Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Inpatient RN — Clinical Utilization Reviewer

US Tech Solutions

US Tech Solutions is seeking a Clinical Reviewer, Inpatient RN for a 4-month contract to manage a clinically complex caseload across inpatient settings, including acute, subacute, and LTAC. You will determine medical necessity and coverage for Medicare and other plans, working independently and with the team. The role emphasizes sound clinical judgment, utilization management criteria (InterQual/MCG), discharge planning, and collaboration with providers. #J-18808-Ljbffr Us Tech Solutions

Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Inpatient RN — Clinical Utilization Reviewer in Canton, MA vacancy
  •  ...contract (with possible extension) Job Description The Clinical Reviewer, Inpatient RN, is a licensed professional that is expected to function...  ...provides timely, clinically appropriate and cost-effective utilization management and discharge planning activities for members... 
    Suggested
    Daily paid
    Contract work
    Weekend work

    Us Tech Solutions

    Canton, MA
    3 days ago
  •  ...Corporation in Norwood, MA is seeking a Registered Nurse to join our inpatient rehabilitation team. You will deliver patient-centered nursing...  ..., educate patients and families, and ensure compliance with clinical standards and safety protocols across a nationwide network.... 
    Suggested

    Encompass Health Corporation

    Norwood, MA
    2 days ago
  •  ...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...  ...of utilization management activities for members in an inpatient setting. Candidates MUST have current UM/UR and InterQual... 
    Suggested
    Contract work
    Remote work
    Monday to Friday
    Flexible hours

    Community Health Network, Inc.

    Boston, MA
    2 days ago
  •  ...RN Case Manager, Inpatient Cardiology | Boston Childrens Hospital Position Summary/Department Summary...  ...at Boston Children's function as the clinical professionals who coordinate the...  ...Case Manager (Discharge Planning and/or Utilization Management) preferred. Licensure/... 
    Suggested
    Monday to Friday

    Children's Hospital Boston

    Boston, MA
    4 days ago
  •  ...Position Overview The Nurse Reviewer, Utilization Management performs prospective...  ...-level judgment to senior clinical team members. Working within...  ...abuse per protocol. Perform inpatient concurrent review, monitor...  ...Associate’s degree in Nursing (ADN/RN) required; Bachelor's degree... 
    Suggested
    Full time
    Local area
    Remote work

    BrightonOne

    Boston, MA
    2 days ago
  •  ...across disciplines for a defined patient population. You will review inpatient admission records to ensure appropriate resource use and determine...  ...team. Experience in inpatient settings (3-5 years) and active RN licensure with BLS certification are required. #J-18808-... 

    PAM Health Specialty Hospital of Stoughton

    Stoughton, MA
    3 days ago
  •  ...Mass Digital Health is seeking a Utilization Review Nurse in Quincy, Massachusetts. This role involves...  ...The ideal candidate will have a strong clinical background and be proficient in...  ...position requires at least two years of RN experience in care management or utilization... 

    IntelyCare

    Quincy, MA
    4 days ago
  • $38.11 - $98.61 per hour

     ...the admitting/attending physician, the Utilization Review RN assists in determining the appropriate...  ...the appropriate hospital setting (inpatient vs. outpatient) based on medical necessity. 3. Actively seeks additional clinical documentation from the physician to optimize... 
    Hourly pay
    Local area
    Shift work

    Beth Israel Lahey Health

    Boston, MA
    7 hours ago
  • $41.72 - $108.29 per hour

     ...RN Inpatient Oncology Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech...  ...nursing care tailored to specific patients. Delegate tasks to clinical and support staff. Be accountable for leading nursing care for... 
    Hourly pay
    Remote work
    Night shift
    Rotating shift

    MGH Institute of Health Professions

    Boston, MA
    1 day ago
  • $3,000 per month

     ...! Please take a moment to review the job opportunity and reach...  ..., the Registered Nurse (RN) is responsible for utilizing the nursing process while...  ...Experience: One year of inpatient medical-surgical nursing experience...  ..., as well as wound clinics and outpatient physical therapy... 
    Full time
    Currently hiring

