Search Results: 12,611 vacancies

 ...Description & Requirements Maximus is hiring a Clinical Reviewer to support our North Dakota QRTP program. The Clinical Reviewer reviews Independent Contractor Assessor's findings and writes determination reports, creates individualized outcome reports, showing strengths... 
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Maximus

Boston, MA
7 hours ago
 ...Responsible for obtaining initial insurance authorizations for all applicable coverage and for appropriate level of clinical care. Must demonstrate McLean values of integrity, compassion and respect, diversity and teamwork, excellence and innovation consistently in their... 
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Partners Healthcare System

Belmont, MA
4 days ago
 ...conjunction with the admitting/attending physician, the Utilization Review RN assists in determining the appropriate admission status...  ...outpatient) based on medical necessity. 3. Actively seeks additional clinical documentation from the physician to optimize hospital... 
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Beth Israel Lahey Health

Boston, MA
7 hours ago
 ...individuals, our programs literally save lives. The Utilization Reviewer in the Behavioral Health department is responsible for...  ...authorizations for all applicable coverage and for appropriate level of clinical care across the Substance Use Disorder treatment/Behavioral... 
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Hourly pay
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Monday to Friday

The Dimock Center

Roxbury, MA
14 days ago
 ...affected by these disorders, and to promote lasting recovery. SUMMARY: The Utilization Review Specialist will perform utilization review of pre-certification and concurrent clinical utilization reviews with insurance companies in accordance with certification... 
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Gosnold

Stoughton, MA
10 days ago
The Role In this role, the QC Bioassay Data Reviewer will support data and records review in LIMS, Veeva, and assay worksheets. Additionally, this role is responsible for review of department logbooks. Here's What You'll Do * Review executed QC test records (paper and... 
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Moderna Theraputics

Norwood, MA
4 days ago
 ...Job Description Job Description Position: Commercial Loan Doc Reviewer Full-Time: 40 Hours Contract: ASAP once onboarding clears – 2/28/2025 (possibility of extension or converting permanent) Location: Waltham, MA Pay Range: $30.22 hourly, paid weekly... 
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Canon Recruiting Group

Waltham, MA
11 days ago
 ...Experienced Document Review Attorney Remote Great opportunity for l icensed attorneys with document review experience interested in quality focused e-Discovery. We have some projects anticipated to start soon and others in the pipeline. Please apply to get on our... 
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Dauntless Discovery

Boston, MA
7 hours ago
 ...professional service within the Quality Assurance Service. To support the development management and delivery of an independent reviewing service to children looked after and their families. To build and maintain relationships with key partners to improve... 
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CRA GROUP LIMITED

Waltham, MA
2 days ago
 ...accessibility, integrity, and quality care are what is most important. We put a lot of emphasis on the thought that—in order for our clinical team to be accessible to clients—we must fully support our clinicians by allowing them to do what they are trained to do. We... 
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Part time
Private practice
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Thriveworks

Newtonville, MA
3 days ago
 ...Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Boston, Massachusetts. Job...  ...healthcare professionals whose adventure game is as strong as their clinical game. Those that want flexibility and high pay, we have the... 
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Medical Solutions

Boston, MA
2 days ago
 ...passionate about cybersecurity and enhancing the security posture of clients product development lifecycle. You will apply your code review experience and contribute to a variety of services our team offers clients, particularly where we perform penetration testing... 
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Accenture

Boston, MA
3 days ago
Skills: Thorougness Individuals need to review scanned document for clarity and orientation. RATE: $14.23 - $17.21 Per Hour On W2 Required / Desired Skills thorougness: Required
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Dutech Systems, inc

Boston, MA
29 days ago
 ...Associate Director, US Medical Review Committee Operations This is what you will do: The position of Associate Director, US Medical Review Committee (MRC) Operations is responsible for the overall implementation of strategic and complex projects within the US Medical... 
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Alexion Pharmaceuticals, Inc.

Boston, MA
4 days ago
 ...Job Title: Document Reviewer Duration: 3+ months (Possible extension) Location: Boston, MA- 02116 Summary: Seeking a meticulous and detail-oriented individual to join our team as Document Reviewers. As a Document Reviewer, you will play a crucial... 
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MASHPOINT LLC

Boston, MA
23 days ago
 ...Job Description The Role In this role, you will support QC Labs with review of test records. Heres What Youll Do Review executed QC test records for product release and environmental monitoring. Additional duties may be assigned Heres What Youll Need... 
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Afternoon shift

Planet Group

Norwood, MA
1 day ago
 ...orders. In addition, this role focuses on performing the following Clinical Nurse duties: Assesses, plans, implements, and evaluates the...  ...working independently with limited supervision, coaching and reviewing the work of lower level professionals, resolving difficult and... 
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Tufts Medical Center

Boston, MA
8 days ago
Sr. Supervisor, Credit Risk Review Boston, United States of America The primary function of the Commercial Credit Risk Review Senior Associate is to maintain subject matter expertise in, and lead and participate in assessments of credit risk and credit risk management... 
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Santander Holdings USA, Inc.

Boston, MA
8 days ago
 ...abuse in government programs. Results are achieved through data analytics, technology solutions, audit, investigation, and medical review. At IntegrityM, we offer a culture of opportunity, recognition, collaboration, compassion and supporting our community. We thrive... 
Full time
Remote job
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Integrity Management Services, Inc.

Boston, MA
3 days ago
 ...The Data Review Coordinator provides routine, real-time review and verification of Animal Rule/GLP study data, including all animal observation and procedure data, to ensure adherence to generally recognized good documentation practices as well as to the study protocol... 
Full time
Boston, MA
4 days ago