Utilization Review RN - Onsite, Impactful Care
HealthCare Support
A leading healthcare recruiting firm in Waltham, Massachusetts, is seeking a Clinical Review Nurse. The role involves reviewing charts, promoting quality care through clinical acumen, and collaborating with healthcare staff. Candidates must have RN licensure and at least 3 years of utilization management experience in a managed care setting. This position is 100% office-based with a schedule of 8:00 AM to 5:00 PM. Interested candidates should apply or contact Ashley Greene for consideration. #J-18808-Ljbffr
$72.8k - $130k
...organization that delivers care, aided by... ...opportunities. Come make an impact on the communities... ...partnering with onsite audits and... ...business needs. As a Sr Utilization Management Nurse... ...care details, reviewing clinical information... ...Registered Nurse (RN) with a current,...SuggestedMinimum wageFull timeWork experience placementCasual workLive inWork at officeLocal areaRemote work- ...Travel RN - Case Management/Utilization Review - Case ManagementAmerican TravelerBoston, Massachusetts, United StatesPosition status: OpenAssignment type... ...weekly pay)DescriptionAmerican Traveler is hiring an RN Care Coordinator for a Case Management position requiring an...SuggestedWeekly payShift work
- ...Duties: This person will be reviewing charts to ensure... ...appropriate/cost effective care. They will be reviewing... .... This will be 100% onsite (no travel). Company Job... ...care Educate providers on utilization and medical management... .../Qualifications: RN licensure 3+ years of UM...SuggestedPrivate practiceWork at officeShift work
- ...been placing experienced nurses and therapists in home care, hospice, and case management for over 30 years. We offer... ...health plan partner of ours with a need for an experienced RN Case Manager with Utilization Review/UM experience. This position is remote based and...SuggestedContract workRemote workMonday to FridayFlexible hours
$30 per hour
...Description Are you an experienced RN Concurrent Review looking for a new... ...Responsibilities: Perform onsite review of emergent/urgent and... ...stay requests for appropriate care and setting, following guidelines... ...care Educate providers on utilization and medical management...SuggestedHourly payPrivate practice- ...Description Description: Title: Nurse Reviewer, Utilization Management Job Type: Full-time... ...members receive appropriate, high-quality care in the most suitable setting. Within a TRICARE... ...~ Associate’s degree in Nursing (ADN/RN) required; Bachelor's degree in Nursing...Full timeLocal areaRemote work
- ...BrightonOne in Brighton, MA is seeking a Nurse Reviewer, Utilization Management to perform prospective, concurrent, and retrospective... ...Director, and support discharge planning and care coordination. Required ADN with RN licensure in MA and 2+ years nursing, at least 1 year...
$29 - $52 per hour
...drive alignment between care providers and payers,... ...performing compliance reviews of medical and administrative... .... This position will utilize information from claims... ...licensure (RN or LPN) with a current,... ...committed to mitigating our impact on the environment and...Hourly payMinimum wageFull timeContract workWork experience placementLive inLocal areaRemote workMonday to FridayShift work$90k - $107k
...we support patient care, research, teaching,... ...Provides clinical review and escalation support for Utilization Management (UM) activities... ..., and business impact. Provides consultation... ...Registered Nurse (RN) license Basic Life... ...role with occasional onsite team meetings in...Work at officeRemote workFlexible hoursShift work$38.11 - $98.23 per hour
...difference in people's lives. The Utilization Analyst works with physicians, the... ...medical necessity of the hospital care. Using the concepts of utilization review, clinical documentation improvement... ...Qualifications Education: RN, Bachelor's degree desirable. Licensure...Hourly payDaily paidShift work$1,884 - $2,145 per week
...Aya Healthcare has an immediate opening for the following position: Utilization Review Registered Nurse in Somerville, MA. We'll work with you to build the healthcare career of your dreams. Whether you want a job close to home or across the country, we've got you. Job...Weekly paySecond jobLocal areaImmediate startRelocationShift work$90k - $107k
...we support patient care, research, teaching... .... The UMCM will utilize clinical knowledge... ...need for physician review as well as complete... ...Registered Nurse (RN) license required... ...awareness; monitor impact on others; be receptive... ...role with occasional onsite team meetings in...Remote workFlexible hoursShift work$1,884 - $2,145 per week
...Aya Healthcare, Inc. is seeking an Utilization Review Registered Nurse in Somerville, MA for a 10-week assignment. The role requires 1 year of RN experience and features a Monday–Friday day shift with a 4x10-hour schedule (07:00–17:30). Start date is 10/15/2026, in an...Monday to FridayDay shift$45 - $50 per hour
...about delivering quality patient care and navigating complex... ...insurance, is seeking experienced Utilization Management RNs to play a vital role in reviewing prior authorization requests, determining... ...opportunity to make an impact within a dynamic, remote environment...Contract workWork at officeRemote work- ...Health is seeking an experienced Utilization Analyst to validate the medical necessity of hospital care. The role collaborates with... ...Responsibilities include initial and daily reviews, physician education on... ...improvement opportunities. RN with CDIP/CCM desirable; 5+ years...
