Utilization Management RN
Mass General Brigham
Mass General Brigham Per Diem OpportunityMass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.Per Diem OpportunityResponsible for coordinating the complex care needs of patients and is the primary patient contact for service access, diagnostics, treatment activities, schedules, patient and family education, and multidisciplinary collaboration.Essential FunctionsIn collaboration with the interdisciplinary team, help create a tailored health care plan for assigned patients.Develop an individualized plan with the MD for appropriate services for the patient.Reports pertinent observations and reactions regarding clients to the appropriate person (i.e., primary care provider, social worker, or Director).Assesses and coordinates patient's discharge planning needs with members of the healthcare team.Resolves patient problems and needs by utilizing multidisciplinary team strategies.Educates patients regarding how to navigate throughout the health system.QualificationsEducationBachelor's Degree Nursing required or Master's Degree Nursing preferredCan this role accept experience in lieu of a degree?NoLicenses and CredentialsMA Registered Nurse License requiredExperienceExperience in an acute care setting and/or provider practice and/or experience in a community-based role or with discharge/transitional planning background 2-3 years preferredKnowledge, Skills and AbilitiesStrong attention to detail and organization.Strong cultural awareness competencies.Proficiency in Microsoft Office.Maintains good communication skills.Readily adapts to change and welcomes new approaches when circumstances demand it.Additional Job Details (if applicable)Remote TypeRemoteWork Location265 Charles StreetScheduled Weekly Hours0Employee TypePer DiemWork ShiftDay (United States of America)Pay Range$41.72 - $105.65/HourlyGradeGHCARN055At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.EEO Statement:1200 The General Hospital Corporation is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources.Mass General Brigham Competency FrameworkAt Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
$72.8k - $130k
...Sr Utilization Management Nurse Optum is a global organization that delivers care, aided by technology to help millions of people live healthier... ...in. Required Qualifications: ~ Registered Nurse (RN) with a current, active, unrestricted RN License in Massachusetts...SuggestedMinimum wageFull timeWork experience placementCasual workLive inWork at officeLocal areaRemote work$90k - $107k
...services from out-of-network providers. Utilizing clinical knowledge, the UM Nurse will review... ...have prior authorization experience in a managed care setting and possess strong... ...Credentials ~ Massachusetts Registered Nurse (RN) license required Experience At...SuggestedFull timeWork at officeRemote workFlexible hoursShift work- ...in Boston is seeking a Staff Nurse - Per Diem Rotating Day in Utilization Management. The role reviews denials, appeals, and ensures appropriate... ...care coordination and finance teams. A BSN is required with RN licensure in Massachusetts and prior utilization review experience...SuggestedRemote jobDaily paid
$39.34 - $56.2 per hour
...Wound Care Utilization Management RN Wound Care Utilization Management RN Virtual: This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity...SuggestedFull timeWork at officeRemote workMonday to FridayShift 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... ...Review RN in Everett, Massachusetts, 02149! Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Everett...SuggestedHourly payWeekly payFull timeContract workImmediate startShift 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... ...Start Date: ASAP About the Position Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Everett...Hourly payWeekly payFull timeContract workImmediate startShift work- South Shore Health System is seeking an RN Case Manager to advocate for SSH&EC clients, coordinate services, and manage care for complex... ...requires reviewing admissions, discharge planning, and resource utilization, with night/weekend shifts and holiday coverage....Daily paidNight shiftWeekend work
- South Shore Health is seeking an experienced RN Case Manager to advocate for SSH&EC clients, coordinate services, and manage complex patient care to balance quality and cost efficiency. The role requires applying InterQual criteria, reviewing records for medical necessity...Night shiftWeekend work
- ...RN – Med Surg Specialty: RN- Medical/Surgical – Travel Job Description Clinical... ...other's changing needs & goals, utilizing the Clinical Practice Model (CPM) and the... ...Productivity: Demonstrates enhanced time management skills and ability to assist others in order...Weekly pay
- ...Registered Nurse Department: Inpatient Case Management Everett Job Type: Per Diem Work Shift:... ...of the Director of Care Management, the RN Case Manager provides clinically-based... ...health care team to identify appropriate utilization of resources and to ensure reimbursement...Daily paidLocal areaWork from homeShift work
- ...Utilization Management Registered NurseDuration: 6 Month Contract (Possibility of Extension)We are seeking an experienced Utilization Management... ...Required QualificationsActive, unrestricted Registered Nurse (RN) license.Associate Degree in Nursing (ADN) required.Minimum 5...Contract workRemote work
$1,892 per week
...Registered Nurse (RN) | Postpartum Location: Boston, MA Agency: FlexCare Pay: $1,892 per week Shift Information:... ...nationwide leader in travel nursing, allied health, and therapy talent management solutions for top healthcare facilities throughout the U.S....Full timeContract workImmediate startShift workRotating shift$79.14k - $156.69k
