569 utilization jobs at 207 companies in Nashua, NH
1w
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Haverhill Pavilion - Utilization Specialist
Haverhill, Massachusetts, United States
OnsiteFull Time
2+ YOEClinical experience with the facility population, high school diploma or equivalent; preferred clinical licensure (LPN,RN,LMSW,LCSW,LPC/LPC-I); CPR, de-escalation/restraint and first aid training; utilization management experience.
1mo
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Director, Utilization Review
Exeter, New Hampshire, United States
$135k-$155k/yr OnsiteFull Time
5+ MgmtActive RN license, 5+ years utilization review leadership, knowledge of MCG and regulatory standards, experience with claims integration, and familiarity with interoperability/automation tools.
MCG, EDI
1w
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Epic Tapestry Utilization Management
Boston or Chicago or New York City or Washington or Nashville
$85-$95/hr RemoteContract, Temporary
Design, configure, implement, and support Epic Tapestry Utilization Management workflows; ensure regulatory compliance; perform testing and documentation; partner with clinical and operational teams.
Epic, Epic Tapestry, Tapestry Care Link, SmartTools, SmartText
3d
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Utilization Management Nurse BWH
Boston, Massachusetts, United States
$42-$106/hr RemotePart Time
Mass General Brigham: Provides integrated medical care, research, and clinical training services.
5+ YOEMassachusetts RN license, hospital or healthcare experience, utilization review and medical criteria experience, five years of medical or surgical nursing experience, and strong clinical, organizational, communication, and computer skills.
Milliman, InterQual
3w
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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
2d
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Acquisition Utilization Specialist
Smyrna or Fort Riley or Topeka or Salt Lake City or Seattle or Phoenix or Los Angeles or San Francisco or Denver or Washington or Miami or Atlanta or Chicago or Indianapolis or New Orleans or Boston or Minneapolis or Kansas City or Albuquerque or New York or Oklahoma City or Portland or Austin or Hot Springs or Waco
$75k-$123k/yr OnsiteFull Time
1+ YOERequires one year of specialized procurement experience at the next lower federal grade, U.S. citizenship, and experience with acquisition strategy, contract compliance, procurement documentation, federal regulations, stakeholder coordination, and presentations.
Defense Travel System (DTS)
2w
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Executive Director, Utilization Management
Boston, Massachusetts, United States
$180k-$210k/yr OnsiteFull Time
8+ YOE3+ Mgmt8+ years progressive UM/case management leadership, 3+ years multi-site senior leadership, bachelor\u0002s degree required (master\u0002s preferred), active RN license preferred, ACM/CCM preferred, experience with UM vendor management and regulatory compliance.
InterQual, MCG, Epic
6d
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RN Manager Utilization Review- Full Time- Days
Manchester, New Hampshire, United States
OnsiteFull Time
Bachelor's degree or higher in nursing, active New Hampshire or compact-state RN license, utilization review and InterQual knowledge, and leadership skills; managerial experience and CCM or ACM certification preferred.
InterQual
1mo
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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
3w
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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
1w
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Wound Care Utilization Management RN
Indianapolis or Iselin or Tampa or Miami or Wilmington or Cincinnati or St. Louis or Walnut Creek or Las Vegas or Woburn or Grand Prairie or Chicago or California or Illinois or Massachusetts or Nevada or New Jersey
$39-$56/hr RemoteFull Time
3+ YOERequires an associate degree in nursing or equivalent background, 3+ years of healthcare experience, active unrestricted RN license, and wound-care certification such as WOCN or CWS.
medical records
2d
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ABA Behavioral Health Utilization Manager (Outpatient and Non-24 Hour Diversionary Services)
Charlestown or Massachusetts
$70k-$101k/yr RemoteFull Time
5+ YOEMaster's in behavioral health or bachelor's in nursing; 5–7 years of behavioral health insurance experience, utilization management expertise, active MA and/or NH independent licensure, and BCBA credential.
Microsoft Outlook, Microsoft Word, Microsoft Excel
2w
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Utility Inspection Technician
Boston or Brookline or Lexington or West Roxbury or Waltham or Braintree or Norwood or Quincy or Dorchester
$24-$32/hr FieldFull Time
Ability to perform outdoor meter inspections, lift up to 75 lbs, pass drug screen, valid driver’s license, communicate with customers, and use company-issued technology.
2w
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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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Service Technician Apprentice to First Class (North On-Call)
Portsmouth, New Hampshire, United States
$36-$50/hr FieldFull Time
Perform, inspect, maintain and respond to gas distribution work and emergencies; must obtain state gas licenses, possess vehicle operator credentials and DOT medical certificate; pass PHMSA drug screening.
GIS, GPS, gas CMS, PMD portable methane detector
1mo
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Water Treatment Operator II
Nashua, New Hampshire, United States
$36/hr OnsiteFull Time
2+ YOENHDES Treatment Operator I, 2 years operator experience, First Aid and OSHA 10 within 12 months, valid state driver's license, and ability to work rotating shifts.
1w
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Supervisor Meter Technical
Somerville or Waltham
$126k-$140k/yr OnsiteFull Time
5+ YOEFive-plus years of related experience, a bachelor's degree in electrical engineering, business, or equivalent experience, a valid driver's license, PC application skills, and metering knowledge.
Microsoft Word, Microsoft Excel, Email
5d
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Shift Operator- SPARC - Second Shift
Devens, Massachusetts, United States
$30-$41/hr OnsiteFull Time
5+ YOEHigh school diploma/GED and 5 years of complex facility operations experience. Requires electrical, cooling water, LOTO, safety, mechanical, electrical, and hydraulic systems knowledge; occasional lifting and night/weekend/on-call work.
HVAC, Lockout/Tagout (LOTO)
1w
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Propane Delivery Driver
South Berwick, Maine, United States
$28-$36/hr FieldFull Time
Valid Class A or B CDL with Hazmat and Tanker endorsements, acceptable driving record, ability to lift up to 75 lbs (pull up to 125 lbs), willingness to work on-call and outside regular hours.
3d
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Power Plant Operator
Bellingham, Massachusetts, United States
$43-$49/hr OnsiteFull Time
2+ YOEMinimum 2 years of related experience, high school diploma or equivalent, ability to work 12-hour shifts, required POSS/MASS selection success, and applicable state licensing; Massachusetts engineer or fireman licenses preferred.
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