Utilization Manager Jobs in Boston
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Search Results - Utilization Manager Jobs in Boston
Optum-Boston
for remote work based on business needs.
As a Sr Utilization Management Nurse in the Boston MA Regional Area, the role centers on ensuring the accuracy of medical record coding, supporting proper payment to nursing facilities, and promoting quality patient...
Healthforce-Boston
week. Shift: 10-hour days (7:00 a.m. to 5:30 p.m.). Work setting is a hospital environment. This role emphasizes inpatient care management, utilization management, and discharge planning within a multidisciplinary team.
The assignment requires...
Boston Children's Hospital-Boston
A minimum of 5 years nursing experience required; pediatrics preferred.
• Experience as a Case Manager (Discharge Planning and/or Utilization Management) preferred.
Licensure/ Certifications:
• Current Massachusetts license as a Registered Nurse (RN)...
South Shore Health-Boston
necessity for admission and continued stay. Provides clinically-based case management, discharge planning and care coordination to facilitate the delivery of cost-effective quality healthcare and assists in the identification of appropriate utilization...
Boston
Healthcare, Clinical Case Management, Hospital Case Management, Occupational Health, Patient Care, Utilization Management, Acute Care, Orthopedics, Rehabilitation, Rehab, CCM, Certified Case Manager, CDMS, Certified Disability Management Specialist, CRC...
enlyte.com -
EVERSANA-Boston
the needs of top accounts and ensure successful implementation of market access initiatives.
• Obtain and maintain knowledge and understanding of payer landscape, including specialty pharmacy and utilization management criteria, on a national, regional...
American Traveler-Somerville (MA), 3 mi from Boston
American Traveler is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Somerville, Massachusetts.
Job Description & Requirements
• Specialty: Utilization Review
• Discipline: RN
• Start Date: 10/15/2026...
American Traveler-Somerville (MA), 3 mi from Boston
Job Description
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American Traveler is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Somerville, Massachusetts.
Job Description & Requirements/n
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• Specialty: Utilization Review
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• Discipline: RN
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Monte Nido & Affiliates, LLC-Medford (MA), 5 mi from Boston
Interact with insurance companies for pre-certification and utilization management
• Participating in discharge and aftercare planning
• Therapeutic meal support, while modeling a healthy relationship with food
• Provides safe, empathetic, and affirming...
Rxadvance Corporation-Southborough, 23 mi from Boston
players to join our team – folks who embrace the grind and hustle of a growing company, are collaborative and innovative, are life-long learners and growers, and have an entrepreneurial and positive mindset.
Job Summary:
The Utilization Management (UM)...
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