    Credenza Health

    Stoughton, MA
    3 days ago
  • $40 - $60 per hour

     ...Job Title Registered Nurse (RN) Job Description Under...  ...Registered Nurse is responsible for utilizing the nursing process while...  .... Experience: One year of inpatient medical-surgical nursing...  ...locations, as well as wound clinics and outpatient physical therapy... 
    Relief
    Flexible hours

    PAM Health Rehabilitation Hospital of Kyle

    Stoughton, MA
    1 day ago
  • $65 per hour

     ...Charge Nurse, the Registered Nurse (RN) is responsible for utilizing the nursing process while delivering...  ...Nurses. Experience: One year of inpatient medical-surgical nursing experience...  ...than 80 locations, as well as wound clinics and outpatient physical therapy locations... 
    Hourly pay
    Local area
    Flexible hours
    Night shift

    PAM Health Rehabilitation Hospital of Kyle

    Stoughton, MA
    5 days ago
  • $72.8k - $130k

     ...Sr Utilization Management Nurse Optum is a global organization that delivers care, aided...  ...and providers to discuss care details, reviewing clinical information for appropriateness, and...  ...Qualifications: ~ Registered Nurse (RN) with a current, active, unrestricted RN... 
    Minimum wage
    Full time
    Work experience placement
    Casual work
    Live in
    Work at office
    Local area
    Remote work

    divvyDOSE

    Boston, MA
    2 days ago
  •  ...Travel RN - Inpatient General Surgery - Ortho/Urology Boston, MA Travel Variable OR Nursing Shift: Rotating D/N, 12x3, 36hrs per week Length: 13 weeks Requirements: ~ MA License ~2+ years level 1 experience required ~ BLS Others: The Ortho-Urology... 
    Local area
    Rotating shift

    Stone Harbor Staffing

    Boston, MA
    2 days ago
  •  ...Corporation in Randolph, MA is seeking a Registered Nurse to join our inpatient rehabilitation team. You will deliver patient-centered nursing...  ..., educate patients and families, and ensure compliance with clinical standards and safety protocols in a dynamic, supportive... 

    Encompass Health Corporation

    Randolph, MA
    2 days ago
  • Overview Registered Nurse (RN) - PRN Days at PAM Health Specialty Hospital of Stoughton...  ...Charge Nurse, the RN is responsible for utilizing the nursing process while delivering,...  ...High Obs, and ICU. Experience One year of inpatient medical-surgical nursing experience preferred... 
    Full time
    Relief
    Flexible hours

    PAM Health Specialty Hospital of Stoughton

    Stoughton, MA
    4 days ago
  •  ...Registered Nurse to join our Healthcare & Medical Services team in inpatient rehabilitation. You will deliver high-quality, patient-...  ...progress, educate patients and families, and ensure compliance with clinical standards and safety protocols across our nationwide network.... 

    Encompass Health Corporation

    Wellesley, MA
    1 day ago
  •  ...various medical professionals to ensure the best outcomes for patients with complex needs. The ideal candidate will possess a current RN license, BLS, and ACLS certifications, and should be prepared to engage directly with patients and families to provide education and... 

    PAM Health Specialty Hospital of Stoughton

    Stoughton, MA
    4 days ago
  •  ...appropriateness of admission type and setting, utilizing a combination of clinical information, medical necessity...  ...guidelines. The Utilization Review Nurse utilizes clinical knowledge to...  .... Minimum two years experience as an RN (preferred). Minimum at least two years... 
    Work at office

    IntelyCare

    Quincy, MA
    3 days ago
  • $58 - $73.56 per hour

     ...includes all pharmacists (i.e., clinical, production, and retail),...  ...and follows-up on problems. Utilizes clinical data in evaluating physician...  ...Utilizes Outpatient and/or Inpatient computerized systems to enter...  ...management and utilization review programs. May coordinate... 
    Daily paid
    Work experience placement

    Beth Israel Lahey Health

    Westwood, MA
    1 day ago
  •  ...Health Specialty Hospital of Stoughton is hiring a Licensed Practical Nurse/Licensed Vocational Nurse (LPN/LVN) to join our inpatient team. Under RN supervision, you’ll deliver direct patient care to medically complex surgical patients and participate in plan-of-care... 

