RN - Utilization Review
Liquid Agents
Utilization Review RnJob Type: TravelProfession: RNSpecialty: Utilization ReviewShift Details: Variable Shifts - 40 HrsJob Order Details: Start Date 09/01/2026 End Date 10/20/2026 Duration 7 Week(s)Client Details: State MA
Vacancy posted 21 hours ago
Similar jobs that could be interesting for youBased on the RN - Utilization Review in Boston, MA vacancy
- Mass Digital Health is seeking a Utilization Review Nurse in Quincy, Massachusetts. This role involves evaluating patients for appropriate admission... ...coordination. This position requires at least two years of RN experience in care management or utilization management. The...Suggested
- ...appropriateness of admission type and setting, utilizing a combination of clinical information,... ...or InterQual guidelines. The Utilization Review Nurse utilizes clinical knowledge to... ...license. Minimum two years experience as an RN (preferred). Minimum at least two years...SuggestedWork at office
$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... ...Health Care is hiring experienced Non-patient Care (utilization Review) RNs for contract opportunities at a leading Level 1 trauma center...SuggestedContract workLocal areaImmediate startShift work- ...Mass Digital Health is seeking a Clinical Reviewer LPN for a work-from-home position. The role involves performing retrospective medical reviews based on patient eligibility and contract requirements, requiring clinical expertise and knowledge of Medicaid guidelines....SuggestedContract workRemote workWork from home
Mass Digital Health
Quincy, MA2 days ago - 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...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...
$29 - $52 per hour
...be responsible for performing compliance reviews of medical and administrative documentation... ...claims for payment. This position will utilize information from claims data analysis, plan... ...work experienceNurse licensure (RN or LPN) with a current, active, and unrestricted...Hourly payMinimum wageFull timeContract workWork experience placementLive inLocal areaRemote workMonday to FridayShift workUnitedHealth Group
Boston, MA22 hours ago$72.8k - $130k
...work based on business needs. As a Sr Utilization Management Nurse in the Boston MA Regional... ...and providers to discuss care details, reviewing clinical information for appropriateness... ...Required Qualifications: * Registered Nurse (RN) with a current, active, unrestricted RN...Minimum wageFull timeWork experience placementCasual workLive inWork at officeLocal areaRemote work$59k - $75.05k
...Nurse ReviewerThe Nurse Reviewer is primarily responsible for conducting post-service, pre... ...What You'll Bring to Zelis:Current/active RN License.Typically has a BA or 3-5 years of... ...long period of computer work while utilizing multiple computer screens at one time.Base...Full timeWork at officeLocal areaFlexible hoursZelis
Boston, MA22 hours ago$41 - $69 per hour
...responsibility” assigned to the Inpatient Services RN, for a limited period of time, and for specific... ...ensure efficient patient scheduling and staff utilization in accordance with the TAP scheduling tool. Maintain and review the daily TAP tool for all hospitals/facilities...Hourly payWork experience placementLocal areaFresenius Medical Care
Boston, MA7 days ago- ...Utilization Management Registered NurseDuration: 6 Month Contract (Possibility of Extension)We... ...Nurse to support outpatient utilization review and prior authorization activities for a... ...QualificationsActive, unrestricted Registered Nurse (RN) license.Associate Degree in Nursing (ADN...Contract workRemote work
US Tech Solutions
Canton, MA16 hours ago $41.36 - $100 per hour
...Per Diem RN Opportunity At Brigham and Women's Faulkner Hospital Mass General Brigham relies on a wide range of professionals... ...and appeals including the peer to peer process. Perform utilization review to evaluate for appropriate level of care and faxes all insurance...Hourly payDaily paidRemote workShift workWeekend work$62.7k - $100.4k
...Job Summary: The Care Delivery Triage RN is responsible for performing telephonic... ...Evaluates and assesses health care needs utilizing established triage protocols and... ...will be completed through an interactive review process. Working Conditions: General...Hourly payWork at officeLocal areaHome officeCareSource
Boston, MA2 days ago- A healthcare organization is looking for a Physical Therapy Utilization Management Reviewer in Hingham to evaluate outpatient rehabilitation services. The role involves conducting various reviews, collaborating with a dedicated team of healthcare professionals, and ensuring...
