23 utilization review case manager jobs at 6 companies in Cambridge, MA
1mo
Save
Mark Applied
Hide
1mo
Case Manager
Brighton, Massachusetts, United States
$85k/yrOnsiteFull Time
Mass General Brigham: Provides integrated medical care, research, and clinical training services.
Licensed clinician (RN, PT, OT, SLP, RT, or LCSW/LICSW) with case management, utilization review, or discharge planning experience; proficient in Microsoft Office; strong communication and problem-solving skills.
CharterCARE Health of Rhode Island: Regional healthcare network providing hospital and medical services.
Nursing graduate with a current RN license in Rhode Island or a Nurse Licensure Compact state. Case management, utilization review, discharge planning, and InterQual or MCG experience required or preferred.
Beth Israel Lahey Health: Integrated regional healthcare provider operating hospitals and clinical centers.
Massachusetts RN license required; case management certification preferred; BSN preferred; 2-3 years case management experience preferred; functions include utilization review, discharge planning, and care coordination.
Beth Israel Lahey Health: A non-profit health system providing comprehensive integrated medical care.
3+ YOEAssociate degree in nursing and RN license required; bachelor's preferred. Requires 3–5 years related acute or managed care experience, including 2 years in case management, plus utilization review and discharge planning knowledge.
InterQual, Microsoft Outlook, Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Access
Care New England Health System: Integrated non-profit health system providing hospital and medical services.
3+ YOERhode Island RN license and 3–5 years of related clinical or case management experience required. Case management certification, care coordination, utilization review, discharge planning, communication, medical data interpretation, and computer systems knowledge required or preferred.
South Shore Health: Regional health system providing comprehensive medical and community care.
3+ YOEActive RN licensure, 3+ years acute care experience preferred, ACM or CCM within two years, InterQual certification, strong communication, critical thinking, utilization review and discharge planning skills.
UMass Memorial Health: Provides integrated medical care and clinical research in Massachusetts.
3+ YOEBSN and current Massachusetts RN license required, 3+ years clinical experience (3–5 years preferred), utilization review/quality or community experience, strong interpersonal and analytical skills; CCM certification preferred.
Care New England Health System: Integrated non-profit health system providing multi-specialty medical care.
5+ YOEActive RI RN license, BSN or equivalent, 5+ years acute care or case management experience, knowledge of utilization review/discharge planning, strong interpersonal and leadership skills.
Care New England Health System: Integrated non-profit health system providing hospital and medical services.
5+ YOEActive RI RN with bachelor\u0002s in nursing or equivalent, 5+ years acute care or case management, knowledge of utilization review/discharge planning, strong communication and analytical skills, Epic and Cerner documentation.
Dana-Farber Cancer Institute: Provides comprehensive cancer treatment and conducts oncological research.
3+ YOEBachelor\u0002s in Nursing required, 3+ years case management/utilization review experience, strong clinical knowledge (oncology a plus), supervisory experience preferred, payer policy expertise, Microsoft Office skills, and ability to train and oversee staff.