2w
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Utilization Review Coordinator
Brookline, Massachusetts, United States
$69k-$94k/yr OnsiteFull Time
3+ YOEMaster's in psychology, social work or related field; 3+ years utilization review experience required (5 preferred); LCSW/LMHC/LICSW preferred.
1mo
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Utilization Review Clinician
Devens, Massachusetts, United States
$80k-$90k/yr OnsiteFull Time
Master's-level clinician or RN; experience with utilization management in inpatient psychiatric settings preferred; license eligible (LMHC or LICSW) or RN; strong communication and clinical/financial integration skills.
2d
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Supervisor, Utilization Management Support
United States or Waltham
$58k-$80k/yr RemoteFull Time
3+ YOE1+ Mgmt3+ years utilization management/prior authorization experience, 1+ year supervisory experience, Medicare Advantage experience, knowledge of PA workflows, EHR proficiency, AI/LLM workflow experience, strong communication and analytical skills.
EHR, AI/LLM
1mo
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Utilization Review Nurse - Per-Diem
Lawrence, Massachusetts, United States
$38-$76/hr OnsitePart Time, Temporary
5+ YOEBSN required (Master's preferred), Massachusetts RN license, minimum 5 years clinical nursing experience, case management/utilization review experience preferred, strong communication skills, and computer proficiency.
Interqual
1w
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Behavioral Health Utilization Manager (temporary)
Charlestown or Massachusetts or New Hampshire
$33-$49/hr RemoteFull Time, Temporary
5+ YOE5+ years behavioral health utilization management experience in health insurance; master’s in behavioral health field or BSN; BCBA required; BLS/CPR not mentioned; strong documentation, clinical judgment, and Microsoft Office skills.
Microsoft Outlook, Microsoft Word, Microsoft Excel
3mo
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Utilization Review Specialist - VNA
Pittsfield, Massachusetts, United States
$41-$60/hr OnsitePart Time
3+ YOEMinimum 3 years in certified home health; knowledge of third-party reimbursement; RN MA licensure; OASIS/COS-C; strong computer skills.
Windows, Microsoft Word, Microsoft Excel, Email
1w
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Physical Therapy Utilization Management Reviewer
Hingham, Massachusetts, United States
$42-$52/hr HybridFull Time
3+ YOEDPT/MSPT/BSPT from CAPTE program, Massachusetts licensure within 6 months, 3-5 years clinical experience, utilization management experience preferred, ability to assess clinical documentation, InterQual proficiency, and electronic clinical record skills.
InterQual
1w
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Utilization Management Nurse Consultant - Eastern Time Zone
Massachusetts, United States
$32-$69/hr RemoteFull Time
3+ YOEActive RN license in state of residence, 3+ years clinical RN experience, Associate Degree in Nursing required (BSN preferred), experience with utilization review or precertification preferred, Microsoft Office experience.
Microsoft PowerPoint, Microsoft Word, Microsoft Excel, Microsoft Outlook
2w
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Manager, Scheduling and Utilization
Burlington or Cambridge
$127k-$140k/yr HybridFull Time
3+ YOEBachelor's in life sciences plus 3+ years (or Associate/GED plus 5+ years) in cGMP manufacturing, MS Office proficiency, OpCenter/MES experience preferred, Lean/Six Sigma certification within first year, strong communication and leadership skills.
OpCenter Execution Pharma, OpCenter APS, Siemens, Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Project
2w
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Customer Success Utilization Manager
Boston, Massachusetts, United States
$81k-$105k/yr FieldFull Time
1+ YOE2–3 years OR sales/service or 1+ year KARL STORZ video/integration experience; Bachelor's preferred; willingness to travel 50–80%+; good driving record; ability to work in OR environments.
Salesforce, OR1
1w
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Sr Utilization Management Nurse RN - Remote
Boston, Massachusetts, United States
$73k-$130k/yr FieldFull Time
4+ YOEActive MA RN license, RAC/CT MDS certification prior to start, 4+ years nursing long-term care/record review, knowledge of Medicare/Medicaid and UM processes, HIPAA compliance, ability to travel across Massachusetts and reliable transportation.
