Top 27 Utilization nurse Jobs in Bourne, Ma

Utilization Nurse
Beth Israel Lahey Health —Plymouth, MA
- $37.14 - $82.22 an hour
- Day shift
- Nursing
- RN License
- Hospital
4d
Medical Respite and Population Health Program Coordinator
Duffy Health Center, Inc. —Hyannis, MA
- $95,000 - $105,000 a year
- Full-time
- Nursing
- RN License
- Bachelor of Science
- Wellness program
- Health insurance
Quick Apply
Dialysis Clinical Manager Registered Nurse - RN
Fresenius Medical Care —Mashpee, MA
- Full-time
- Nursing
- RN License
- Administrative experience
- Health insurance
- Dental insurance
Quick Apply
Registered Nurse part time
Southcoast Behavioral Health —Dartmouth, MA
- $39 - $51 an hour
- 8 hour shift
- CPR Certification
- Nursing
- RN License
- Health savings account
- Loan repayment program
7d
RN FT $15k Sign On
Southcoast Behavioral Health —Dartmouth, MA
- $39 - $51 an hour
- 8 hour shift
- CPR Certification
- Nursing
- RN License
- Health savings account
- Loan repayment program
Case Manager
Cape Cod Healthcare —Hyannis, MA
- $42.04 - $89.99 an hour
- Full-time
- Nursing
- RN License
- Hospital
Case Manager (Per Diem) - Spaulding Sandwich
Rehabilitation Hospital of the Cape and Islands Corporation —East Sandwich, MA
- $28.20 - $68.49 an hour
- Part-time
- Hospital
- Physical & Rehabilitation Medicine
- Licensed Clinical Social Worker
- Opportunities for advancement
Quick Apply
Nurse Supervisor McCarthy Care Center
Cape Cod Healthcare —East Sandwich, MA
- $82,000 - $100,000 a year
- Full-time
- Nursing
- RN License
- Mid-level
RN Evening MNA, VNA of Cape Cod
Cape Cod Healthcare —Hyannis, MA
- $33.70 - $55.01 an hour
- Rotating weekends
- CPR Certification
- Nursing
- RN License
RN Primary MNA, VNA of Cape Cod
Cape Cod Healthcare —Falmouth, MA
- $33.70 - $55.01 an hour
- Monday to Friday
- CPR Certification
- Nursing
- RN License
RN Hospice Float MNA, VNA of Cape Cod
Cape Cod Healthcare —Hyannis, MA
- $33.70 - $55.01 an hour
- Weekends as needed
- CPR Certification
- Nursing
- RN License
TEMP RN $65
Southcoast Behavioral Health —Dartmouth, MA
- $65 an hour
- Temporary
- CPR Certification
- Nursing
- RN License
8h
Nurse Practitioner/Physician Assistant, Psych (Per Diem)
Cape Cod Healthcare —Hyannis, MA
- $153,565 - $169,076 a year
- 8 hour shift
- Nursing
- Psychiatry
- Hospital
Nurse Practitioner/Physician Assistant, Psych
Cape Cod Healthcare —Hyannis, MA
- $153,565 - $169,076 a year
- Full-time
- Nursing
- Psychiatry
- Addiction Medicine
2d
LPN Part Time Weekends
RELIEF HOME HEALTH SERVICES INC —Hyannis, MA
- $58 - $87 an hour
- Part-time
- CPR Certification
- Nursing
- BLS Certification
Quick Apply
8d
Palliative Care Advanced Practice Provider (Massachusetts)
Tuesday Health —Plymouth, MA
- Remote
- Nursing
- RN License
- 5 years
- Paid holidays
- Health insurance
Quick Apply
10d
Psychiatric Nurse Practitioner
Harbor Health Services, Inc. —Hyannis, MA
- $129,970 - $195,955 a year
- 18 years or older
- Spanish
- Nursing
- Loan repayment program
- Disability insurance
Quick Apply
Casual Nurse Practitioner or Physician Assistant
One Medical —Hyannis, MA
- $75 an hour
- Per diem
- Internal Medicine
- Mid-level
- Outpatient experience
- Commuter assistance
- Paid parental leave
Quick Apply
3d
Case Manager - RN/MSW - Wyoming - Relocation$
Concert Consulting —United States
- $75,000 - $100,000 a year
- Full-time
- Master of Social Work
- Nursing
- Vital signs
- Relocation assistance
Quick Apply
13h

More jobs to discover

Find similar jobs that you might be interested in.

Medical Respite and Population Health Program Coordinator
Duffy Health Center, Inc. —Hyannis, MA
Current unrestricted Registered Nurse license in Massachusetts required; RN licensure is an essential qualification for this position.
$95,000 - $105,000 a year
Quick Apply

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Nurse Practitioner (NP)
Alternate Solutions Health Network —Chillicothe, OH
Active RN license in state of practice and current certification as an NP required. Provides cover for the physician when they are absent, to include answering…
Quick Apply
4d
Registered Nurse (RN) - Inpatient Surgery - Springfield Regional Medical Center
Mercy Health —Springfield, OH
Valid nursing license from the state of practice (required). Nursing judgment and skill based on principles of the biological, physical, behavioral, and social…

