Top 84 Utilization review nurse Jobs in Massachusetts

Inpatient Case Manager - LSW or RN
Clinical Magnet —Woburn, MA
- $45 - $53 an hour
- Part-time
- RN License
- Inpatient
- Mid-level
- Employee stock purchase plan
- Health insurance
Quick Apply
6d
Peer to Peer Utilization Management Nurse (32 Hours)
Mass General Brigham Incorporated —Somerville, MA
- $58,656.00 - $142,448.80 a year
- Part-time
- Remote
- Nursing
- RN License
- Bachelor of Science
- Opportunities for advancement
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7d
Utilization Management Nurse BWH
The Brigham and Women's Hospital, Inc. —Boston, MA
- $41.71 - $105.65 an hour
- Part-time
- Remote
- Nursing
- RN License
- Hospital
- Opportunities for advancement
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10d
Clinical Claim Review RN
Optum —Boston, MA
- $29 - $52 an hour
- 8 hour shift
- Remote
- 18 years or older
- RN License
- Customer service
- On-the-job training
13d
Clinical Care Reviewer II (Remote)(Must Have - Unrestricted Massachusetts RN License)
CareSource —Massachusetts
- $62,700 - $100,400 a year
- Full-time
- Remote
- Nursing
- Microsoft Excel
- Microsoft Outlook
1d
Utilization Management Nurse, Extended Care Facilities
Mass General Brigham Health Plan Holding Company, Inc. —Somerville, MA
- $58,656.00 - $142,448.80 a year
- Full-time
- Remote
- Nursing
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Opportunities for advancement
Quick Apply
3h
Utilization Management Nurse, Out of Network
Mass General Brigham Health Plan Holding Company, Inc. —Somerville, MA
- $58,656.00 - $142,448.80 a year
- Full-time
- Remote
- Microsoft Word
- Nursing
- Microsoft Excel
- Health insurance
- Opportunities for advancement
Quick Apply
3h
Clinical Review Specialist
Mass General Brigham Community Physicians, Inc. —Somerville, MA
- $63,648.00 - $92,570.40 a year
- Full-time
- Remote
- Nursing
- RN License
- Mid-level
- Opportunities for advancement
Quick Apply
2d
Sr Utilization Management Nurse RN - Field Position
Optum —Boston, MA
- $72,800 - $130,000 a year
- Full-time
- Nursing
- RN License
- Computer literacy
RN Case Manager - Milford Regional, 32 hours, Days
UMass Memorial Health —Milford, MA
- $84,011.20 - $176,987.20 a year
- 8 hour shift
- Nursing
- RN License
- Hospital
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
Utilization Management RN
The General Hospital Corporation —Boston, MA
- $41.72 - $105.65 an hour
- Part-time
- Nursing
- RN License
- Mid-level
- Opportunities for advancement
Quick Apply
7d
RN Care Coordinator (Per Diem)
Boston Medical Center —Brighton, MA
- $41.77 - $98.41 an hour
- Part-time
- Nursing
- RN License
- Writing skills
- Health insurance
- Dental insurance
RN Reviewer
Cohere Health —Boston, MA
- $33 - $35 an hour
- Weekends as needed
- Remote
- Google Workspace
- Nursing
- RN License
- Paid parental leave
- Health savings account
Quick Apply
Utilization Review Specialist - VNA
Berkshire Health Systems —Pittsfield, MA
- $40.54 an hour
- Part-time
- Nursing
- Microsoft Excel
- RN License
Utilization Nurse
Beth Israel Lahey Health —Plymouth, MA
- $37.14 - $82.22 an hour
- Day shift
- Nursing
- RN License
- Hospital
10d
Utilization Review Coordinator - Part Time, 24 Hours/Week
Pembroke Hospital —Pembroke, MA
- Part-time
- Acute care
- RN License
- Hospital
- Loan repayment program
- Health insurance
12d
Utilization Management RN- 75% travel in MA
Optum —Worcester, MA
- Full-time
- Nursing
- RN License
- Computer literacy
Quick Apply
RN Case Manager, 4W, 40 Hours (Days / 4x10 Hour Shifts / Every 6th Weekend)
Boston Medical Center —Boston, MA
- $38.05 - $75.33 an hour
- Full-time
- Nursing
- RN License
- Writing skills
- Health insurance
- Dental insurance
Nurse Case Manager – Care Transitions (Part Time)
Beth Israel Lahey Health —Burlington, MA
- $38.11 - $98.23 an hour
- Part-time
- Nursing
- RN License
- Customer service

