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- Responsibilities Utilization Review Coordinator Opportunity - HRI Hospital is seeking a Full-time Utilization Review Coordinator to join our skilled and dedicated team of psychiatric professionals, who provide service excellence to our patients in a range of inpatient...SuggestedFull timeLocal area
- Responsibilities Utilization Review Coordinator Opportunity - HRI Hospital is seeking a Full-time Utilization Review Coordinator to join our skilled and dedicated team of psychiatric professionals, who provide service excellence to our patients in a range of inpatient...SuggestedFull timeLocal area
- ...Why YOU should be our newest Case Review Coordinator: Performs the six essential activities of Case Management: Assessment, Planning,... ...and appeals, including the peer-to-peer process. Perform utilization review to evaluate for the appropriate level of care and fax...Suggested
Brigham & Women's Faulkner Hospital
Boston, MA4 days ago $2,813 per week
...American Traveler is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Boston, Massachusetts. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: ASAP ~ Duration: 20 weeks ~...SuggestedDaily paidContract workImmediate startShift workDay shiftAmerican Traveler
Boston, MA4 days ago$2,773 per week
...American Traveler is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Boston, Massachusetts. Job... ...ID: P-633737 Responsibilities Case management nurses coordinate short- and long-term care for patients as a group. The goal...SuggestedDaily paidTemporary workImmediate startShift workAmerican Traveler
Boston, MA2 days ago$2,893 per week
...American Traveler is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Boston, Massachusetts. Job... ...Utilizes EPIC EMR for documentation Responsibilities include coordination and management of acute care patients throughout their...SuggestedDaily paidLocal areaImmediate startShift workDay shiftAmerican Traveler
Boston, MA4 days ago- ...Dewberry’s Electric Vehicle (EV) Design Group is seeking a Utility Coordinator for its national EV programs. The ideal candidate would be in... ...etc) with real time updates for client managers and clients. Reviewing all utility design requirements and providing that to our...SuggestedWork at officeLocal areaRemote work
$21.75 per hour
...Licensing Support Job Title: Intake Coordinator Work Location: Brockton, MA *... ...formal and informal reports about intake utilization and protocols in order to further improve... .... For further information, please review the Know Your Rights notice from the Department...SuggestedHourly payLocal areaGandara
Brockton, MA1 day ago$2,813 per week
American Traveler 3 days ago Expired on 07 Nov 2025 This role is for a travel nurse RN specializing in case management and utilization review in a hospital setting in Boston. The position requires acute case management experience, an active Massachusetts RN license, and...SuggestedDaily paidContract workImmediate startShift workDay shift- ...workers who support the needs of birthing families through care coordination, connection to resources, health education, and advocacy. The... ...Perinatal Initiative (COPHI), and the Fetal Infant Mortality Review pilot (FIMR). The Role: The Division is seeking a public health...SuggestedWork at officeLocal area
- ...The Judge Group is seeking an MDS Coordinator in Randolph, MA.! Send your resume to ****@*****.*** for quickest feedback.... ...Completion of RAPs Complete/update Care plans Utilize the Daily Care Plan Update sheet and work collaboratively with...SuggestedDay shift
The Judge Group
Randolph, MA2 days ago - ...activities described below. Functions: Coordinates timely, accurate, and complete... ...Tracks Skilled (MRA/HMA/HMO) customers utilizing Case Management Tools to determine continued... ...personnel to complete this process. Reviews the validation reports and ensures that...SuggestedWork at officeLocal areaFlexible hours
Wedgemere Healthcare
Taunton, MA4 days ago $19.5 - $26 per hour
...Description Job Title: CGO/Scanning Coordinator Department: Operations... ...effective communication with all departments. Utilize available technology and best practices... ...to include but not limited to: Review Order Lists Review LINK and Email (Daily...SuggestedTemporary workSummer workLocal areaImmediate startFlexible hoursPriceRite
Hyde Park, MA3 days ago- ...Business Title Director, Actuarial Analytics Healthcare Utilization & Revenue Forecasting Role summary The Director of Actuarial... ..., renewals, and new business opportunities. Mentor and review work from actuarial and analytics staff, ensuring methodological...SuggestedFull timeContract workWork at office
athenahealth
Boston, MA16 hours ago - ...insurance information, verifying benefits and authorizations,coordinating services with physicians and payers, and scheduling initial visitsto... ...well-being of others KeyResponsibility: Ø Manage and review the initial assessment of referrals, gathernecessary clinical...SuggestedBi-weekly payWork at officeLocal area
Brockton Home Health Care Agency LLC
Brockton, MA2 days ago - Overview: Cortland Dental and Braces Orthodontic Treatment Coordinator Must be DANB, Radiology, CPR Certified Bilingual English... ...Understand and able to effectively communicate techniques utilized in the Orthodontic field Preferred Skills: Work experience...Part timeWork experience placementWork at officeLocal areaFlexible hours
Cortland Dental & Braces - a Benevis company
Brockton, MA5 hours ago $70k
...variable deadlines. Attend internal estimating and pursuit coordination meetings and review and analyze proposal requirements, deliverables and... ...please review the Know Your Rights notice from the Department of Labor. #J-18808-Ljbffr Bond Civil & Utility Construction Inc.Work at office$28 per hour
...and HSA ~ Basic Life, Short Term and Long Term Disability ~ On-site gym (Stoughton Location) and wellness initiatives ~ Annual Reviews with merit based increases ~ Employee Recognition Program ~ Financial Wellness - 403(b) Retirement Plan with matching ~...Hourly payFull timeTemporary workWork experience placementWork at officeRelocation packageFlexible hoursTempus Unlimited Inc.
