Utilization Review Nurse Care Coordination Expert
Mass Digital Health
Mass Digital Health in Quincy, Massachusetts is seeking a Utilization Review Nurse to evaluate patients for admission appropriateness and coordinate care activities. This role demands collaboration with physicians, care managers, and extensive clinical knowledge to ensure effective patient management. Ideal candidates should be Registered Nurses with experience in care management or utilization review. Strong communication and negotiation skills are essential as you’ll be guiding patients and families throughout their care journey. #J-18808-Ljbffr
- Mass General Brigham is seeking a Staff Nurse - Lung Transplant Nurse Coordinator for the Brigham and Women’s Hospital main campus. The role focuses on pre-transplant care, seamless coordination with the transplant team, and data entry in EPIC and regulatory databases....Suggested
- ...of admission type and setting, utilizing a combination of clinical information... ...guidelines. The Utilization Review Nurse utilizes clinical knowledge to support the coordination, documentation, and... ...physicians, patients, payers, and care managers regarding termination...SuggestedWork at office
- PAM Health is seeking a registered nurse Case Manager in Stoughton, MA to coordinate care for a designated patient population. You will review admission records for appropriate utilization and determine discharge planning needs in collaboration with an interdisciplinary...Suggested
- ...Blue Cross Blue Shield of Massachusetts, a leading not-for-profit health plan, seeks a Clinical Utilization Reviewer to facilitate care for members with complex needs and to authorize services at the right level of care. The role emphasizes independent work, collaboration...Suggested
- ...Health System is seeking an RN to provide individualized, outcome-oriented nursing care within a high-acuity hospital setting. You will manage medication administration, documentation, and coordination of care for admitted patients, aligning with the nursing process and...Suggested
- ...Shore Health in Weymouth, MA is seeking an Oncology RN to support patient assessment, education, chemotherapy administration, and care coordination for oncology and hematology patients at SSH Radiation Oncology Cancer Center. The role emphasizes teamwork with a...
- BaneCare Management is seeking a full-time in-person Accounts Receivable Coordinator for our skilled nursing facility. The role focuses on billing and collections, Medicaid/Medicare, and resident financial communications. Responsibilities include month-end processes, posting...Full time
- ...to ensure efficient clinic operations. Responsibilities include rooming patients, taking vital signs, assisting with procedures, phlebotomy, vaccines, and front desk coordination, with a focus on high-quality patient care and teamwork. #J-18808-Ljbffr South Shore Health
- ...Mass Digital Health is seeking a Registered Nurse in Quincy, Massachusetts, focused on telehealth services. Candidates must have a Bachelor... ..., and ensure a culturally sensitive approach to patient care, while actively collaborating with healthcare teams to enhance patient...
$1,640 - $1,787 per week
...Supplemental Health Care is seeking a travel nurse RN Acute Care Case Management for a travel nursing job in Boston, Massachusetts. Job Description... ...Health Care is hiring experienced Non-patient Care (utilization Review) RNs for contract opportunities at a leading Level 1...Contract workLocal areaImmediate startShift work$29 - $52 per hour
...friction and drive alignment between care providers and payers, and... ...for performing compliance reviews of medical and administrative... ...for payment. This position will utilize information from claims data analysis... ...long term care, for example, nursing facility care delivery/...Hourly payMinimum wageFull timeContract workWork experience placementLive inLocal areaRemote workMonday to FridayShift work- ...Digital Health in Quincy, Massachusetts, is hiring an RN to deliver dialysis treatments and monitor patient status within a supportive care team. Candidates must have an active RN license, CPR certification, and 2+ years of experience with acutely ill patients. The role...
- Boston Medical Center is seeking an Oncology Registered Nurse to assess, educate and coordinate care for oncology and hematology patients. The role features administration of chemotherapy, infusion therapies and supportive care in a fast-paced setting within the Hem/Oncology...
- The Brigham and Women's Hospital, Inc. seeks a Registered Nurse to plan, coordinate, and deliver care for patients in alignment with Nursing Standards of Care. The role emphasizes assessment, planning, and evaluation of patient care with accountability to a nurse manager...Night shift
- ...Massachusetts. The role emphasizes medication administration, plan of care, and patient-family-centered care within a multidisciplinary team. Ideal candidates have 3-5 years NICU experience, a nursing license, and a commitment to safety and professional development in a...
