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  •  ...Job Description Nightingale Nurses - Allied is seeking a travel nurse RN Utilization Review for a travel nursing job in Cambridge, Massachusetts. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: 12/15/2025 ~... 
    Suggested
    Flexible hours
    Shift work
    Night shift

    Nightingale Nurses - Allied

    Cambridge, MA
    a month ago
  • $2,989.6 - $3,084.6 per month

     ...Job Description GQR Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Everett, Massachusetts. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: 01/06/2026 ~ Duration... 
    Suggested
    Hourly pay
    Weekly pay
    Contract work
    Shift work

    GQR Healthcare

    Everett, MA
    5 days ago
  • 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... 
    Suggested
    Full time
    Local area

    Universal Hospital Services Inc.

    Brookline, MA
    2 days ago
  • 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... 
    Suggested
    Full time
    Local area

    Universal Health Services

    Brookline, MA
    2 days ago
  • $136.2k - $204.2k

     ...optimization of BI solutions, including dashboards and reports, utilizing SQL and BI platforms (Tableau, Power BI, etc.).  ~...  ...the role, please apply. A talent acquisition team member will review your resume in partnership with the hiring manager. If your experience... 
    Suggested
    Full time
    Local area

    Global Partners

    Brighton, MA
    1 day ago
  •  ...Nurse Reviewer -Utilization Management / Prior Authorization 3-6+ Month Contract / Temp to Perm Compact License Required Determine medical appropriateness of services following evaluation of medical guidelines applying evidenced-based InterQual® criteria, Medical... 
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    Permanent employment
    Contract work
    Temporary work

    Hub Technology Group

    Boston, MA
    16 days 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). $36.41-$74.59 per hour (collective bargaining agreement). Job Description When you join the growing BILH team, you’re not just... 
    Suggested
    Hourly pay
    Part time
    Flexible hours
    Day shift

    Veterans in Healthcare

    Boston, MA
    3 days ago
  • $38.49 - $47.05 per hour

    ## **The Role** The RN Utilization Management Reviewer is responsible for facilitating care for members who may have complex healthcare needs, authorizing medically necessary services at the right level of care to promote optimal health.This position is self-directed and... 
    Suggested
    Work at office
    Remote work
    Flexible hours
    Shift work

    Blue Cross and Blue Shield of Massachusetts Inc.

    Hingham, MA
    5 days ago
  • Formulary Strategy & Utilization Review Pharmacist Shape the drug benefit landscape—analyze and optimize medication use. Key Responsibilities: Review prescribing trends and propose cost-saving alternatives. Maintain evidence-based formularies across multiple payers. Conduct... 
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    Pharmacy Careers

    Boston, MA
    2 days ago
  •  ...Westborough Behavioral Healthcare Hospital is looking for a UR Specialist to provide Per Diem coverage. Job Description: The Utilization Review Specialist is responsible for monitoring adherence to the hospital's utilization review plan to ensure the effective and efficient... 
    Suggested
    Daily paid
    Shift work

    Westboroughbehavioral

    Westborough, MA
    4 days ago
  • Overview 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... 
    Suggested
    Work at office
    Home office

    Commonwealth Care Alliance

    Boston, MA
    2 days ago
  • A healthcare facility in Westborough seeks a Utilization Review Specialist to monitor adherence to utilization review plans and ensure efficient use of services. The role includes documentation, patient advocacy, and collaboration with other departments. Ideal candidates... 
    Suggested
    Full time
    Monday to Friday

    Westborough Behavioral Healthcare Hospital

    Westborough, MA
    3 days ago
  •  ...postoperative patient management. Participate in  multidisciplinary case reviews , complex case management, and patient-centered care pathways. Share in orthopedic call responsibilities as assigned. Utilize and contribute to advanced technologies (robotic-assisted... 
    Suggested
    Full time
    Fixed term contract

    Boston Medical Center

    Brighton, MA
    21 hours ago
  • $21.73 - $32.3 per hour

     ...Responsibilities Assist the Manager of Scheduling with clinical review of quality of scheduled appointments Works as clinical and...  ...with Health Care Proxy ,when necessary. •        Properly utilized Interpreter Service Hub for necessary patients, along with... 
    Suggested
    Full time
    Contract work
    Fixed term contract
    All shifts
    Flexible hours
    Shift work

    Boston Medical Center

    Brighton, MA
    21 hours ago
  •  ...training managers to meet or exceed customer service standards # Utilizes insights from customer programs to help elevate the customer’s...  ...procedures, maintaining inventory, # managing labor, reviewing financial reports, and taking appropriate actions # Ensure maintenance... 
    Suggested
    Full time
    Local area

    Taco Bell

    Brighton, MA
    3 hours ago
  • Overview 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 office
    Local area
    Remote work
    Home office

    Commonwealth Care Alliance

    Boston, MA
    2 days ago
  •  ...diversity for all patients, family, visitors and fellow employees ▪ Reviews the physician’s requisition for completeness of information and...  ...identification ▪ Performs non-invasive vascular examinations utilizing appropriate equipment (i.e. Doppler ultrasound, B-mode real... 
    Full time
    Fixed term contract

