- 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
- 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
- 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
- Brown University (Providence, RI)
- …and conduct support activities related to these duties. The Research NP will review medical histories with research participants, perform a physical examination ... Job Description: Position Purpose: The Research Nurse Practitioner (NP) will provide medical ...research participation, and administer questionnaires. The Research NP will review health updates and adverse event reports from study… more
- Humana (Providence, RI)
- …and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis ... independent determination of the appropriate courses of action. The Nurse Auditor 2 validates and interprets medical ...coding experience to conduct a clinical validation review of the inpatient medical record to… more
- Fallon Health (Worcester, MA)
- …Record Information (CORI) results and reliable transportation **Experience:** *1+ years of clinical experience as a Registered Nurse managing chronically ill ... the nation's top health plans for member experience, service, and clinical quality. We believe our individual differences, life experiences, knowledge,… more
- Cardinal Health (Providence, RI)
- …both scheduled outbound calls and inbound call queue. + Meets regularly with Clinical Supervisor and/or Senior Nurse , Individualized Care to discuss feedback ... who need them-faster.** **_What Individualized Care contributes to Cardinal Health_** Clinical Operations is responsible for providing clinical specialties… 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
- 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
- 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/236668/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
- University Medicine (East Providence, RI)
- …and chief complaint. + Obtains lab specimens, gives injections, and performs routine medical tests. + Implements clinical and technical aspects of nursing care ... as they pertain to office nursing, which includes routine medical exams and/or procedures and tests in conjunction with...with prescribed policies, procedures, and techniques. + Assisting with review of test results under guidance of a physician… more