- ...independently with limited supervision, coaching and reviewing the work of lower level professionals,... ...of patient/family centered care utilizing the nursing process and adhering to the standards... ...Qualifications: 1. Registered Nurse (RN) license. 2. Basic Life Support (BLS)...Work experience placementLocal areaShift workAfternoon shift
$33 - $48 per hour
...LPN UM Reviewer The LPN UM Reviewer supports the Utilization Management team by reviewing authorization requests, monitoring medical necessity criteria, coordinating... ...Escalate complex cases or requests that require RN or Medical Director review. Document...Fixed term contract- ...independently with limited supervision, coaching and reviewing the work of lower level professionals,... ...of patient/family centered care utilizing the nursing process and adhering to the standards... ...Qualifications: 1. Registered Nurse (RN) license. 2. Basic Life Support (BLS)...Work experience placementLocal areaShift work
Tufts Medicine
Boston, MA1 day ago $30 per hour
...rewarding career! Job Description Are you an experienced RN Concurrent Review looking for a new opportunity with a prestigious healthcare... ...or onsite to coordinate member care Educate providers on utilization and medical management processes Provide clinical knowledge...Hourly payPrivate practice- ...Day to Day Duties: This person will be reviewing charts to ensure members are receiving the... ...member care Educate providers on utilization and medical management processes Provide... ...Minimum Education/Licensures/Qualifications: RN licensure 3+ years of UM experience in a...Private practiceWork at officeShift work
$65 - $70 per hour
..., clinical, and community settings. • Participates in peer review and other means of evaluation. • Provides clinical instruction... ...and outreach activities as appropriate to increase SBHC utilization. • Attends mandatory Massachusetts Department of Public Health...Monday to FridayComplete Staffing Solutions
Roxbury Crossing, MA4 days ago$32.13 - $48.2 per hour
...accountability for assigned patients. Utilize best practices and evidence-based interventions... ...Expectations: Registered Nurse (RN): Holds full accountability for independent... ...reports and documentation with RN review as appropriate. Remote Type Salary...Remote workRelocation packageShift workHebrew SeniorLife
Dorchester Center, MA22 hours ago$36 - $58.15 per hour
...severe infection, concerning biopsy results Review and route test/biopsy results — melanoma... ...to access resources relevant to the RN role. Uses software applications required... ...care delivery for diverse populations. Utilizes resources such as interpreter services when...Full timeWork experience placementShift work$42.36 - $56.99 per hour
...multidisciplinary patient care services team. Utilizes the institution’s care delivery and... ...and modification of the plan of care. The RN interprets and performs complex patient-care... ...unit level. Provides feedback in peer review as requested. Provides direct performance...Full timeWork experience placementRelocation packageShift workUniversity of Maryland Medical System
Cambridge, MA5 days ago$60 - $70 per hour
...program Among others Responsibilities What You Can Expect: Obtain and review all new patient information and consent forms before initial... ...leadership skills Ability to problem solve Education/Training: Current MA RN license One year of dialysis nursing experience required...Full timeFor contractorsDialysis Clinic
Boston, MA4 days ago- ...for the CNA certification program and oversight of students. Reviews 24-hour reports from every unit daily to monitor and ensure... ...Development and delivery of in-service education to nursing staff. Utilizing education to expand the knowledge, skills and confidence of the...Full timeImmediate start
Medford Rehabilitation & Nursing Center
Medford, MA18 days ago $33 - $45 per hour
...JOB DESCRIPTION Hebrew SeniorLife Reviewed/Revision date: February 2022... ...in collaboration with a Registered Nurse, utilizes the nursing process of assessment, planning... ...accountability for a set of assigned patients with RN oversight of assessment and care planning...Immediate startRemote workFlexible hoursShift workNight shiftHebrew SeniorLife
Boston, MA3 days ago- ...Medical ReviewerThe Medical Reviewer role is to perform medical case review and to provide expertise on all aspects of it with emphasis on harmonization of medical review approach. This role will interface across all levels and functional areas of GPSRM and partner with...Flexible hours
LanceSoft
Cambridge, MA16 hours ago - ...our website, please only use or Additionally, our recruiters utilize email addresses with the @lifestance.com domain. Other websites... ...status should not be sent to this email address as they will not be reviewed or responded to. To apply for a position, please use our...Full timePart timeWork at officeHome officeRelocation packageFlexible hours
LifeStance Health
Boston, MA11 days ago $28.94 - $51.83 per hour
...Clinical Appeals RN Optum is a global organization that delivers care, aided by technology... .../prior authorization clinical coverage review of services. Works closely with managers... ...prior authorization decisions by utilizing program specific regulations, medical necessity...Remote jobHourly payMinimum wageFull timeTemporary workWork experience placementWork at officeLocal area$64.9 - $96.3 per hour
...the behavioral health industry by delivering exceptional care, utilizing state-of-the-art facilities, and prioritizing the well-being of... ...a PHP/IOP setting.Participate in clinical team meetings, case reviews, and treatment planning discussions.Document all patient interactions...Full timePart timeMonday to FridayGuidelight Health
Medford, MA2 days ago
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