Average salary: $97,768 /yearly

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 ...Work Shift: Day (United States of America) Position Summary: In conjunction with the admitting/attending physician, the Utilization Review RN assists in determining the appropriate admission status based on the regulatory and reimbursement requirements of various... 
Suggested
Full time
Local area
Shift work

Beth Israel Deaconess Medical Center

Boston, MA
12 hours ago
 ...developmental disabilities, or substance use disorders. For many individuals, our programs literally save lives. The Utilization Reviewer in the Behavioral Health department is responsible for obtaining initial and concurrent insurance authorizations for all... 
Suggested
Hourly pay
Shift work
Monday to Friday

The Dimock Center

Roxbury, MA
11 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... 
Suggested
Work experience placement
Local area

Accenture

Worcester, MA
2 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... 
Suggested
Holiday work
Flexible hours
Night shift

Moderna Theraputics

Norwood, MA
1 day ago
 ...mission to support people and families 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... 
Suggested
Holiday work
Full time
Flexible hours

Gosnold

Stoughton, MA
7 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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Hourly pay
Weekly pay
Permanent employment
Full time
Contract work
Immediate start
Monday to Friday

Canon Recruiting Group

Waltham, MA
8 days ago
 ...Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Falmouth, Massachusetts. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Duration: 13 weeks ~40 hours per week... 
Suggested
Weekly pay
Holiday work
Shift work

Medical Solutions

Falmouth, MA
3 days ago
 ...Same Day Care Educate patients and parents in oral hygiene instruction Assess the dental condition and needs of patients and review patients' medical history Responsible for adhering to all government regulations and company standards Guide parents and patients... 
Suggested
Holiday work
Full time
Local area
Relocation bonus
Flexible hours
Day shift
Saturday

Cortland Dental & Braces - a Benevis company

Massachusetts
1 day ago
 ...Generate business in accordance with individual sales target • Collaborate with other teams to provide strategies and solutions • Peer review the work of other team members as needed The ideal candidate will have 4+ years of disability and absence management experience... 
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Local area
Remote job

Alera Group

Massachusetts
2 days ago
 ...financial analysis and research to support executive and senior management decision making. Will be involved in the development and review of periodic compliance reporting that is required by key stakeholders within the organization.   Schedule & Location: This... 
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Work experience placement
Remote job
Flexible hours
Monday to Friday

FM Global

Massachusetts
10 days 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
1 day ago
 ...rounding. Asking current clients for the opportunity to quote other lines of insurance to contribute to the growth of the agency. • Review renewal policies - making suggestions to clients, and remarketing if necessary to retain the business. • Guide clients with the... 
Suggested
Remote job

Alera Group

Massachusetts
2 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
Suggested
Hourly pay
Contract work

Dutech Systems, inc

Boston, MA
26 days ago
 ...and special diet menus as prescribed by the attending physician. * Assist in developing diet plans for individual residents. * Review therapeutic and regular diet plans and menus to assure they are in compliance with the physician's orders. * Ensure that all food... 
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Local area

Berkshire Healthcare

Massachusetts
5 days ago
 ...problem-solving * Excellent math and analytical skills * Close attention to detail * Strong organizational skills and ability to review and understand the entire Nye order fulfillment process Provider Description Enabled SAP * "route" is used for session... 
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Nye Lubricants, Inc.

Massachusetts
4 days ago
 ...medication administration, including Medication Administration Program (MAP) as MAP Coordinator as appropriate. • Developing and reviewing programs, goals and objectives based on priorities and resources of Seven Hills at Groton MCBR in collaboration with other program... 
Permanent employment
Contract work
Relocation bonus
Shift work

Seven Hills Foundation

Massachusetts
3 days ago
 ...monitoring the patient for potentially dangerous physical and/or emotional change. Evaluating test results for clarity and accuracy. Reviewing patient case studies with peers and physician. Informing physicians of preliminary findings as requested according to... 
Weekly pay
Worldwide
Flexible hours

Siemens Healthineers

Massachusetts
1 day 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... 

MASHPOINT LLC

Boston, MA
20 days ago
 ...Responsibilities UTILIZATION REVIEW COORDINATOR Arbour Counseling Services, a subsidiary of Universal Health Services, provides trusted quality and experience throughout our continuum of behavioral health and substance use treatment programs. Individualized... 
Temporary work
Local area
Flexible hours

Shift Day

Worcester, MA
20 days ago

$145.27k - $185.03k

A leading acute care hospital located in eastern Massachusetts is now searching for an experienced Nurse Director Utilization Review to join their award-winning healthcare team This not-for-profit acute care hospital is a respected healthcare facility with a long-standing... 
Local area

Clinical Management Consultants

Taunton, MA
8 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... 
Remote job
Hourly pay
Full time
Flexible hours

Dauntless Discovery

Boston, MA
7 days ago
 ...similar disabilities preferred. Demonstrates proficiency in English, both in writing and verbally.  Demonstrates ability to conduct, review, and interpret assessments and medical treatments.  Ability to practice safe driving. Interpersonal skills.  Ability to work... 
Holiday work
Permanent employment
Temporary work
Relocation bonus

Brockton Area Multi-Services Inc.

Massachusetts
12 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... 
Contract work
Sunday
Afternoon shift

Planet Group

Norwood, MA
1 day ago
 ...Responsibilities include but are not limited to: Ensure a quality buying experience for all customers Make daily bank deposits by noon Review end of day reports and assist in preparation of daily paperwork banking functions as assigned by manager Coach and direct... 
Holiday work
Full time
Part time
Local area
Immediate start
Weekend work
Afternoon shift
All shifts

Global Partners

Massachusetts
12 hours ago
 ...exceptional healthcare services to our community with dignity, compassion, and respect. Statement of Purpose:  The Utilization Review Nurse is responsible for utilization management at MRMC. The UR nurse performs reviews of current inpatient services and determines... 
Holiday work
Weekend work
Milford, MA
25 days ago
 ...Perform work that applies a broad theoretical and practical knowledge of system engineering to the acquisition process. Conduct reviews on program portfolio to evaluate and/or recommend alternative plans, improve systems engineering programs/processes, manage/sustain... 
Full time

Abacus Technology

Massachusetts
3 days ago
 ...discount and other exciting perks #OFF5THSalesAssociate ***Thank you for your interest with Saks OFF 5TH. We look forward to reviewing your application.*** *Saks OFF 5TH provides equal employment opportunities (EEO) to all employees and applicants for employment without... 
Holiday work
Full time
Part time
Local area
Remote job
Flexible hours
Weekend work
Afternoon shift

Saks Off 5th

Massachusetts
3 days ago
 ...submitted via Internet Explorer. For a better experience, we recommend using Chrome, Firefox, Edge, or Safari. Thank you. * You have reviewed the Candidate Privacy Notice and agree that Danaher and its subsidiaries and related companies may process your Candidate Data in... 
Work experience placement
Worldwide

Pall

Massachusetts
4 days ago
 ...restaurant cleanliness Assist in preparing end of shift reports including Daily Labor, Food Control and Daily Sales for management review and approval Learn to positively impact revenue through direct interactions with Guests to further a positive Guest experience... 
Holiday work
Local area
Flexible hours
Shift work

RR Companies

Massachusetts
5 days ago
 ...homemaker services, transportation, and personal care for seniors to help keep them at home. * Charting and taking notes for others to review and reporting changes in health and status of client. **Personal Qualifications** * The ideal candidate will be reliable,... 
Full time
Part time
Currently hiring
Night shift

Elite Home Health Agency, Inc.

Massachusetts
5 days ago