    Boston Medical Center

    Brighton, MA
    21 hours ago
  • $18.99 - $26.68 per hour

     ...ESSENTIAL RESPONSIBILITIES / DUTIES: Perform Office Visit Planning/reviews EHR prior to the start of the session and is part of a pre-...  ..., taking inventory and restocking supplies as needed Utilizes electronic health record system to enter, retrieve and document... 
    Full time
    Fixed term contract
    Work at office
    Flexible hours

    Boston Medical Center

    Brighton, MA
    21 hours ago
  •  ...adjustments to meet targeted productivity. Participates in the peer review process. Completes form thoroughly, gives meaningful and...  ..., follows through on suggestions and recommendations, and utilizes supervision time for own professional growth. Comes prepared to... 
    Part time
    Fixed term contract
    Flexible hours

    Boston Medical Center

    Brighton, MA
    21 hours ago
  • $7.5k

     ...activities to ensure that the nursing process is operationalized utilizing standards of care and practice, as well as maintaining...  ...staffing and optimum resource management. Conducts performance review meetings, regularly provides feedback and coaching and is responsible... 
    Full time
    Fixed term contract
    Flexible hours
    Night shift
    Weekend work

    Boston Medical Center

    Brighton, MA
    21 hours ago
  •  ...This position participates in the selection of residents, budget review and financial process of the training program. The Residency...  ...Maintains GME TRACK (resident database and tracking system utilized for the collection and management of GME data). Initiates and... 
    Full time
    Fixed term contract
    Traineeship
    Work at office
    Shift work

    Boston Medical Center

    Brighton, MA
    21 hours ago
  • $15 per hour

     ...have or would use AI for. \n Use the tool of rubrics to address user needs in a structured way. \n Evaluate AI outputs by reviewing and ranking reasoning and problem-solving responses from large language models. \n Contribute across projects depending on... 
    Remote job
    Weekly pay
    Freelance
    Work from home
    Flexible hours

    Outlier AI

    Boston, MA
    3 days ago
  • $35.69k - $53.54k

     ...outlets at N.B.O.C. Hands-on approach with Stewards and other utility employees to ensure all kitchen equipment is working properly and...  ...N.B.O.T.C.  Standard ~ Attends daily production meetings for review of the day's work and upcoming events. ~Run errands as needed... 
    Temporary work
    Remote work
    Flexible hours

    Hebrew SeniorLife

    Dedham, MA
    24 days ago
  •  ...regulations, (for example: DPH, JCAHO, Boston fire codes, OSHA). Reviews and is knowledgeable of appropriate policies, procedures and...  ...equipment logs and records. OTHER DUTIES: Utilizes hospital's values as the basis for decision making and to facilitate... 
    Full time
    Fixed term contract
    Immediate start
    Shift work
    Night shift
    Weekend work

    Boston Medical Center

    Brighton, MA
    21 hours ago
  •  ...Pathologist performs diagnostic evaluations and therapeutic treatments utilized in the short and long term rehabilitation of inpatients with...  ...enhancement of clinical skills through in-services, literature review, self-study or other learning opportunities during the year.... 
    Daily paid
    Temporary work
    Part time
    Fixed term contract

    Boston Medical Center

    Brighton, MA
    21 hours ago
  •  ...trends, market share data, capital needs, and human resource utilization. Contributes to Ob/Gyn department-level strategic conversations...  ...in managing the human resources functions for the department.  Reviews and approves staffing plans and transactions, such as... 
    Full time
    Fixed term contract
    Work at office
    Overseas

    Boston Medical Center

    Brighton, MA
    21 hours ago
  • $95k

     ...funding for all properties follows regulations Prepare and review monthly inter-company entries and reconciliation Ensure timely...  ...in Affordable Housing There are no costs for candidates utilizing our services as our clients pay for all related hiring fees.... 
    Full time
    Second job
    Work at office
    Remote work

    ProPivotal Staffing

    Brighton, MA
    6 days ago
  • Overview Engineering and Utilities (E&U) is responsible for Harvard’s complex utility infrastructure, managing the purchase and operation...  ...& sewer, and fuel oil. Directly responsible for compiling and reviewing usage data from nearly 1,000 internal utility meters and a... 
    Work at office

    Harvard University

    Cambridge, MA
    2 days ago
  • $16.5 - $19.8 per hour

    Job Description A World-Class Team BJ’s Wholesale Club is powered by more than 30,000 team members who make a real impact every day. Whether you're stocking shelves, solving problems or shaping strategy, your work helps families save on what matters most. ...
    Weekly pay
    Part time
    Flexible hours

    BJ's Wholesale Club

    Northborough, MA
    6 days ago
  • $45 - $59 per hour

     ...Schedule 4×10‑hr days Mon‑Thu or Tue‑Fri The Role The senior utility maintenance technician plays a crucial role in overseeing and managing...  ..., chemical sanitization, and TOC/conductivity/micro trend reviews. Operate and maintain pH neutralization: verify probe health &... 
    Full time
    Temporary work
    For contractors

    Planet Pharma

    Norwood, MA
    5 days ago