Top 21 Utilization review nurse Jobs in West Springfield Ma

Utilization Review Therapist: Billing and Patient Accts- License Eligible Masters Required- Remote! 7071
Community Health Resources (CHR) —Windsor, CT
- From $57,506.80 a year
- Part-time
- Remote
- Mid-level
- Residential
- Master's degree
- Wellness program
- Tuition reimbursement
Quick Apply
Case Manager - Registered Nurse
Software Technology Inc —Massachusetts
- 8 hour shift
- Nursing
- RN License
- Computer literacy
Quick Apply
Portal of Entry (ED) Utilization Management Nurse- 32hr- Onsite
Connecticut Children's Medical Center —Hartford, CT
- Nursing
- RN License
- Bachelor of Science
Travel RN - Case Management/Utilization Review - Case Management
American Traveler —Springfield, MA
- $2,046.50 a week
- Contract
- RN License
- Hospital
- Mid-level
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8d
Registered Nurse RN Case Manager
Trinity Health Of New England —Hartford, CT
- $75,712 - $121,160 a year
- Full-time
- Nursing
- RN License
- 5 years
Hospice Director of Clinical Services
Harmony Hospice (2) —Chicopee, MA
- Full-time
- Nursing
- RN License
- Bachelor of Science
Quick Apply
RN Case Coordinator
Hartford Hospital —Hartford, CT
- 8 hour shift
- Nursing
- RN License
- Inpatient
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Registered Nurse Case Manager RN
Trinity Health Of New England —Hartford, CT
- Full-time
- Nursing
- RN License
- BLS Certification
Registered Nurse Emergency Department Case Manager RN
Trinity Health Of New England —Hartford, CT
- 12 hour shift
- Acute care
- Nursing
- RN License
Nurse Practitioner or Physician Assistant - Hospitalist Service
Holyoke Medical Center —Holyoke, MA
- $8,326 - $14,290 a month
- Overnight shift
- Nursing
- Hospital
- Certified Nurse Practitioner
- Free parking
- Disability insurance
Advanced Practice Registered Nurse - Part-Time
Boca Recovery Center —Hartford, CT
- Part-time
- CPR Certification
- Nursing
- Psychiatry
- Disability insurance
- Health insurance
Quick Apply
Utilization Management Reviewer
Amerihealth Caritas —United States
- Full-time
- Hybrid work
- Nursing
- Microsoft Outlook
- RN License
- Paid holidays
- Health insurance
Registered Nurse (RN) | Work from home | $34/hr | Starts 8/10/26
Carenet Health —United States
- $34 an hour
- Weekends as needed
- Remote
- Bilingual
- Nursing
- RN License
- Continuing education credits
- Paid holidays

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VIABILITY, INC —West Springfield, MA
Must have a valid driver's license and a reliable vehicle. Pet-plan discount program offered through Fetch. Responsible for assessing and attending to member’s…
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Registered Nurse-Behavioral Health Virtual Hiring Event 8/5
Fusion for The Vistas —Holyoke, MA
Valid RN license in Massachusetts, BSN preferred. Advanced knowledge of behavioral health and substance use disorders treatment modalities.
$43.33 - $59.98 an hour
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Valeris, Inc. —Columbus, OH
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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…
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utilization review nurse jobs near west springfield ma

Utilization Review Therapist: Billing and Patient Accts- License Eligible Masters Required- Remote! 7071

Community Health Resources (CHR) -
Windsor, CT

Quick Apply

Job Details

Part-time | Full-time
From $57,506.80 a year

Benefits

Wellness program
Tuition reimbursement
Paid time off
403(b)
Loan forgiveness
Loan assistance
Lunch & learns

Qualifications

Behavioral interventions
Master's degree
Mental health counseling
Coordinating with insurance clients
Working with individuals with mental health conditions
Patient treatment

Full Job Description

A career can mean different things at different workplaces. Apply now to see what it means to us and what it's like to work somewhere your voice is heard, your wellness is a priority, and your success matters.