Microsoft Office
1d
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Utilization Management Behavioral Health Professional
Virginia or Texas or Tennessee or South Carolina or Pennsylvania or West Virginia or New York or Wisconsin or North Carolina or New Jersey or Massachusetts or Louisiana or Michigan or Kentucky or Maryland or Kansas or Indiana or Illinois or Georgia or Florida or Arkansas or Alabama or Vermont or Rhode Island or Maine or Delaware or Connecticut
$65k-$89k/yr RemoteFull Time
1+ YOERequires behavioral health clinical licensure (RN/LCSW/LPC/LMFT/LCP/clinical psychologist), 1+ year post-degree clinical and 1+ year managed care experience, Microsoft Office proficiency, and remote work capabilities.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint, HireVue
1d
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Operator III - Water
Littleton, Massachusetts, United States
$33-$39/hr OnsiteFull Time
5+ YOEHigh school/GED, 3–5 years water-field experience, T-2 or D-2 water operator credential (or obtain within 6 months), OSHA 10, DOT medical card, computer literate in Windows/MS Office, available for on-call night and weekend work.
Microsoft Windows, Microsoft Office
2w
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Hydroelectric Power Technician, Operations
Rowe, Massachusetts, United States
$30-$40/hr OnsiteFull Time
Perform and assist with hydro plant operations, maintenance, troubleshooting of hydraulic/electrical/mechanical systems; Windows and PI Historian/IFS computer use; valid driver’s license and willingness to travel/overnight; associate degree preferred; OSHA knowledge.
Microsoft Outlook, Microsoft Excel, Microsoft Word, PI Historian, IFS
3w
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Nurse Manager - Utilization Management (Full Time)
Burlington, Massachusetts, United States
$165k-$215k/yr OnsiteFull Time
3+ YOECurrent RN license, Bachelor's degree (Master's preferred), minimum 3 years medical/surgical nursing with leadership experience, knowledge of utilization management, payer regulations, quality improvement, and strong communication skills.
1mo
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Medical Director Utilization Management
United States or Boston
$240k-$250k/yr RemoteFull Time
5+ YOECompleted US residency/fellowship in Internal Medicine, MD or DO board certification, active state medical license, 5+ years clinical practice post-training, B2B managed care knowledge, clinical review experience desirable, comfortable with technology and able to obtain additional state licenses.
Payment Integrity Suite, Cohere Validate, ZignaAI
1mo
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Partner, AI-Enabled CDI, Care Management, and Utilization Management Transformation
Boston or Chicago or New York City or Washington or Nashville or United States
$250k-$350k/yr RemoteFull Time
10+ YOEBachelor's required (advanced preferred), 10+ years in CDI/care management/utilization management or healthcare consulting, deep knowledge of DRGs/denial prevention, EHR workflows, AI-enabled solutions, and strong executive communication.
Epic, NLP, EHR
1mo
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ArcGIS Utilities Industry Principal Director
New York City or Milwaukee or Herndon or Dallas or Columbus or Kirkland or Irvine or Cincinnati or Cleveland or Oklahoma City or Austin or Albany or Chicago or Arlington or St. Petersburg or Hartford or Pittsburgh or St. Louis or Miami or Sacramento or Raleigh or Minneapolis or Mountain View or Scottsdale or Morristown or San Francisco or Denver or Boston or Philadelphia or Des Moines or Overland Park or Los Angeles or Charlotte or Walnut Creek or Carmel or Seattle or Houston or Arlington or Atlanta or Redmond or Bentonville or Beaverton or Nashville or Detroit or San Diego
$139k-$434k/yr HybridFull Time
10+ YOE10+ years in utility GIS solution architecture with full‑lifecycle ArcGIS Utility Network implementations; experience advising utility executives, defining enterprise GIS architecture, and leading large transformation programs; must be eligible to work in the US and willing to travel.
ArcGIS Utility Network, ArcGIS Enterprise, ArcGIS Pro, Esri
3mo
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Dishwasher/Utility
Burlington, Massachusetts, United States
$15-$19/hr OnsiteFull Time
Dishwasher/Utility responsible for cleaning, stocking supplies, and maintaining facilities and restrooms.
2w
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Utilities Maintenance Person
Brockton, Massachusetts, United States
$53k-$68k/yr OnsiteFull Time
Performs utilities maintenance work under the direct supervision of department staff.
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