- ...General Brigham is seeking a Registered Nurse at The Brigham and Women’s Hospital, Inc.... ...nurse will plan, implement, and evaluate care for patients with complex needs, adhering... ...documenting thoroughly, providing education, and coordinating with the health care team. #J-18808-...
- ...Utilization Management Registered NurseDuration: 6 Month Contract (Possibility... ...Utilization Management (UM) Registered Nurse to support outpatient utilization review and prior authorization activities... ...a strong background in managed care, utilization management, medical necessity...Contract workRemote work
$81.51k - $108.03k
...Overview RN – MDS Coordinator Turn Clinical Expertise... .... Shape Individualized Care. Make an Impact at Mattapan... ...Are you a Registered Nurse (RN) with experience in... ...untimely information. Review resident records,... ...reflect current needs. Utilize clinical judgment and attention...Full timeTemporary workWork at officeLocal areaShift work- ...candidates will have 2+ years of Medicaid billing experience, strong analytical skills, and proficiency with electronic billing systems and payer portals. This role supports our mission to provide compassionate, high-quality care. #J-18808-Ljbffr Aspire Health Alliance
$70 per hour
Regional Care Network in Milton, MA seeks a Doctor of Physical Therapy for geriatric/long-term care. This Mon-Fri day shift role requires a DPT, MA licensure, and 6+ months in SNF/LTC; compensation $70.00/hour; health insurance on qualifying shifts. Strong clinical skills...Shift workDay shift- Plumas District Hospital in Quincy, CA is seeking a Care Coordinator RN to optimize chronic disease management within our clinic setting. The... ...primary and specialty care providers. You will work with nursing, quality, and informatics teams to integrate case management...
- South Shore Health in Weymouth, MA seeks an experienced RN to manage individualized, outcome‑oriented nursing care using the nursing process. You will coordinate care, assess and document patient needs, and support family centered care throughout hospitalization. The role...Afternoon shift
- South Shore Health is seeking an experienced RN to provide individualized, outcome oriented nursing care using the nursing process. The role emphasizes medication administration, plan of care development, patient family centered care, and continuous safety improvements...
- Mass Digital Health in Quincy, Massachusetts, is seeking a Registered Nurse to coordinate clinical care for patients. This role requires integrating health care providers to achieve optimal patient outcomes and educating families throughout the care process. The ideal candidate...
- Dana-Farber Cancer Institute in Boston is seeking a Lead Clinic Coordinator to oversee the Clinic Coordinator team and lead scheduling activities. The role works closely with the Practice Manager and Nurse Director to implement initiatives and ensure efficient clinic operations...
- ...Shore Health System is seeking an RN Case Manager to independently coordinate, negotiate, procure services, and manage care for complex patients at SSH Care Progression. The role emphasizes utilization review, discharge planning, and collaboration with physicians and...Full timeWeekend work
- ...Technologist in Braintree, Massachusetts. This role entails traveling to nursing homes, assisted living facilities, and private residences to perform diagnostic X-Ray exams with a commitment to patient care. Candidates must be A.R.R.T. certified, holding a valid driver's...Relocation package
- ...seeking a part-time MRI technologist in Weymouth, MA. You will perform routine and advanced MRI procedures while maintaining patient care and safety in a strong magnetic field. The role requires ARRT MRI certification or eligibility, 1-2 years of radiologic technologist...Part time
- ...Bonus. Hancock Park Rehabilitation and Nursing Center is currently seeking a seasoned full-time in-person MDS Coordinator for an in-person role in Quincy, MA. Our compassionate... ...work with them to provide top of the line care to our residents. Hancock Park is a beautiful...Full timeRelocation packageShift work
- ...offered! The Bostonian Rehabilitation and Nursing Center is currently seeking a seasoned full-time in-person MDS Coordinator for an in-person role in Dorchester, MA .... ...and work with them to provide top of the line care to our residents. Benefits for MDS...Full timeRelocation packageShift work
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