Clinical Document Specialist (RN), REMOTE, 40hrs
UMass Memorial Health —Worcester, MA
- $91,644.80 - $164,944.00 a year
- 8 hour shift
- Remote
- RN License
- Mid-level
- Bachelor's degree
6d
Utilization Review Clinician
TaraVista —Devens, MA
- $80,000 - $90,000 a year
- Full-time
- Psychiatry
- Mid-level
- Communication skills
- AD&D insurance
- Disability insurance
Quick Apply
Intake Technician - Overnights
Hospital for Behavioral Medicine —Worcester, MA
- $17 - $24 an hour
- Overnight shift
- Hospital
- Medical office experience
- Inpatient
- Free parking
- Paid holidays
Quick Apply
10d
RN Case Manager 32 hours, Days
UMass Memorial Health —Milford, MA
- $84,011.20 - $176,987.20 a year
- 8 hour shift
- Nursing
- RN License
- Mid-level
Billing Specialist
Veterans Inc. —Shrewsbury, MA
- From $26.44 an hour
- Online Application
- HIPAA
- Research
- 3 years
- 403(b) matching
- Paid parental leave
Quick Apply
Registered Nurse, Care Coordinator, Per Diem
UMass Memorial Health —Worcester, MA
- $52.50 - $57.50 an hour
- Part-time
- Nursing
- RN License
- Research
3d
Consultant
Brown & Brown —Southborough, MA
- $100,000 - $125,000 a year
- Full-time
- Microsoft Excel
- Mid-level
- 3 years
- Employee stock purchase plan
- Paid holidays
Complex Discharge RN Case Manager, 40hr, Days
UMass Memorial Health —Southbridge, MA
- $41.81 - $75.25 an hour
- 8 hour shift
- Nursing
- RN License
- Mid-level
Point of Entry RN/ER Case Manager - Per Diem
UMass Memorial Health —Milford, MA
- $52.50 - $57.50 an hour
- 12 hour shift
- Nursing
- RN License
- Bachelor of Science
Director of Case Management
Saint Vincent Hospital —Worcester, MA
- Day shift
- Master of Social Work
- Nursing
- RN License
- Health savings account
- Health insurance
Resident Care Coordinator Assistant (RCCA)
Webster Manor Rehabilitation & Health Care Center —Webster, MA
- $22 an hour
- Full-time
- Skilled nursing facility
- English
- High school diploma or GED
- Paid holidays
- Dental insurance
Quick Apply
5d
Program Staff Supervisor
Seven Hills Foundation —Worcester, MA
- $55,000 - $60,000 a year
- Full-time
- Mid-level
- Bachelor's degree
- Quality control
- Paid holidays
- Health insurance
Clinical Supervisor
Wayside Youth & Family Support Network —Milford, MA
- $75,000 - $85,000 a year
- Full-time
- LMFT
- Mid-level
- Master's degree
- Paid holidays
- Health insurance
Quick Apply
Sr. Consultant
Brown & Brown —Southborough, MA
- $150,000 - $250,000 a year
- Full-time
- Hybrid work
- 7 years
- Microsoft Excel
- Data analysis skills
- Employee stock purchase plan
- Paid holidays
Clinician - Children's Congregate Care
Seven Hills Foundation —Worcester, MA
- $66,950 - $69,010 a year
- Full-time
- LMFT
- Mid-level
- Residential
- Paid holidays
- Health insurance
Program Director, ESP Crisis Services, Leominster
Clinical & Support Options Inc —Leominster, MA
- $78,000 - $85,000 a year
- Full-time
- Bilingual
- LMFT
- Adults
- Health insurance
- Dental insurance
Program Director, ESP Crisis Services, Gardner
Clinical & Support Options Inc —Gardner, MA
- $78,000 - $85,000 a year
- Full-time
- Bilingual
- LMFT
- Adults
- Health insurance
- Dental insurance
7d
Travel RN Case Manager Rochdale MA
Vibra Travels —Rochdale, MA
- $1,773 - $2,573 a week
- Online Application
- RN License
- Computer literacy
- BLS Certification
- Health insurance
- Referral program
Facility Medical Director
University of Massachusetts Medical School —Worcester, MA
- $300,000 a year
- Weekends as needed
- Hybrid work
- Management
- Psychiatry
- Recruiting
- Paid holidays
- Loan repayment program
CBHC Clinic Director, Leominster
Clinical & Support Options Inc —Leominster, MA
- $78,000 - $85,000 a year
- Full-time
- Bilingual
- Experience working with individuals with developmental disabilities
- Doctoral degree
- Health insurance
- Dental insurance

