Top 18 Utilization review nurses Jobs in Springfield, Ma

Utilization Review Clinician
MiraVista —Holyoke, MA
- $80,000 - $90,000 a year
- Full-time
- Psychiatry
- Mid-level
- Communication skills
- AD&D insurance
- Disability insurance
Quick Apply
Portal of Entry (ED) Utilization Management Nurse- 32hr- Onsite
Connecticut Children's Medical Center —Hartford, CT
- Nursing
- RN License
- Bachelor of Science
Travel RN - Case Management/Utilization Review - Case Management
American Traveler —Springfield, MA
- $1,983.50 a week
- Weekends as needed
- RN License
- Hospital
- Mid-level
Quick Apply
Registered Nurse Emergency Department Case Manager RN
Trinity Health Of New England —Hartford, CT
- 12 hour shift
- Acute care
- Nursing
- RN License
Quick Apply
Center for Care Coordination-Team Lead Utilization Review Nurse- Full Time
Connecticut Children's Medical Center —Hartford, CT
- Full-time
- Nursing
- RN License
- Bachelor of Science
RN Case Manager
Baystate Health —Springfield, MA
- $98,051 - $133,348 a year
- Full-time
- Nursing
- RN License
- Hospital
- Continuing education credits
- 403(b) matching
Registered Nurse RN Case Manager
Trinity Health Of New England —Hartford, CT
- $75,712 - $121,160 a year
- Full-time
- Nursing
- RN License
- 5 years
RN Case Coordinator
Hartford Hospital —Hartford, CT
- Full-time
- Nursing
- RN License
- Inpatient
Quick Apply
Registered Nurse Emergency Department Case Manager RN
Trinity Health Of New England —Hartford, CT
- 12 hour shift
- Acute care
- Nursing
- RN License
Advanced Practice Registered Nurse - Part-Time
Boca Recovery Center —Springfield, MA
- Part-time
- CPR Certification
- Nursing
- Psychiatry
- Disability insurance
- Health insurance
Quick Apply
Nurse Practitioner or Physician Assistant - Hospitalist Service
Holyoke Medical Center —Holyoke, MA
- $8,326 - $14,290 a month
- Overnight shift
- Nursing
- Hospital
- Certified Nurse Practitioner
- Free parking
- Disability insurance
Appeals Professional III (Licensed Clinician)
Tanaq Support Services LLC —United States
- Full-time
- Remote
- Nursing
- RN License
- Writing skills
12d
Claims Nurse (Utilization Management / Claims Review) Must have CALIFORNIA license
Dragonfly Global —United States
- $100,000 - $105,000 a year
- Full-time
- Remote
- LVN
- RN License
- Mid-level
- Travel reimbursement
- Health savings account
Quick Apply
Utilization Management Reviewer
Amerihealth Caritas —United States
- Full-time
- Hybrid work
- Nursing
- Microsoft Outlook
- RN License
- Paid holidays
- Health insurance

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Utilization Review Clinician
MiraVista —Holyoke, MA
You are responsible for pre-certification, concurrent and discharge reviews, appeals and denials, and the compliance of contracted quality measures identified…
$80,000 - $90,000 a year
Quick Apply
RN Supervisor, 3-11 shift, Monday-Friday
Waterbury Center for Nursing and Rehabilitation —Waterbury, CT
Valid RN license with current registration in the applicable state. Collaborate with interdisciplinary teams to develop and implement individualized care plans…
$50 - $55 an hour
Quick Apply
1d

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Utilization Review Specialist - Autism
Nationwide Children's Hospital —Columbus, OH
Bachelor’s Degree in Social Work, Psychology, or related field, required. Documents all case reviews and maintains accurate records of all clinical activities…
Case Manager (RN) - Full-Time
OhioHealth Rehabilitation Hospital —Columbus, OH
Current Licensure per state guidelines in clinical or related discipline OR a Bachelor's or Master's in a health or human services discipline.
$70,000 - $84,000 a year
Quick Apply
16h

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utilization review nurses jobs near springfield, ma

Utilization Review Clinician

MiraVista -
Holyoke, MA

Quick Apply

Job Details

Full-time
$80,000 - $90,000 a year

Benefits

AD&D insurance
Disability insurance
Health insurance
Dental insurance
Flexible spending account
Tuition reimbursement
Paid time off
Vision insurance
401(k) matching

Qualifications

Mid-level
Communication skills

Full Job Description

Join us as a Utilization Review Clinician!

Schedule: Monday - Friday, 40 hours onsite.

As a Utilization Review Clinician for MiraVista in Holyoke, Massachusetts, you’ll bring your experience and knowledge where your voice matters. A Utilization Review Clinician is an integral part of our multidisciplinary team.

As a Utilization Review Clinician:

You will be an active participant in the health care team.
You are responsible for pre-certification, concurrent and discharge reviews, appeals and denials, and the compliance of contracted quality measures identified by managed care organizations.
You will serve as liaison between the hospital and outside payor sources in accordance with the mission and core principals of MiraVista Behavioral Health Center.

The Utilization Review Clinician will have the following:

Master's level clinician or RN.
Previous utilization management, preferably in an inpatient psychiatric setting
License eligible (LMHC or LICSW preferred) or RN
Possess sufficient knowledge regarding clinical treatment of psychiatric patients, the mental health care delivery system, and the managed care environment
Display excellent communication skills and an ability to integrate clinical and financial information in the context of an overall utilization management program
Requires the ability to work in a multidisciplinary, fast paced environment with a demonstrated sense of autonomy and professionalism.

When you join the growing MiraVista team as a Utilization Review Clinician, you’ll receive:

Medical, Dental, and Vision
401(k) match
Employer paid long term disability (LTD)
Short term disability (STD)
Employer paid life and AD&D Insurance
Generous Paid Time Off
Flexible Spending Account

Tuition Reimbursement

Pay Range:

Compensation will be determined based on the candidate's relevant experience.

$80,000 - $90,000

MiraVista is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

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utilization review nurses jobs in springfield, ma

Utilization Review Clinician

Portal of Entry (ED) Utilization Management Nurse- 32hr- Onsite

Travel RN - Case Management/Utilization Review - Case Management

Registered Nurse Emergency Department Case Manager RN

Center for Care Coordination-Team Lead Utilization Review Nurse- Full Time

RN Case Manager

Registered Nurse RN Case Manager

RN Case Coordinator

Registered Nurse Emergency Department Case Manager RN

Advanced Practice Registered Nurse - Part-Time

Nurse Practitioner or Physician Assistant - Hospitalist Service

Appeals Professional III (Licensed Clinician)

Claims Nurse (Utilization Management / Claims Review) Must have CALIFORNIA license

Utilization Management Reviewer

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