$60 per hour
...BAYADA Home Health Care is seeking a Registered Nurse (RN) Home Health for a nursing job in Chestnut Hill, Massachusetts... ...towns. How You’ll Make an Impact Use strong head-to-toe assessment skills... ...subtle changes in patient condition Utilize your experience with acute and post-...Weekly payLocal areaImmediate startRelocation packageFlexible hoursNight shiftWeekend work$50 - $55 per hour
...About the job Registered Nurse/RN $50-$55 Job Overview: The Staff Nurse is a Registered... ...Nurse who administers skilled nursing care to Patients/Residents/clients requiring professional... ...client's record to the Clinical Record Review Committee as indicated - Evaluates the...$60 per hour
...BAYADA Home Health Care is seeking a Registered Nurse (RN) Home Health for a nursing job in Watertown, Massachusetts... ...and Surrounding Towns Make an Impact as a Registered Nurse at BAYADA Home... ...subtle changes in patient condition Utilize your experience with acute and post-...Weekly payFull timeWork at officeLocal areaImmediate startRelocation packageFlexible hoursNight shift- ...direct professional nursing care and education to Health... ...to effectively utilize them. Ensure effective... ...present materials for review/approval by medical leadership... ...Massachusetts LPN or RN license.Excellent communication... ...Nurse rewarding and impactful! You will also find a...InternshipLocal areaFlexible hoursAfternoon shift
- ...we support patient care, research, teaching... ...Summary Summary Utilizing the nursing process... ...using BMV scanning. Reviews physician orders in... ...Registered Nurse [RN - State License] -... .... Remote Type Onsite Work Location 115 Mill... ...hand. Help people. Impact the world. Mass...Hourly payDaily paidImmediate startRemote workFlexible hoursShift workRotating shift
- ...seeking a Registered Nurse for an ambulatory care position. The role focuses on safe nursing... ...: Associate's or Bachelor's in Nursing, RN license, 0-1 year clinical nursing... ...communication and confidentiality skills; onsite work with a 40-hour weekly schedule. #J-...
- ...we support patient care, research, teaching... ...Summary Summary Utilizing the nursing process... ...using BMV scanning. Reviews physician orders in... ...Registered Nurse [RN - State License] -... ...Remote Type Onsite Work Location... ...Help people. Impact the world. Mass...Hourly payImmediate startRemote workShift work
$41.38 - $100 per hour
...and technical nursing care to assigned patients. The... ...Psychiatry, SCN, STAT RN, Primary Care Triage RN... ...cooperative work environment by utilizing communication skills,... ...67-100%) Remote Type Onsite Work Location 2014... ...a hand. Help people. Impact the world. Mass General...Hourly payRemote workShift workWeekend workAfternoon shift- ...we support patient care, research, teaching... ...Job Summary Utilizing the nursing process... ...using BMV scanning. Reviews physician orders in... ...Registered Nurse [RN - State License] -... ...Remote Type Onsite Work Location... ...hand. Help people. Impact the world. Mass General...Hourly payDaily paidImmediate startRemote workShift work
- ...a Registered Nurse for the Dissociative/Trauma Unit at Belmont, MA. This part-time, onsite role requires employing the nursing process to deliver immediate and long-term patient care, collaborate with the healthcare team, and support recovery goals in a trauma-focused...Part timeImmediate start
$32.78 - $68.33 per hour
...Reintegration Unit Utilizing the nursing process, responsibility... ...and long-term nursing care needs of patients... ...using BMV scanning. Reviews physician orders in a... ...: Registered Nurse [RN - State License] - Generic... .... Remote Type: Onsite Work Location: 115 Mill...Hourly payImmediate startRemote workShift workNight shift- ...providing psychiatric assessment/care and health education... ...including controlled substances utilizing evidence-based medicine.Provide... ...well as providing input in peer review activities.Educate patients... ...Psychiatry rewarding and impactful! You will also find a partner...16 hoursPart timeLocal areaFlexible hours
$26.01 - $62.32 per hour
...passionate colleagues who care deeply, innovate with... ...at a time. Utilization Management Nurse Consultant... ...Clinical Precertification RN (Medicare) Remote | Full... ...Nurse ready to make an impact beyond the bedside?... .... What You’ll Do Review clinical cases and make...Hourly payFull timeTemporary workWork at officeLocal areaRemote workWork from homeMonday to FridayAfternoon shiftWeekday work- ...vocational roles. The staff RN works closely with the... ...coordinating medical care with other McLean... ...Essential Functions - Utilizes multiple data sources to... ...using BMV scanning. - Reviews physician orders in a timely... ...100%) Job Details Onsite 115 Mill Street 40...Shift work
$71.1k - $97.8k
Become a part of our caring community The Utilization Management Registered Nurse uses clinical... ...time frames. (i.e. 10 reviews per day?) You will communicate... ...Qualifications Use your skills to make an impact Must hold Compact Registered Nurse (RN) license in your state of...Bi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workHome office
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