Show more jobs in cities nearby

I want to receive the latest job alert for utilization nurse in bourne, ma

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

utilization nurse jobs near bourne, ma

Dialysis Clinical Nurse Manager jobs in Mashpee, MA

Registered Nurse jobs in Dartmouth, MA

Nurse jobs in Plymouth, MA

Registered Nurse jobs in Hyannis, MA

Case Manager jobs in Hyannis, MA

Nurse Practitioner jobs in Hyannis, MA

Psychiatric Nurse Practitioner jobs in Baltimore, MD

Emergency Nurse Practitioner jobs in Houston, TX

Psychiatric Nurse Practitioner jobs in Toledo, OH

Psychiatric Nurse Practitioner jobs in Saint Charles, MO

Psychiatric Hospital jobs in Houston, TX

Psychiatric Technician jobs in Oklahoma

New Grad Registered Nurse jobs in Victorville, CA

Psychiatric Nurse Practitioner jobs in Jackson, MS

Mental Health jobs in Stockton, CA

Population Health jobs in Boston, MA

Mercy Health jobs in Fairfield, OH

Population Health Coordinator jobs in Orlando, FL

Population Health Coordinator jobs in Bala Cynwyd, PA

Population Health Coordinator jobs in Allentown, PA

Utilization Nurse

Beth Israel Lahey Health -
Plymouth, MA

Apply Now

Job Details

Per diem
$37.14 - $82.22 an hour
4 days ago

Qualifications

Inpatient experience
RN License
InterQual
Utilization management
Resource utilization in healthcare
Patient interaction
Acute care experience
Care coordination

Full Job Description

Plymouth, MA • Beth Israel Deaconess Hospital Plymouth • Per Diem • Day

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.

Per Diem

Job Description:

Beth Israel Deaconess Hospital-Plymouth recognizes Integrity, Respect, Trust, Teamwork and Excellence as the Core Values of our organization. It is the philosophy of BID-Plymouth to follow the LEAN methodology in order to provide the full continuum of health care services and the best quality patient centered care.

Duties/Responsibilities:

Reviews admission data to establish the appropriate level of care using Interqual criteria.
Integrates clinical knowledge with billing knowledge to review, evaluate, and appeal clinical denials related to the care provided to the hospitalized patient.
Conducts concurrent reviews to determine the continued need for acute care setting, appropriateness and timeliness of treatments/procedures and to optimize the potential for reimbursement.
Collaborates with the multidisciplinary team to assess and improve the denial management, documentation, and appeals process.
Collaborates with UR Manager and/or physician advisor regarding cases that do not meet established guidelines for admission or continued stay.
Acts as a liaison between physicians and payers, coordinating peer-to-peer phone calls.
Collects and compiles data as required.

It is understood that this is a summary of key job functions and does not include every detail of the job that may reasonably be required.

Education/Experience Required:

Current MA RN licensure
Bachelor’s Degree in Nursing or advanced degree in healthcare preferred.
Three years recent, broad clinical experience in the hospital setting
Experience with utilization management within the last 3 years required
An understanding of the severity of an array illnesses, intensity of service, and care coordination needs
Ability to identify appropriateness of patients admission and level of care needs (inpatient & observation) utilizing Interqual criteria
Knowledge of Interqual required; Allscripts preferred
Strong interpersonal and negotiation skills demonstrated by a positive attitude, pleasant, professional and cooperative demeanor with patients, physicians, colleagues and insurance companies
Knowledge of government and insurance company reimbursement policies in regards to admission criteria, treatment and length of stay
Ability to work independently

Registration/Certification:

Current MA RN licensure

Physical/Environmental Requirements

This job requires frequent bending, carrying, pulling, pushing, reaching, standing, stooping, walking and lifting over 10 lbs. There will be occasional need for climbing stairs, lifting in excess of 50 – 100 lbs and sitting. Constant use of hearing, sight and speech. Frequent use of smell and touch. Frequent keyboard and telephone use. Constant concentration and problem solving.

Pay Range:

$37.14 – $82.22

This position is covered by a collective bargaining agreement. The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. The pay range for this position is established and governed by the terms of the applicable collective bargaining agreement. Employees hired into this position will receive compensation consistent with the terms of the applicable collective bargaining agreement.

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled

Job details

Employment: Per Diem
Shift: Day
Category: Nursing
Pay Range: $37.14 - $82.22
FLSA: Non-Exempt
Req ID: JR100733

Apply Now

Refine Your Search

utilization nurse jobs in bourne, ma

Utilization Nurse

Medical Respite and Population Health Program Coordinator

Dialysis Clinical Manager Registered Nurse - RN

Registered Nurse part time

RN FT $15k Sign On

Case Manager

Case Manager (Per Diem) - Spaulding Sandwich

Nurse Supervisor McCarthy Care Center

RN Evening MNA, VNA of Cape Cod

RN Primary MNA, VNA of Cape Cod

RN Hospice Float MNA, VNA of Cape Cod

TEMP RN $65

Nurse Practitioner/Physician Assistant, Psych (Per Diem)

Nurse Practitioner/Physician Assistant, Psych

LPN Part Time Weekends

Palliative Care Advanced Practice Provider (Massachusetts)

Psychiatric Nurse Practitioner

Casual Nurse Practitioner or Physician Assistant

Case Manager - RN/MSW - Wyoming - Relocation$

More jobs to discover

Explore jobs in cities nearby

I want to receive the latest job alert for utilization nurse in bourne, ma

Explore jobs in more locations

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled

Job details

Job Seeker Tools

Employer Tools

Browse

Stay Connected