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Inpatient Case Manager - LSW or RN

Clinical Magnet
Woburn, MA

Quick Apply

Job Details

Part-time | Full-time
$45 - $53 an hour
6 days ago

Benefits

Employee stock purchase plan
Health insurance
Dental insurance
401(k)
Paid time off
401(k) matching

Qualifications

LSW
Utilization review
Case assessment
RN License
Utilization management
Clinical documentation

Full Job Description

Case Manager | Inpatient Rehabilitation

Exceptional Care | Strong, Close-Knit Team | Focused on Excellence

The Case Manager positions you as a vital link between exceptional care and the transformative impact on each patient's journey. As the leading provider of rehabilitation care in the nation, this opportunity allows you to leverage your clinical expertise while contributing to the well-being of individuals in your community. Manage resources, coordinate patient care from admission to post-discharge, and oversee interdisciplinary plan-of-care decisions. This is more than a career move; it's a chance to shape a future where care and compassion converge for truly meaningful outcomes.

Clinical Magnet, a division of ICON Medical Network, is looking for a dedicated Case Manager to join our partner's full-time team in Woburn, MA.

This is a DIRECT HIRE opportunity!

Why Choose This Opportunity

Benefits start on DAY ONE
401(k) with company match + employee stock purchase plan

Nurse Practitioner Responsibilities

Coordinate with interdisciplinary team to establish tentative discharge plan and contingency plans
Participate in planning for and the execution of patient discharge experience.
Monitor patient experience: quality/timeliness/service appropriateness/payors/expectations.
Facilitate team conferences weekly and coordinate all treatment plan modifications.
Complete case management addendums and all required documentation.
Maintain knowledge of regulations/standards, company policies/procedures, and department operations.
Review/analyze case management reports, including Key Care Indicators, and plan appropriate actions.

Qualifications

License or Certification-

Must be qualified to independently complete an assessment within the scope of practice of his/her discipline (for example, RN, SW, OT, PT, ST, and Rehabilitation Counseling).
Must meet eligibility requirements for CCM® or ACM™ certification upon entry into this position OR within two years of entry into the position.

For Nurses-

· 2-years of rehabilitation experience preferred

Compensation & Schedule

$45-$53/hour
Full-time – day shift (Monday through Friday with rotating weekends)
Part-time – Saturday, Sunday and Monday (24 hours/week)

Apply Today

Join a strong, supportive interdisciplinary team where your clinical expertise is valued and your work helps patients obtain a quality of life.

Keywords:

Case Management, Registered Nurse, Social Worker, Inpatient Rehabilitation, Discharge Planning, Utilization Review, Patient Advocate

#HV100

Pay: $45.00 - $53.00 per hour

Benefits:

401(k)
Dental insurance
Health insurance
Paid time off

Work Location: In person

Quick Apply

Refine Your Search

utilization review nurse jobs in massachusetts

Inpatient Case Manager - LSW or RN

Peer to Peer Utilization Management Nurse (32 Hours)

Utilization Management Nurse BWH

Clinical Claim Review RN

Clinical Care Reviewer II (Remote)(Must Have - Unrestricted Massachusetts RN License)

Utilization Management Nurse, Extended Care Facilities

Utilization Management Nurse, Out of Network

Clinical Review Specialist

Sr Utilization Management Nurse RN - Field Position

RN Case Manager - Milford Regional, 32 hours, Days

Utilization Review Clinician

Utilization Management RN

RN Care Coordinator (Per Diem)

RN Reviewer

Utilization Review Specialist - VNA

Utilization Nurse

Utilization Review Coordinator - Part Time, 24 Hours/Week

Utilization Management RN- 75% travel in MA

RN Case Manager, 4W, 40 Hours (Days / 4x10 Hour Shifts / Every 6th Weekend)

Nurse Case Manager – Care Transitions (Part Time)

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

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