Utilization Management Nurse
Devoted Health Services, Inc
Devoted Health is seeking a Clinical Guide Part A to join the Utilization Management team. You will review inpatient, behavioral health, and post-acute authorizations to assess medical necessity and alignment with CMS guidelines. You will collaborate with Medical Directors, prepare clinical summaries, and support efficient authorization determinations while ensuring regulatory compliance and high-quality care. #J-18808-Ljbffr
$72.8k - $130k
...collaborative team scheduling and there is an occasional opportunity for remote work based on business needs. As a Sr Utilization Management Nurse in the Boston MA Regional Area, the role centers on ensuring the accuracy of medical record coding, supporting proper...SuggestedMinimum wageFull timeWork experience placementCasual workLive inWork at officeLocal areaRemote work$26.01 - $68.55 per hour
...Utilization Management Nurse - Precertification RN Remote | Full-Time | Weekday Schedule Are you a clinically strong Registered Nurse who enjoys critical thinking and making evidence-based decisions? Join our Utilization Management team and play a key role in ensuring...SuggestedHourly payFull timeTemporary workLocal areaRemote workWeekday work$26.01 - $68.55 per hour
Utilization Management Nurse - Precertification RN Remote | Full-Time | Weekday Schedule Are you a clinically strong Registered Nurse who enjoys critical thinking and making evidence-based decisions? Join our Utilization Management team and play a key role in ensuring...SuggestedHourly payFull timeTemporary workLocal areaRemote workWeekday work$1,892 per week
...Registered Nurse (RN) | Postpartum Location: Newton Lower Falls, MA Agency: FlexCare Pay: $1,892 per week Shift Information... ...leader in travel nursing, allied health, and therapy talent management solutions for top healthcare facilities throughout the U.S....SuggestedFull timeContract workImmediate startShift workRotating shift- ...Registered Nurse (RN) | Administration / Management Location: Brighton, MA Agency: Titan Medical Group Pay: Competitive weekly pay (inquire for details) Shift Information: Days - 5 days x 8 hours Contract Duration: 8 Weeks Start Date: 8/3/...SuggestedWeekly payFull timeContract workShift work
$2,989 - $3,084 per week
...Registered Nurse (RN) | Utilization Review Location: Everett, MA Agency: GQR Healthcare Pay: $2,989 to $3,084 per week Shift... ...RN in Everett, Massachusetts, 02149! Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location:...Hourly payWeekly payFull timeContract workImmediate startShift work- ...Registered Nurse (RN) | Administration / Management Location: Brighton, MA Agency: Titan Medical Group Pay: Competitive weekly pay (inquire for details) Shift Information: Days - 5 days x 8 hours Contract Duration: 8 Weeks Start Date: 8/3/...Weekly payFull timeContract workShift work
$2,989 - $3,084 per week
...Registered Nurse (RN) | Utilization Review Location: Everett, MA Agency: GQR Healthcare Pay: $2,989 to $3,084 per week Shift... ...Date: ASAP About the Position Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location:...Hourly payWeekly payFull timeContract workImmediate startShift work$45 per hour
...Position Overview The Weston Public Schools is seeking a 1:1 Nurse to help with the development, implementation, and management of a student's Individualized Health Care Plan (IHCP), on the school bus to and from school, and during the school day. This is a full-...Hourly payFull timeImmediate startMonday to Friday$89.18k
...Clinical Community Supports (ACCS) Team Nurse (Registered Nurse) promotes the full integration... ...live a healthy life in the community. Utilizing a holistic, person-centered approach,... ...Nurse will coordinate access to and management of health care for PS. The Team Nurse will...Temporary workInternshipWork at officeFlexible hours$38 - $40 per hour
...Summary Do you have a passion for nursing but are tired of the hectic, high-stress... ...Hyperbaric Oxygen Therapy sessions. Utilize blood test offerings to help clients optimize... ...hiring decisions will be made by the management of this franchisee. All inquiries about...Hourly payWork at officeFlexible hours$50 - $60 per hour
...Signing bonus Training & development Seeking Registered Nurses (RN): Accelerate Your Career with BrightStar Care Concord,... ...including documentation and reporting requirements. Supervise and manage the home care nursing team, including hiring, training, and evaluating...Daily paidFull timePart timeRelocation packageFlexible hours$50 - $60 per hour
...Signing bonus Training & development Seeking Registered Nurses (RN): Multiple Positions Flexible Hours, Autonomy, Work-Life... ...including documentation and reporting requirements. Supervise and manage the home care nursing team, including hiring, training, and...Hourly payDaily paidFull timePart timeImmediate startRelocation packageFlexible hours- ...Registered Nurse (RN) | Administration / Management Location: Woburn, MA Agency: Titan Medical Group Pay: Competitive weekly pay (inquire for details) Shift Information: Days - 5 days x 8 hours Contract Duration: 13 Weeks Start Date: ASAP...Weekly payFull timeContract workImmediate startShift work
