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
4d
Registered Nurse, Care Coordinator, 40 Hour Days
UMass Memorial Health —Worcester, MA
- $37.51 - $81.95 an hour
- Full-time
- Nursing
- RN License
- Mid-level
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
Registered Nurse, Care Coordinator, Per Diem
UMass Memorial Health —Worcester, MA
- $52.50 - $57.50 an hour
- Part-time
- Nursing
- RN License
- Research
1d
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
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
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
Clinical Reviewer - PASRR
University of Massachusetts Medical School —Westborough, MA
- $60,000 - $78,000 a year
- Weekends as needed
- HIPAA
- Mid-level
- 3 years
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
Family Nurse Practitioner
Focused Primary Care, PC —Southbridge, MA
- $100,000 - $145,000 a year
- Part-time
- Acute care
- HIPAA
- Mid-level
- Health insurance
- 401(k)
Quick Apply
Advanced Practice Registered Nurse - Part-Time
Boca Recovery Center —Worcester, MA
- Part-time
- CPR Certification
- Nursing
- Psychiatry
- Disability insurance
- Health insurance
Quick Apply
Director of Nursing Services
Saint Antoine Residence —North Smithfield, RI
- Weekends as needed
- Nursing
- Skilled nursing facility
- Current TB test
- Health insurance
- Dental insurance
Quick Apply

Other jobs to consider

Find your next job by exploring related positions.

Utilization Management Coordinator
HRI Hospital —Brookline, MA
Education: Master’s in psychology, social work or related field. Complete initial precertification and concurrent reviews for patients in the inpatient and…
$69,000 - $93,600 a year
Quick Apply
1d
Non-patient Care (utilization Review) Registered Nurse
Supplemental Health Care —Boston, MA
Strong clinical and critical thinking skills. Estimated weekly payment may include both taxable wages and tax-free reimbursements for meals, housing, and…
$1,740 - $1,906 a week
Quick Apply
2h

Show more related jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Nurse - Skilled/Purchased Care Coordinator
US Veterans Health Administration —Columbus, OH
Graduate of a school of professional nursing approved by the appropriate accrediting agency and accredited by one of the following accrediting bodies at the…
$70,726 - $148,921 a year
8d
Clinical Review Nurse Supervisor (Medicaid Health Systems Administrator 1)
State of Ohio - Medicaid —Columbus, OH
Or, in order to operate a state vehicle, you must have a valid driver's license from state of residence. Exp. in the delivery of a health services program or…
$40.40 an hour
3d

Show more jobs in cities nearby

I want to receive the latest job alert for utilization review nurse 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 nurse jobs near 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

Practice Manager jobs in Grand Rapids, MI

Practice Manager jobs in Philadelphia, PA

Practice Manager jobs in Texas

Advanced Practice Registered Nurse jobs in Laurel, MS

Advanced Practice Registered Nurse jobs in Florida

Advanced Practice Registered Nurse jobs in Downers Grove, IL

Registered Nurse jobs in Farmington, NM

Advanced Practice Registered Nurse jobs in Lakeland, FL

Director Of Nursing jobs in Akron, OH

Director Of Nursing jobs in Gainesville, FL

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
4 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 nurse jobs in worcester ma

Clinical Document Specialist (RN), REMOTE, 40hrs

Registered Nurse, Care Coordinator, 40 Hour Days

RN Case Manager 32 hours, Days

Registered Nurse, Care Coordinator, Per Diem

Complex Discharge RN Case Manager, 40hr, Days

Utilization Review Clinician

Point of Entry RN/ER Case Manager - Per Diem

Clinical Reviewer - PASRR

Travel RN Case Manager Rochdale MA

Family Nurse Practitioner

Advanced Practice Registered Nurse - Part-Time

Director of Nursing Services

Other jobs to consider

Explore jobs in cities nearby

I want to receive the latest job alert for utilization review nurse 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