Top 178 Rn utilization management Jobs in Boston, Ma

Registered Nurse, Care Management
Boston Medical Center —Boston, MA
- Full-time
- Nursing
- RN License
- Writing skills
RN Case Manager
AMN Healthcare —Salem, MA
- $1,800 - $2,700 a week
- Part-time
- RN License
- BLS Certification
- Acute care experience
- Paid jury duty
- Paid holidays
2d
RN Case Manager - Boston
Amergis Healthcare Staffing —Boston, MA
- $2,600 a week
- 18 years or older
- CPR Certification
- RN License
- Health insurance
- Dental insurance
Quick Apply
11d
Case Manager RN LPN or Social Work License
Ledgewood Rehab & Skilled Nursing Center —Danvers, MA
- $35 - $51 an hour
- Full-time
- Nursing
- Skilled nursing facility
- RN License
- Paid holidays
- Health insurance
Quick Apply
3d
RN Case Manager - Inpatient Case Management CH
Cambridge Health Alliance —Cambridge, MA
- Nursing
- RN License
- Hospital
RN - Utilization Management - MGH
The General Hospital Corporation —Boston, MA
- $41.72 - $105.65 an hour
- Part-time
- Remote
- RN License
- Mid-level
- Experience equivalent to degree accepted
- Opportunities for advancement
Quick Apply
4d
Utilization Review RN
Beth Israel Lahey Health —Boston, MA
- $38.11 - $98.61 an hour
- Full-time
- Nursing
- RN License
- Hospital
Complex Care Manager, RN
Mass General Brigham Community Physicians, Inc. —Somerville, MA
- $58,656.00 - $142,448.80 a year
- Full-time
- Hybrid work
- Nursing
- RN License
- Mid-level
- Opportunities for advancement
Quick Apply
Care Transitions Utilization Review RN, Per Diem
Beth Israel Lahey Health —Boston, MA
- $38.11 - $98.61 an hour
- Call employer
- Nursing
- RN License
- Hospital
RN Case Review Coordinator - Per Diem - Faulkner
Brigham and Women's Faulkner Hospital, Inc. —Boston, MA
- $41.36 - $100.00 an hour
- Part-time
- Hybrid work
- Nursing
- RN License
- 5 years
- Opportunities for advancement
Quick Apply
5d
Prior Authorization Supervisor
Dana-Farber Cancer Institute —Brookline, MA
- $96,500 - $109,100 a year
- Full-time
- Nursing
- RN License
- Writing skills
MA - Intake Nurse
Abby Care —Boston, MA
- $90,000 - $105,000 a year
- Full-time
- Remote
- Bilingual
- Background check
- Nursing
- Commuter assistance
- Paid parental leave
8d
RN Case Review Coordinator - Faulkner
Brigham and Women's Faulkner Hospital, Inc. —Boston, MA
- $41.36 - $100.00 an hour
- Full-time
- Nursing
- RN License
- 5 years
- Opportunities for advancement
Quick Apply
Care Transitions RN Case Manager
Beth Israel Lahey Health —Boston, MA
- $39.14 - $101.14 an hour
- Full-time
- Nursing
- RN License
- Hospital
Case Manager RN – Per Diem
Beth Israel Lahey Health —Beverly, MA
- $36.00 - $79.12 an hour
- Day shift
- Nursing
- RN License
- Hospital
RN Care Coordinator-Complex Case Manager
Boston Medical Center —Brighton, MA
- $85,176.00 - $196,747.20 a year
- Full-time
- Hospital
- Writing skills
- Mid-level
- Health insurance
- Dental insurance
RN Navigator - Pre/Post Surgical Optimization
Mass General Brigham Community Physicians, Inc. —Somerville, MA
- $58,656.00 - $142,448.80 a year
- Full-time
- Hybrid work
- Acute care
- Nursing
- Surgery
- Opportunities for advancement
Quick Apply
11d
RN Care Coordinator (Per Diem)
Boston Medical Center —Brighton, MA
- $40.95 - $94.59 an hour
- Part-time
- Nursing
- RN License
- Writing skills
- Health insurance
- Dental insurance
10d
RN Care Manager, Per Diem
Boston Medical Center —Boston, MA
- $38.05 - $75.33 an hour
- Part-time
- Nursing
- RN License
- Bachelor of Science
- Health insurance
- Dental insurance
Case Manager
Signature Healthcare —Brockton, MA
- $38.69 - $78.82 an hour
- Part-time
- Acute care
- Nursing
- RN License
Quick Apply

