Time Flex Nights, A2-Telemetry Signature Healthcare's Brockton Hospital is hiring for a Part Time Flex Registered Nurse (RN) for ... rounds encompassing nursing, hospitalists, social work, physical therapy, and case management , we strategize patient discharge plans. The unit handles a spectrum… more
- Dana-Farber Cancer Institute (Attleboro, MA)
- …the highest quality patient experience while maximizing provider time and space utilization . The Nurse Director uses extensive theoretical, evidence-based, and ... for the planning, implementation and evaluation of clinical operations and personnel management of the assigned patient care unit. He/she acts as a liaison… more
- Evolent (Providence, RI)
- …Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. Tasks are performed ... medical policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as a member advocate, expediting care across the continuum… 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. * ... Nurses clinical instruction and additional learning opportunities as they complete the Nurse Residency program. Hartford HealthCare at Home, the largest provider of… more
- Atrius Health (Easton, MA)
- …Growing together.* *SUMMARY * Under the direction of the Department Chief, Nurse Leader or designee, this registered professional nurse provides practice ... 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
- UCFS Healthcare (Norwich, CT)
- Per Diem Primary Care Nurse -RN/LPN Norwich, CT (http://maps.google.com/maps?q=47+Town+Street+Norwich+CT+USA+06360) Job Type Part-time Description UCFS is looking for ... the lives of others!We are currently seeking apart-time (per diem 16hrs) Nurse , RN/LPNwho will utilize critical thinking skills to interpret complex information in… more
- UCFS Healthcare (Norwich, CT)
- Pediatric Walk-In Center Nurse -RN/LPN Norwich, CT (http://maps.google.com/maps?q=47+Town+Street+Norwich+CT+USA+06360) Job Type Part-time Description UCFS is looking ... the lives of others!We are currently seeking apart-time (per diem 10hrs) Nurse , RN/LPNwho will utilize critical thinking skills to interpret complex information in… more
- Hartford HealthCare (Norwich, CT)
- …balance. Every moment matters. And this is*your moment*. **Job:** ** Management * **Organization:** **Backus Hospital* **Title:** *Assistant Nurse Manager ... of our communities. *JOB SUMMARY* The Assistant Nursing manager is a Registered Nurse (RN) who has responsibility for the supervision of patient care, clinical… more
- Brockton Hospital (Brockton, MA)
- Registered Nurse (RN), Part-Time, Flex, Nights, 8 Hour Shift, Telemetry Signature Healthcare's Brockton Hospital is hiring for a Part-Time, Flex, 8 Hour Shift, ... Registered Nurse (RN) for Telemetry in Brockton, MA. Type: Part-Time,...nursing, the hospitalist team, social work, physical therapy, case management to plan for patient discharge. The majority of… more
- Atrius Health (Dedham, MA)
- …Growing together. *SUMMARY * Under the direction of the Department Chief, Nurse Leader or designee, this registered professional nurse provides practice ... 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)
- …the direction of the Department Chief Physician and Nursing Supervisor, this Registered Nurse position is responsible for effective care delivery and management ... to ensure efficient and outstanding quality of care. This registered professional nurse provides practice support to a clinical team, recognizing the patient as… more