13 utilization review case manager jobs at 4 companies in Lynn, MA
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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.
CharterCARE Health of Rhode Island: Regional healthcare network providing hospital and medical services.
5+ YOECurrent RI RN license (or compact), 5+ years clinical experience preferred with case management/discharge planning/utilization review, familiarity with InterQual/MCG, strong interpersonal and clinical documentation skills.
CharterCARE Health of Rhode Island: Regional healthcare network providing hospital and medical services.
5+ YOENursing school graduate with current Rhode Island RN license or Nurse Licensure Compact eligibility. Five years of clinical experience in case management, utilization review, patient navigation, or discharge planning strongly preferred.
Care Port, InterQual, MCG, Microsoft SharePoint, Meditech
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.
Mass General Brigham: Provides integrated medical care, research, and clinical training services.
2+ YOEBachelor's degree required; licensure as RN, PT, OT, RT, LCSW or LICSW; 2+ years case management/utilization review/discharge planning experience preferred; Microsoft Office proficiency; strong communication and problem-solving skills.
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
Beth Israel Lahey Health: Integrated regional healthcare provider operating hospitals and clinical centers.
3+ YOEAssociate's 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
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.
UMass Memorial Health: Provides integrated medical care and clinical research in Massachusetts.
3+ YOEBSN, current Massachusetts RN license, 3–5 years of clinical experience, utilization review, quality assurance, or community experience, plus strong interpersonal and analytical skills.
Mass General Brigham: Provides integrated medical care, research, and clinical training services.
5+ YOE5+ MgmtRequires a bachelor's in nursing or master's in social work, RN or LICSW license, and 5+ years each supervising healthcare professionals and case management, utilization review, or discharge planning.