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Registered Nurse, Care Management

Boston Medical Center -
Boston, MA

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Job Details

Full-time

Qualifications

Utilization review
RN License
Writing skills
Health insurance policy knowledge
Managing patients as a nurse case manager
ICD-9
Data management
Medical treatment knowledge
Patient care
CPT coding
Computer skills
Clinical confidentiality policies
Medical terminology

Full Job Description

At Boston Medical Center (BMC), our nurses are changing the face of healthcare. At every level and on every unit, BMC nurses are advancing professional practice and delivering evidence-based care to our patients, families, and community. Join our Magnet® recognized organization as a registered nurse (RN) and help us continue to carry out our mission of delivering exceptional and equitable care to all As both the largest trauma hospital and largest safety net hospital in New England, you get a chance to be a part of exciting leading edge clinical care, in a truly mission driven organization.

As one of the top places to work in health care, we know that providing exceptional care for patients begins with caring for our staff. That’s why you’ll find a supportive work environment at BMC, with rich opportunities throughout your career for training, development, and growth and where you’ll have the tools you need to take charge of your own practice environment. There’s never been a better or more exciting time to become a BMC nurse.

Utilizing a collaborative process, the care manager will assess, plan, implement, monitor, and evaluate the options and services required to meet an individual’s health needs, using communication and available resources to promote quality, cost-effective outcomes. The care manager helps identify appropriate providers and facilities throughout the continuum of services while ensuring that available resources are being used in a timely and cost-effective manner in order to obtain optimum value for both the patient and the reimbursement source. This care manager is dedicated to handle the increased volume and to support the overall care management process and the department.

Position: RN Float Nurse Case Manager

DEPARTMENT: Case Management

SCHEDULE: All Shifts

JOB REQUIREMENTS

EDUCATION:

Graduate of an accredited ASN/BSN Program in Nursing. Ability to receive BSN within 4 years of hire date.

CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED:

Licensed to practice as a Registered Nurse in the commonwealth of Massachusetts
CCM or related certification attained within 24 months from the hire date is preferred

EXPERIENCE:

3-5 years of diversified clinical experience is required
A minimum of 2 years of previous experience involving judgment and decision making, preferably in a utilization management/case management position

KNOWLEDGE AND SKILLS:

Extensive background and knowledge of current medical/surgical patterns of practice.
Medical terminology and standard medical abbreviations.
Managed care concepts, the various health care delivery systems
Methods for assessing an individual are level of physical/mental impairment, understanding of the physical and psychological characteristics of illness, and understanding of expected treatment.
Confidentiality issues and the legal and ethical issues pertaining to them.
ICD-9 and CPT nomenclature and the ability to interpret and convert this information, as applicable.
Knowledge of benefits and various plan contracts, eligibility issues and requirements.
Role and functional responsibilities of case management professional; case management program philosophy and purpose within Managed Care Program
Excellent interpersonal, verbal and written communication and negotiations skills
Strong analytical, data management and PC skills

This requisition remains open on a continuous basis until all positions are filled, or the requisition is formally closed. Applicants may be considered at any time throughout this period. Please be advised that due to the ongoing nature of this recruitment process, we may be unable to provide individualized updates regarding the status of your application.

Equal Opportunity Employer/Disabled/Veterans

According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or “apps” job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.

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Refine Your Search

rn utilization management jobs in boston, ma

Registered Nurse, Care Management

RN Case Manager

RN Case Manager - Boston

Case Manager RN LPN or Social Work License

RN Case Manager - Inpatient Case Management CH

RN - Utilization Management - MGH

Utilization Review RN

Complex Care Manager, RN

Care Transitions Utilization Review RN, Per Diem

RN Case Review Coordinator - Per Diem - Faulkner

Prior Authorization Supervisor

MA - Intake Nurse

RN Case Review Coordinator - Faulkner

Care Transitions RN Case Manager

Case Manager RN – Per Diem

RN Care Coordinator-Complex Case Manager

RN Navigator - Pre/Post Surgical Optimization

RN Care Coordinator (Per Diem)

RN Care Manager, Per Diem

Case Manager

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