JOB TITLE: Utilization Review Therapist

EMPLOYMENT TYPE: Full-time, 40 hours/wk

SCHEDULED HOURS: Monday-Friday 8:00AM-4:30PM

PROGRAM/LOCATION: Billing & Patient Accounts, Windsor, CT

PC#: 3146

ABOUT THE POSITION: Utilization Review Therapist

Oversees and manages all authorization activities related to IOP and Residential programs.
Ensures that all admissions and continued stays meet medical necessity
Works with service director to ensure that IOP and Residential documentation and programming meet all relevant regulatory and funder expectations.

QUALIFICATIONS:

Education: Master’s degree in behavioral health field

Experience: Experience in providing behavioral health treatment

Licensure/Certification/Registration: Eligible for licensure in behavioral health field

Training: Behavioral health interventions, understanding of documentation and medical necessity expectations, working with insurers

Why Join CHR?

Award-Winning Workplace:

Proudly recognized as a Top Workplace for 12 consecutive years!

Generous Time Off:

Enjoy ample paid time off, including a special day off for your birthday!

Retirement Savings:

Benefit from contributions to your 403b Retirement Plan.

Comprehensive Insurance:

Competitive premiums with added discounts on pet, auto, and home insurance!

Education & Tuition Support:

Tuition reimbursement and professional development programs.
Student loan repayment assistance (Public Service Loan Forgiveness, Nurse Corps, NHSC/HRSA at select sites).
Exclusive tuition discounts for CHR employees at several local colleges/universities.

Career Development:

FREE robust training curriculum, featuring our brand-new Clinical Training Series for interactive learning, practical skill enhancement, and professional growth!
Clinical supervision and/or mentoring available at many programs.
Internal career fairs: connect with recruiters to discuss your career aspirations and the various opportunities available within our over 80 programs statewide.

Wellness Program:

Annual wellness stipend.
FREE premium subscription to the Calm app, for employees and their families
Fun activities like coloring contests, lunch & learns, office seasonal decorating contests, employee appreciation events, and more!
Up to 6 FREE confidential counseling sessions per issue, per year, for individuals, couples, & families through our EAP program

Employee Involvement:

Participate in leadership luncheons with our CEO and various agency committees!

Stay Informed:

Weekly video updates from our CEO and monthly newsletters to keep you in the loop.

And So Much More:

Many benefits are available to all staff, regardless of the hours worked, with some subject to eligibility.

Join us at CHR and be part of an exciting, supportive, and dynamic workplace where your growth and well-being are our top priorities!

COMPENSATION*:

Starting at $57,506.80/yr minimum, and up commensurate upon experience.

Actual rates are determined at the time of offer and are based off of relevant experience, as well as adherence to our internal equity policy. Many of our positions offer program/location differentials and/or sign-on incentives. (Please note, for part-time positions this range would be pro-rated based on hours worked)

CHR is an equal opportunity employer, and we encourage all to apply.

Take the first step to a meaningful career and apply to CHR today!

Education

Required

Masters or better in Clinical Mental Health Counseling or related field

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.

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utilization review nurse jobs in west springfield ma

Utilization Review Therapist: Billing and Patient Accts- License Eligible Masters Required- Remote! 7071

Case Manager - Registered Nurse

Portal of Entry (ED) Utilization Management Nurse- 32hr- Onsite

Travel RN - Case Management/Utilization Review - Case Management

Registered Nurse RN Case Manager

Hospice Director of Clinical Services

RN Case Coordinator

Registered Nurse Case Manager RN

Registered Nurse Emergency Department Case Manager RN

Nurse Practitioner or Physician Assistant - Hospitalist Service

Advanced Practice Registered Nurse - Part-Time

Utilization Management Reviewer

Registered Nurse (RN) | Work from home | $34/hr | Starts 8/10/26

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