Stoughton, MA22 days ago$72.48k - $108.72k
013650 CCA-Auth & Utilization Mgmt Position Summary: Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is responsible for day-to-day timely clinical and service authorization review for medical necessity and decision-...Work at officeLocal areaRemote workHome officeCommonwealth Care Alliance
Boston, MA11 hours ago$36.41 - $74.59 per hour
Registered Nurse - Utilization Review Veterans in Healthcare - Plymouth, MA. Part‑time, 32 hours per week. Day shifts (7am‑3:30pm flexible... ...stay. Acts as liaison between physicians and payers, coordinating peer‑to‑peer phone calls. Collects and compiles data as required...Hourly payPart timeFlexible hoursDay shift$90.54k - $110.66k
...blue. The position serves as a Prepayment Review Coding Specialist within the Fraud... ...or Hingham, MA office. Your Day to Day Utilize comprehensive knowledge, coding resources... ...pre-payment review procedures and cases Coordinate review processes with other departments...Full timeWork at officeLocal areaShift work$20.05 - $26.98 per hour
...Job Description Summary The Practice Coordinator reports directly to the Practice Manager... ...perform insurance eligibility check. f - Review patient "alerts" in Epic and reconciles... ...is a plus. Understand and utilize DFCI systems as well as the local Hospital...Full timeWork experience placementWork at officeLocal area- ...across the Perioperative Nursing Department, utilizing the UKG system proficiently and independently. The staffing coordinator reports to the Perioperative Project Manager... ...Directors. Principal Duties and Responsibilities Reviews staffing on a daily basis (shift by shift);...Daily paidContract workWork at officeFlexible hoursShift work
$50k - $60k
Position Title Life Enhancement Coordinator II (N) Location & Compensation Boston, MA Compensation... ...and Associate Community Life Leader. Utilize computer applications required,... ...needs. Meet with supervisor regularly to review the Community Life on the assigned units...Remote work$55k - $60k
Academic Success Coordinator - First Year/Sophomore Center Provides clear proactive advising... ...external regulations. Serve on SAP Appeal review committee. Additional Functions... ...Demonstrable computing skills and efficiency utilizing complex computing applications on the systems...Work at officeTrial period$19.01 per hour
...pharmacy call center services. The Pharmacy Coordinator is responsible for supporting Highmark... ..., and ensure appropriate medication utilization. Responsibilities Communicate... ...billing practices through paid claims review. Complete other assigned duties as specified...For contractorsLocal area- ...Eastern Massachusetts and New Hampshire. We are seeking a Delivery Coordinator to schedule home deliveries of furniture, provide customer... ...opportunity. Applicants for employment and employees are reviewed on their individual qualifications for a position. Under no circumstances...Full time
$20 per hour
...Provider Enrollment and Credentialing Coordinator Alternate/Related Job Titles: Credentialing... ...manage sensitive provider data while reviewing files, cross-referencing information in... ...and report provider complaints and utilization management results. Assist in...Contract workWork at officeImmediate startRemote workShift work$25.19 - $27.64 per hour
...Investigations, the Violence Prevention/Intervention Coordinator (VPIC) responds to and mitigates the... ...to the management team. The VPIC utilizes investigative tools and techniques to... ...request security escorts, + Responsible for review monthly security system's inspections,...Immediate start- ...for internal and external purposes. The Coordinator, Corporate Partnerships provides database... ...by participating in trainings, utilize help guides and videos to gain deeper knowledge... ...maximizing information in Andar. Prepare and review reports for workplace fundraising...Summer workWork at officeLocal areaFlexible hours