    PAM Health Specialty Hospital of Stoughton

    Stoughton, MA
    5 days ago
  •  ...Inpatient Mental Health Registered Nurse This position is located...  ...Health (MH) Registered Nurse (RN) provides and leads the provision...  ...de-escalation techniques, and utilize recovery-oriented language....  ...and ideas with peers. Questions clinical practices for the purpose of providing... 
    Permanent employment
    Full time
    Remote work
    Flexible hours
    Shift work
    Night shift
    Weekend work
    Afternoon shift

    US Department of Veterans Affairs

    Brockton, MA
    3 days ago
  • $39 - $65 per hour

     ...Hospital Dialysis Experience Required PURPOSE AND SCOPE: The professional registered nurse Inpatient RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) for new employees who meet the RN CAP 2 criteria or attained through... 
    Hourly pay
    Work experience placement
    Night shift
    Weekend work

    Fresenius Medical Care

    Weymouth, MA
    2 days ago
  • $2,605 per month

     ...Nursing Profession RN Specialty PACU...  ...post-anesthesia period. The RN utilizes advanced assessment, critical thinking, and clinical decision-making skills to promote...  ...safely to Phase II recovery, an inpatient unit, or an intensive care setting... 
    Weekly pay
    Immediate start
    Shift work

    Hallmark / Mass Eye and Ear

    Boston, MA
    3 days ago
  •  ...RN PACU The Phase I Post Anesthesia Care Unit (PACU) Registered...  ...post-anesthesia period. The RN utilizes advanced assessment, critical thinking, and clinical decision-making skills to promote...  ...safely to Phase II recovery, an inpatient unit, or an intensive care setting... 
    Temporary work
    Locum
    Local area
    Immediate start

    Mass Eye and Ear Main Campus

    Boston, MA
    2 days ago
  • $2,635 per month

     ...Nursing Profession RN Specialty PACU...  ...post-anesthesia period. The RN utilizes advanced assessment, critical thinking, and clinical decision-making skills to promote...  ...safely to Phase II recovery, an inpatient unit, or an intensive care setting... 
    Weekly pay
    Immediate start
    Shift work

    Mass Eye and Ear Main Campus

    Boston, MA
    9 hours ago
  •  ...PACU RN Position Summary: The Phase I Post Anesthesia Care Unit...  ...post-anesthesia period. The RN utilizes advanced assessment, critical thinking, and clinical decision-making skills to promote...  ...safely to Phase II recovery, an inpatient unit, or an intensive care setting... 
    Local area
    Immediate start

    Massachusetts General Brigham - Mass. Eye and Ear

    Boston, MA
    1 day ago
  •  ...clinician to join our outpatient palliative care clinics. This role requires floating between...  ...family education and support Competent in utilizing pain scales, both verbal and nonverbal Experience with hospice and inpatient care settings Scheduling and... 
    16 hours
    Immediate start
    Remote work
    Flexible hours
    Shift work
    Weekend work
    3 days per week
    1 day per week

    Dana-Farber Cancer Institute

    Chestnut Hill, MA
    1 day ago
  • $2,747 per month

     ...Nursing Profession RN Specialty Oncology...  ...in Oncology to join our inpatient oncology unit. The ideal candidate...  ...and marrow transplant (BMT). Utilize telemetry equipment and PCA...  ...patient care. Participate in clinical trials and collaborate with the... 
    Weekly pay
    Full time
    Temporary work
    Shift work
    Night shift
    Weekend work

    Dana-Farber Cancer Institute - Brigham and Womens Hospital

    Boston, MA
    2 days ago
  • $18.44 - $27.39 per hour

     ...workflow by scheduling Emergency and Inpatient MR scans, answering phones, preparing...  ...tasks. The coordinator will perform clinical tasks utilizing EPIC to assist in safe patient...  ...transfer from stretcher and MR bed Reviewing MR exam orders to ensure all required... 
    Hourly pay
    16 hours
    Part time
    Work at office
    Remote work
    Shift work
    Weekend work

    2810 Brigham and Women's Faulkner Hospital, Inc.

    Boston, MA
    1 day ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Inpatient RN — Clinical Utilization Reviewer. Be the first to apply!