$2,613 per week
...Registered Nurse (RN) | Home Health Location: Newton Center, MA Agency: Cynet... ...Certified Home Care experience, 1 year Case Management experience, ability to travel to cases... ...policies and standards of practice. Utilizing thorough and timely electronic documentation...Full timeContract workShift workWeekend work$2,733 per week
...Registered Nurse (RN) | Home Health Location: Newton Center, MA Agency: Cynet... ...Certified Home Care experience, 1 year Case Management experience Description: All applicants... ...policies and standards of practice, utilizing thorough and timely electronic documentation...Full timeContract workShift workWeekend work- ...Registered Nurse (RN) | Administration / Management Location: Woburn, MA Agency: Titan Medical Group Pay: Competitive weekly pay (inquire for details) Shift Information: Days - 5 days x 8 hours Contract Duration: 13 Weeks Start Date: ASAP...Weekly payFull timeContract workImmediate startShift work
$2,733 per week
...Registered Nurse (RN) | Home Health Location: Newton Center, MA Agency: Cynet... ...Home Care experience and 1 year of Case Management experience License: Valid RN license Certifications... ...policies and standards of practice. Utilizing thorough and timely electronic...Full timeContract workShift workWeekend work- ...Registered Nurse (RN) | Administration / Management Location: Boston, MA Agency: Titan Medical Group Pay: Competitive weekly pay (inquire for details) Shift Information: Days - 4 days x 10 hours Contract Duration: 12 Weeks Start Date: 9/6/...Weekly payFull timeContract workShift work
$2,250 per week
...AMN Healthcare Revenue Cycle is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Allston, Massachusetts. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: 08/24/2026...Temporary workImmediate startShift work$78.58k - $117.86k
...risk and provide intensive, individualized case management and support as needed and desired by the resident. The Nurse Care Manager is a key member of the housing... ...changes in status, transitions, and service utilization. Active follow-up on all hospitalizations,...Full timeRemote workFlexible hours- ...psychological care and counseling. Our team is made up of physicians, nurse practitioners, nurses, dietitians, mental health providers, and... ...PCOS Program, the Boston HAPPENS HIV program, the STEP weight management program, the Long-acting Reversible Contraception (LARC)...Monday to FridayFlexible hoursShift work
- ...including diagnostics, genetic counseling, and individualized management in concert with other specialties for people of all ages. Our... ...program includes more than 30 board-certified clinical geneticists, nurse practitioners and registered nurses, genetic counselors and...Full timeFlexible hours
- ...replacement Food and drug allergy challenges and desensitization Management of outpatient PICC line complications Diagnostic endocrine... ...Qualifications Education: ~ A Bachelor's degree in nursing. Experience: Minimum of 2 years of RN experience;...Full timeFlexible hoursRotating shiftWeekend workAfternoon shift
$40.95 - $94.59 per hour
...POSITION SUMMARY : Utilizing a collaborative process, the care manager will assess, plan, implement, monitor, and evaluate the options and services required... ...Per Diem JOB REQUIREMENTS: Education: ~ Nursing degree: Diploma, ASN or BSN (preferred), Ability to...Daily paidContract workFixed term contractFlexible hours$83.84k - $120k
...just taking a job, you’re making a difference in people’s lives. Job Description The Hospice RN Case Manager plans and delivers care to patients utilizing the nursing process of assessment, planning, intervention, implementation, and evaluation; and effectively interacts...- ...Job Overview The LPN Medication Care Manager is responsible for providing the highest... ...Resident Care Director (RCD) or Wellness Nurse. Administer, assist with, and observe... ...medications are passed according to times utilizing a mobile medication cart. Document and...Local areaImmediate startShift work
- ...the lives of residents every day. At Sunrise Senior Living, we champion the quality of life for all seniors. As an LPN Medication Nurse, you provide licensed nursing support through safe medication administration, health monitoring, and accurate clinical documentation...Full timeShift work
$29 - $52 per hour
...community and state supportive services + Manage the care plan throughout the continuum of... ...independent licensure as a Registered Nurse in the state of MA + 2+ years of clinical... ...Background in Managed Care + Ability to utilize an Electronic Medical Record or other electronic...Hourly payMinimum wageFull timeTemporary workWork experience placementLocal areaRemote workFlexible hours- ...Per Diem Hospice Nurse Named by The Boston Globe as one of the Top Places to Work in Massachusetts for... ...Implements and monitors aspects of patient care including managing discomfort and symptom relief. Utilizes specialized nursing skills and agency resources...Daily paidWork at officeFlexible hours1 day per week
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