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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 ~...SuggestedFlexible hoursShift workNight shift
Nightingale Nurses - Allied
Cambridge, MA1 day 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...SuggestedHourly payWeekly payContract workShift workGQR Healthcare
Everett, MA6 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...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
$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...SuggestedFull timeLocal areaGlobal Partners
Brighton, MA4 hours 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...SuggestedPermanent employmentContract workTemporary work
$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...SuggestedHourly payPart timeFlexible hoursDay shift$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...SuggestedWork at officeRemote workFlexible hoursShift work- 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...Suggested
- ...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...SuggestedDaily paidShift work
- A regional health insurance company in Boston is looking for a Prior Authorization Clinician. The role involves reviewing hospitalization and medical services for necessity and efficiency to ensure timely care for members. Ideal candidates will have a nursing degree, prior...SuggestedRemote jobFull time
- 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...SuggestedWork at officeHome office
- 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...SuggestedFull timeMonday to Friday
$17.03 - $25.3 per hour
...preferred. Work requires ability to accurately interpret and utilize medical terminology and abbreviations. Demonstrated... ...unable to attend non-mandatory activities, accept responsibility to review meeting minutes and document review and become knowledgeable of...SuggestedContract workPart timeFixed term contractWork at officeImmediate startFlexible hoursShift workWeekend workDay shift- ...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...SuggestedFull timeLocal area
- 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 officeLocal areaRemote workHome office
$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 workRemote workFlexible hoursHebrew SeniorLife
Dedham, MA25 days 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 timeFixed term contractWork at officeFlexible hours$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 jobWeekly payFreelanceWork from homeFlexible hoursOutlier AI
Boston, MA4 days ago$105k - $142k
...of 1500 patients. Maintain continuity of care when patients utilize other health care facilities for referrals, laboratory, emergency... ...associate program accredited by the Accreditation and Review Committee for Physician Assistants (ARC-PA), which qualifies the...Permanent employmentFull timeTemporary workWork at officeLocal areaImmediate startFlexible hoursAfternoon shift$72.5k - $105k
...delivery of companywide programs such as cycle management for merit review and bonus cycle for R&D organization. Other Duties ·... ...customer service and patient care may be provided. · Utilize hospital’s core values and RESPECT attributes as the basis for...Full timeFixed term contractWork at officeFlexible hours- ...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 timeFixed term contractFlexible hours
$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 timeSecond jobWork at officeRemote work- ...regulations, (for example: DPH, JCAHO, Boston fire codes, OSHA). Reviews and is knowledgeable of appropriate policies, procedures and... ...appropriate equipment logs and records. OTHER DUTIES: Utilizes hospital’s values as the basis for decision making and to facilitate...Full timePart timeFixed term contractImmediate startShift workWeekend work
$21.16 - $31.71 per hour
...Job Summary Provides support for coordination of benefits review activities that directly impact medical expenses and premium reimbursement... ...for the coordination of benefits (COB) team. Phones or utilizes other insurance company portals to validate state, vendor, and...Hourly payWork experience placementWork at office$16.5 - $19 per hour
Join to apply for the Dishwasher/ Utility role at Brightview Senior Living . Overview A clean kitchen is a happy kitchen! Responsibilities... ...relevant), certifications/training, etc. Brightview regularly reviews and adjusts compensation ranges. Qualifications Positive...Part time$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 timeTemporary workFor contractors$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 payPart timeFlexible hoursBJ's Wholesale Club
Northborough, MA7 days ago$78k - $113.45k
...Clinical Director to ensure 24 24-hour per day/ 7 days per week coverage for organ and tissue donations. Participate in regular Case Review and Audit meetings with Clinical Director to review and update new and existing (open) cases. Write clinical summaries following...Remote workWork from home$33.12 - $56.77 per hour
**Nurse Reviewer I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person... ...appropriateness of treatment reviews for diagnostic imaging services by utilizing appropriate policies, clinical and department guidelines. +...Full timeTemporary workWork experience placementWork at officeLocal area1 day per week