...POSITION SUMMARY: Utilizing a collaborative process, the care manager will assess, plan, implement, monitor, and evaluate the options and services required... ...process and the department. Position: RN Case Manager Department: 4W Schedule: 40 Hours...Full timeContract workFixed term contractFlexible hoursWeekend workDay shift$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...Contract workLocal areaImmediate startShift work- ...appropriateness of admission type and setting, utilizing a combination of clinical information,... ...physicians, patients, payers, and care managers regarding termination of benefits, denial... .... Minimum two years experience as an RN (preferred). Minimum at least two years of...Work at office
- ...Registered Nurse (RN) | Administration / Management Location: Boston, MA Agency: Titan Medical Group Pay: Competitive weekly pay (inquire for details) Shift Information: Days - 5 days x 8 hours Contract Duration: 12 Weeks Start Date: 8/31/2...Weekly payFull timeContract workShift 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: 9/13/...Weekly payFull timeContract workShift work
- ...Registered Nurse (RN) | Administration / Management Location: Boston, MA Agency: Titan Medical Group Pay: Competitive weekly pay (inquire for details) Shift Information: Days - 5 days x 8 hours Contract Duration: 12 Weeks Start Date: 8/31/2...Weekly payFull timeContract workShift 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: 9/13/...Weekly payFull timeContract workShift work
$42 - $95.85 per hour
Cambridge Health Alliance (CHA) in Everett, MA seeks an RN Case Manager to provide clinically based care management for inpatients, coordinating post-acute planning and ensuring efficient utilization of resources. The role collaborates with the care team, patient and family...Hourly pay- Mass Digital Health is seeking a Utilization Review Nurse in Quincy, Massachusetts. This role... ...and collaborating with healthcare teams to manage care effectively. The ideal candidate... ...position requires at least two years of RN experience in care management or utilization...
$2,628 per week
...Registered Nurse (RN) | Nurse Manager Location: Cambridge, MA Agency: Prime Staffing Pay: $2,628 per week Shift Information... ...fit for both our clients and candidates. Prime Staffing utilizes a unique matchmaking approach, providing the most qualified...Permanent employmentFull timeContract workTemporary workShift work$2,131 - $2,368 per week
...Registered Nurse (RN) | Case Manager Location: Boston, MA Agency: All Medical Personnel Pay: $2,131 to $2,368 per week... ...all patient populations – Required ~ Case Management or Utilization Review Certification - Highly Preferred Benefits: Medical...Weekly payFull timeContract workLocumImmediate start$1,157 per week
...Registered Nurse (RN) | Case Manager Location: Cambridge, MA Agency: Prime Staffing Pay: $1,157 per week Shift Information... ...fit for both our clients and candidates. Prime Staffing utilizes a unique matchmaking approach, providing the most qualified...Permanent employmentFull timeContract workTemporary workLocal areaShift workAfternoon shift$87k - $129k
...Hospital At Home RN Operations Supervisor When you join the growing BILH team, you... ...and unplanned needs. Support staff in managing patient and family needs. Manage prioritization... ...to effectively plan and manage the utilization of resources. Able to promote patient safety...All shiftsFlexible hoursShift workNight shiftAfternoon shift- Boston Medical Center is seeking an RN Case Manager to utilize a collaborative process in assessing and managing health requirements. The role involves planning, implementing, and evaluating care services while ensuring cost-effective outcomes. Candidates must have a relevant...Flexible hours
$44 per hour
## RN Care ManagerApplyremote type: Hybridlocations: 1601 Washington Streettime type:... ...nurse or physician providing direct care, a manager leading dedicated teams, or part of the... ...our local community. Additionally, we utilize our Education & Training Institute as a resource...Hourly payFull timeFixed term contractWork at officeLocal areaImmediate startMonday to FridayFlexible hours- ...other community settings to establish an effective, complex care management relationship, while considering the cultural and linguistic... ...that address medical and non-medical needs. Oversee enrollee utilization of long-term services and supports, ensuring appropriate...
$29 - $52 per hour
...Caring. Connecting. Growing together. The RN Clinical Care Coordinator will be the primary care manager for a panel of members with complex medical/behavioral... ...and socioeconomic needs to promote appropriate utilization of services and improved quality of care. If...Hourly payDaily paidMinimum wagePermanent employmentFull timeTemporary workPart timeWork experience placementLocal areaRemote workRelocation package$39.14 - $101.14 per hour
...taking a job, you’re making a difference in people’s lives. The RN Case Manager working in the Triad Model of Care Transitions partners with... ..., high-quality care. This position ensures the appropriate utilization of clinical resources with a goal of a safe and timely...Hourly payDaily paidShift work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Utilization Management RN. Be the first to apply!
- wound rn Boston, MA
- entry level registered nurse Boston, MA
- psych rn Boston, MA
- non clinical rn Boston, MA
- clinic registered nurse rn Boston, MA
- outpatient surgery centers rn Boston, MA
- part time rn Boston, MA
- rn relocation bonus Boston, MA
- registered nurse healthcare Boston, MA
- rn relocation assistance Boston, MA





