Utilization Manager Jobs in Massachusetts
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Search Results - Utilization Manager Jobs in Massachusetts
PRIDE Health-Somerville (MA)-
Job Description
PRIDE Health 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: 05/31...
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PRIDE Health-Somerville (MA)-
PRIDE Health 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: 05/31/2026
• Duration...
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Tenet Massachusetts-Cherry Valley (MA)-
36 hours per week
• Shift: 12 hours, days
• Employment Type: Staff
The individual in this position has overall responsibility for hospital utilization management, transition management, and operational management of the Case Management Department...
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1 similar job: Worcester
Tenet Massachusetts-Worcester-
Shift: 12 hours, days
• Employment Type: Staff
The individual in this position has overall responsibility for hospital utilization management, transition management, and operational management of the Case Management Department in order to promote...
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1 similar job: Cherry Valley
Physician / Family Practice / Massachusetts / Permanent / Medical Director Opening at Boston Area...
Enterprise Medical Recruiting-Dorchester (MA)-
utilization management, and patient scheduling. Additionally, the role involves assisting in the development, implementation, and monitoring of quality improvement and compliance efforts, as well as budgeting and strategic planning.
This is an outstanding...
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Monte Nido & Affiliates, LLC-Medford (MA)-
and outpatient providers
• 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...
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Enterprise Medical Services-Boston-
staffing, utilization management, and patient scheduling. Additionally, the role involves assisting in the development, implementation, and monitoring of quality improvement and compliance efforts, as well as budgeting and strategic planning...
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Korn Ferry-Cambridge-
value‑based arrangements, and access optimization
• Navigate complex environments involving biosimilar competition, utilization management, and portfolio trade‑offs
• Build and sustain executive‑level relationships (VP/SVP/President) across payer...
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Fall River (MA)-icims.com-
and supervise the functions of Care Coordination including the areas of Case Management (utilization review, utilization management, and discharge planning) as well as Denial/Appeal Management. Provide 24 hour leadership for Case Management functions primarily...
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Cape Cod Healthcare-Hyannis (MA)-
Executive, Credentials, Utilization Management, Ethics, and Medical Staff Quality Committee meetings. Serves as a member of the Physician/Patient Complaint Review Committee, the Patient Care Assessment Committee, and hospital Quality Committee.
Participates...
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Medford (MA)-montenidoaffiliates.com-
and utilization management
• Participating in discharge and aftercare planning
• Therapeutic meal support, while modeling a healthy relationship with food
• Provides safe, empathetic, and affirming care for each client and their unique circumstance based...
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Boston-enlyte.com-
Registered Nurse (APRN), Nurse Practitioner, Case Management, Case Manager, Home Healthcare, Clinical Case Management, Hospital Case Management, Occupational Health, Patient Care, Utilization Management, Acute Care, Orthopedics, Rehabilitation, Rehab, CCM...
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Weymouth (MA)-icims.com-
Overview:
Assist the Director of Service (DOS) Sr. Program Directors, and Program Directors with the management of financial, service utilization, and administrative operations. Ensure proper standards and regulations are adhered to as set forth...
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PrincetonOne-Boston-
surrounding payer utilization management criteria, coverage policies, and guidelines specific to Pharvaris products and impacts to patient coverage.
• Implement strategy to meet or exceed goals of Pharvaris products for targeted accounts with a heavy focus...
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Gardner (MA)-icims.com-
Management
Works collaboratively with the assigned RN Care Coordinator to ensure appropriate and timely clinical information is available to support the utilization review process with insurance payers. Participates in weekly utilization review meetings...
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