I want to receive the latest job alert for utilization review in worcester, 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 review jobs near worcester, ma

Program Director jobs in Gardner, MA

Director Of Case Management jobs in Worcester, MA

Clinical Director jobs in Leominster, MA

Medical Director jobs in Worcester, MA

Clinician jobs in Worcester, MA

Case Manager jobs in Milford, MA

Clinical Documentation Specialist jobs in Worcester, MA

Registered Nurse Case Manager jobs in Luverne, MN

Nurse Manager jobs in Birmingham, AL

Registered Nurse Case Manager jobs in Dayton, OH

Registered Nurse Case Manager jobs in Cape Coral, FL

Case Manager jobs in Bellingham, WA

Case Manager Remote jobs in Pennsylvania

Registered Nurse Case Manager jobs in Ada, OK

Retired Nurse jobs in California

Registered Nurse Manager jobs in Kaneohe, HI

Registered Nurse jobs in Rome, GA

Registered Nurse Manager jobs in Newport Beach, CA

Registered Nurse Manager jobs in Mesa, AZ

Registered Nurse Manager jobs in Kingsport, TN

Clinical Document Specialist (RN), REMOTE, 40hrs

UMass Memorial Health -
Worcester, MA

Apply Now

Job Details

Full-time
$91,644.80 - $164,944.00 a year
6 days ago

Qualifications

Collaborate with healthcare professionals
RN License
Data reporting
Computer skills
Clinical documentation improvement

Full Job Description

Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account.

Exemption Status:

Exempt

Hiring Range:

$91,644.80 - $164,944.00

Please note that the final offer may vary within this range based on a candidate’s experience, skills, qualifications, and internal equity considerations .

Schedule Details:

Monday through Friday

Scheduled Hours:

40 hrs

Shift:

1 - Day Shift, 8 Hours (United States of America)

Hours:

Cost Center:

99940 - 5401 Clinical Documents Specialists

This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process.

Everyone Is a Caregiver

At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day.

Drawing upon clinical knowledge and experience, closely collaborates with physicians and other team members to ensure that patient records accurately document the status, complexity and intensity of patient conditions and care.

Major Responsibilities:

Works collaboratively with physicians, nurses, and other staff to ensure accurate and complete medical record documentation to appropriately reflect severity of illness and risk of mortality.
Reviews inpatient medical records for identified payer populations or clinical specialties upon admission and throughout hospitalization. Analyzes clinical status of patient, current treatment plan and past medical history and identifies potential gaps in physician documentation.
Communicates with attending physicians either verbally or electronically to validate observations and suggest additional and/or more specific documentation.
Supports Physician leaders with focused documentation reviews and special projects as directed.
Supports appropriate documentation for coding, reimbursement and quality purposes.

Position Qualifications:

License/Certification/Education:

Required:

Massachusetts licensure as a registered nurse required

Preferred:

Bachelor’s degree preferred

Experience/Skills:

Required:

Experience in direct patient care, case management, utilization review or equivalent required.
Knowledge of clinical documentation practices and principles and ICD-10-CM diagnosis codes required.
Excellent interpersonal skills and demonstrated ability to interact with physicians in a collaborative and professional manner.
Ability to effectively use specialized computer based systems for gathering, reporting, and analyzing critical data.

Preferred:

1-3 years of CDI experience preferred

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

We’re striving to make respect a part of everything we do at UMass Memorial Health – for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day.

As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law.

If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at [email protected]. We will make every effort to respond to your request for disability assistance as soon as possible.

Apply Now

Refine Your Search

utilization review jobs in worcester, ma

Clinical Document Specialist (RN), REMOTE, 40hrs

Utilization Review Clinician

Intake Technician - Overnights

RN Case Manager 32 hours, Days

Billing Specialist

Registered Nurse, Care Coordinator, Per Diem

Consultant

Complex Discharge RN Case Manager, 40hr, Days

Point of Entry RN/ER Case Manager - Per Diem

Director of Case Management

Resident Care Coordinator Assistant (RCCA)

Program Staff Supervisor

Clinical Supervisor

Sr. Consultant

Clinician - Children's Congregate Care

Program Director, ESP Crisis Services, Leominster

Program Director, ESP Crisis Services, Gardner

Travel RN Case Manager Rochdale MA

Facility Medical Director

CBHC Clinic Director, Leominster

I want to receive the latest job alert for utilization review in worcester, ma

Explore jobs in more locations

Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account.

Everyone Is a Caregiver

Job Seeker Tools

Employer Tools

Browse

Stay Connected