Utilization Review Jobs in Massachusetts
1 - 15 of 49
Search Results - Utilization Review Jobs in Massachusetts
Trinity Health-Springfield (MA)
Employment Type
Part time
Shift
Rotating Shift
Description
Requires BSN
At Mercy Medical Center the Utilization Review/Appeals & Denials RN performs utilization review with payers, assists the physician with level of care determinations using...
Mass General Brigham-Danvers (MA)
Management, Home Care Discharge Planning experience
Great opportunity to join an experienced Case Management team. Role focuses on transition planning and Utilization Review. RN Case Managers are assigned geographically to inpatient units and paired...
4 similar jobs: Peabody, Salem, Marblehead, Swampscott
Trinity Health-Springfield (MA)
Job Description
Employment Type
Part time
Shift
Rotating Shift
Description
Requires BSN
At Mercy Medical Center the Utilization Review/Appeals & Denials RN performs utilization review with payers, assists the physician with level of care...
Boston Medical Center (BMC)-Boston
Position Summary
The RN Appeal Administrator will be responsible for the Pre-denial/ Denial and appeal process in addition to Utilization Review, to validate the patient’s placement to be at the most appropriate level of care based on nationally...
Salem Hospital-Salem (MA)
Job Description
Great opportunity to join an experienced Case Management team. Role focuses on transition planning and Utilization Review.
RN Case Managers are assigned geographically to inpatient units and paired with a Care Team to facilitate...
Life Care Center of Plymouth-Plymouth (MA)
Currently licensed/registered in applicable State. Must maintain an active Registered Nurse (RN) license in good standing throughout employment.
• One (1) year of clinical experience in post acute care setting preferred
• Prior case management, utilization...
Salem Hospital-Hamilton (MA)
Great opportunity to join an experienced Case Management team. Role focuses on transition planning and Utilization Review.
RN Case Managers are assigned geographically to inpatient units and paired with a Care Team to facilitate through put...
Northeast Healthcare Recruitment, Inc. (NEHCR)-Boston
medication; assumes leadership role in case conferences and in-service training of staff; actively participates in peer review and Utilization Review (UR).
Responsibilities:
• Prescribes and maintains clients on psychotropic medication.
• Evaluation...
appcast.io -
Pleasant Lake Medical Center, LLC-Harwich
and multidisciplinary teams to ensure integrated patient care.
Preferred Experience
• Two or more years as a Nurse Practitioner, particularly in clinical or primary care settings.
• Strong skills in ICD-10 coding and utilization review.
• Proficiency...
USI Insurance Services-Woburn (MA)
findings, treatment guidelines and determinations.
• Act as a medical resource in regard to utilization review to claims support nurse and claims department.
• Foster a positive and close working relationship with company staff, including claims staff...
1 similar job: Needham Heights
Albany Medical Center-West Stockbridge
of Science in Nursing, or a Master's degree in an allied health field from an accredited institution required.
• Experience in the field of Clinical Social Work or Nursing with experience in Case Management, Utilization Review and Discharge Planning.
• BLS...
1 similar job: Albany
USI Insurance Services-Needham (MA)
treatment guidelines and determinations.
• Act as a medical resource in regard to utilization review to claims support nurse and claims department.
• Foster a positive and close working relationship with company staff, including claims staff, medical bill...
2 similar jobs: Maynard, Chicopee
MetroWest Medical Center-Framingham
to Utilization Review, Quality Assurance, Program Evaluation, Infection Control, Safety Committee activities
• Adhere to the established policies and procedures of Tenet Physician Resources Orders and interprets the results of laboratory tests as part...
Encompass Health-Somerville (MA)
and payor-related information in the patient record.
• Participate in utilization review process: data collection, trend review, and resolution actions.
• Participate in case management on-call schedule as needed.
Qualifications
• License or Certification...
152 similar jobs: Englewood, Carlisle, Zion, Lock Haven, Owingsville...
MetroWest Medical Center-Framingham
in patient review conferences and staffing
• Assists the physician as follows, but not limited to Utilization Review, Quality Assurance, Program Evaluation, Infection Control, Safety Committee activities
• Adhere to the established policies and procedures...
1234
Companies now hiring in Massachusetts:
Utilization Review jobs in Massachusetts – Similar offers:
Utilization Review jobs – More cities:
Broaden your job search:
Don’t miss out on new job openings!
Create a job alert for: Utilization Review, Massachusetts
It's free, and you can cancel email updates at any time
1234