Top 152 Utilization management nurse Jobs in Reading, Ma

Director Care Management
Boston Medical Center —Brighton, MA
- $118,500 - $172,000 a year
- Full-time
- Background check
- Nursing
- RN License
- Health insurance
- Dental insurance
Quick Apply
10d
RN ED Case Manager per diem
South Shore Health —Weymouth, MA
- $59.42 - $86.20 an hour
- Part-time
- Acute care
- Nursing
- Patient monitoring
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
1d
RN Case Manager
AMN Healthcare —Salem, MA
- $1,800 - $2,700 a week
- Monday to Friday
- RN License
- BLS Certification
- Acute care experience
- Paid jury duty
- Paid holidays
Prior Authorization Clinician - Home Care
Daley and Associates —Charlestown, MA
- $50 - $53 an hour
- Weekends as needed
- Nursing
- RN License
- Mid-level
Quick Apply
1d
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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5d
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
2d
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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2d
RN Nurse Case Manager (Per Diem)
Mass General Brigham Incorporated —Newton, MA
- Part-time
- Remote
- Nursing
- RN License
- Mid-level
- Opportunities for advancement
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4d
Registered Nurse – Pain Management (Part Time)
Beth Israel Lahey Health —Boston, MA
- $37.00 - $95.37 an hour
- Part-time
- Nursing
- RN License
- Hospital
Clinical Analyst Appeals (Remote)
Beth Israel Lahey Health —Charlestown, MA
- $93,142 - $124,800 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Customer service
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
Registered Nurse, Adult Primary Care/GIM, 40 Hours (Days)
Boston Medical Center —Boston, MA
- $38.05 - $75.33 an hour
- Full-time
- Nursing
- RN License
- Computer literacy
- 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
Case Manager RN – Per Diem
Beth Israel Lahey Health —Beverly, MA
- $36.00 - $79.12 an hour
- Day shift
- Nursing
- RN License
- Hospital
Staff Registered Nurse - Primary Care- (40 hrs, Days)
Boston Medical Center —Boston, MA
- $38.05 - $75.33 an hour
- Full-time
- Nursing
- RN License
- Computer literacy
- Health insurance
- Dental insurance
Nurse Navigator, Acute Care Placement
Beth Israel Lahey Health —Boston, MA
- $39.14 - $101.14 an hour
- Part-time
- Acute care
- Nursing
- Microsoft Excel
Registered Nurse (MNA) Family Medicine Atrius Health Somerville (Per Diem)
Optum —Somerville, MA
- $38.66 - $71.87 an hour
- Part-time
- Nursing
- RN License
- Word processing
Quick Apply
4d
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
Registered Nurse Care Coordinator -40hrs 8:00am - 4:30pm
Merrimack Health —Methuen, MA
- Full-time
- Nursing
- RN License
- Hospital
10d

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utilization management nurse jobs near reading, ma

Director Care Management

Boston Medical Center -
Brighton, MA

Quick Apply

Job Details

Full-time
$118,500 - $172,000 a year
10 days ago

Benefits

Health insurance
Dental insurance
Flexible spending account
Paid time off
Vision insurance
403(b)
Opportunities for advancement

Qualifications

RN License
General management

Full Job Description

Director Care Management

50342

736 Cambridge St, Brighton, Massachusetts, United States, 02135

Full Time

POSITION SUMMARY:

The Director of Care Management is a Registered Nurse with strong leadership skills who assumes responsibility and accountability for the planning, organizing, development and coordination of the daily clinical activities of the Care Management staff and Social Work Discharge Planners. Provides administrative and regulatory details and support to the Care Management staff in an effort to accomplish the department’s goals and mission.

Position: Director Care Management

Department: Nursing Administration

Schedule: FUll Time

ESSENTIAL RESPONSIBILITIES / DUTIES:

Provides direct care management care to patients and their families as needed.
Manages patient flow, communicating to the Care Management staff to expedite admissions, discharges and transfers.
Coordinates the Mentor Program for further development of Care Management staff.
Intervenes in and provides consistent oversight for difficult cases, supporting the activities of the Care Management staff in LOS reduction, quality of care, legal, ethical issues.
Works collaboratively with health care teams for implementation and revision.
Serva as liaison between patients, families and the health care team.
Directly supervise a team of Care Management and Utilization Review staff. Hire, train, schedule, performance manage, discipline, support professional growth and development of staff
Conducts extended-stay meetings with care management staff and care team stakeholders.
Participates in continuing education through attendance and/or participation in in-services, grand rounds, seminars, conferences, staff meetings and yearly Joint Commission requirements.
Develops and implements the fiscal plan in collaboration with finance team.
Collaborates with MD and other disciplines in identifying and monitoring cost reduction efforts for patient care load and department.
Collaborates with all disciplines over non-wage reduction initiatives.
Implements LOS goals and maximizes clinical efficiencies.
Develops daily and monthly schedule.

(The above statements in this job description are intended to depict the general nature and level of work assigned to the employee(s) in this job. The above is not intended to represent an exhaustive list of accountable duties and responsibilities required)

JOB REQUIREMENTS

REQUIRED EDUCATION AND EXPERIENCE:

Master’s degree in Business or Nursing and 6 years of clinical experience, 2 years of which must be in leadership; or equivalent combination of education and experience.

PREFERRED EDUCATION AND EXPERIENCE (If none, please enter “N/A”):

4-5 years of leadership experience preferred.

CERTIFICATIONS, LICENSES, REGISTRATIONS REQUIRED (If none, please enter “N/A”):

By start date, active license to practice Nursing in the Commonwealth of Massachusetts.

CERTIFICATIONS, LICENSES, REGISTRATIONS PREFERRED (If none, please enter “N/A”):

KNOWLEDGE, SKILLS & ABILITIES (KSAs) (If none, please enter “N/A”):

Strong leadership skills.
Strong communication skills, in-depth knowledge of Care Management fiscal issues.
Ability to make formal presentations relative to clinical, educational, and financial issues.
Knowledge of QIO Medicare Process

Compensation Range:

$118,500.00- $172,000.00

This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, skills, and certifications/licensures as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness. In addition, BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), discretionary annual bonuses and merit increases, Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family well-being.

NOTE: This range is based on Boston-area data, and is subject to modification based on geographic location.

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.

Work Location: In person

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Refine Your Search

utilization management nurse jobs in reading, ma

Director Care Management

RN ED Case Manager per diem

Inpatient Case Manager - LSW or RN

RN Case Manager

Prior Authorization Clinician - Home Care

Utilization Management Nurse BWH

Utilization Management RN

Peer to Peer Utilization Management Nurse (32 Hours)

RN Nurse Case Manager (Per Diem)

Registered Nurse – Pain Management (Part Time)

Clinical Analyst Appeals (Remote)

RN Care Coordinator (Per Diem)

Registered Nurse, Adult Primary Care/GIM, 40 Hours (Days)

RN Navigator - Pre/Post Surgical Optimization

Case Manager RN – Per Diem

Staff Registered Nurse - Primary Care- (40 hrs, Days)

Nurse Navigator, Acute Care Placement

Registered Nurse (MNA) Family Medicine Atrius Health Somerville (Per Diem)

Nurse Case Manager – Care Transitions (Part Time)

Registered Nurse Care Coordinator -40hrs 8:00am - 4:30pm

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