17 utilization review case manager jobs at 8 companies in Massachusetts
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Case Manager
Brighton, Massachusetts, United States
$85k/yr OnsiteFull 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.
Microsoft Office
2d
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RN Case Manager
New Orleans or Colorado or California or Hawaii or Illinois or Maine or Maryland or Massachusetts or Minnesota or New Jersey or New York or Vermont or Washington or District of Columbia
OnsiteFull Time
Graduate of an accredited nursing school with a current RN license and American Heart Association BLS. Hospital discharge planning, case management, or utilization review experience and CCM or ACM certification are preferred.
1mo
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RN Case Manager
Springfield, Massachusetts, United States
$98k-$133k/yr OnsiteFull Time
3+ YOEBSN and active RN licensure, 3+ years clinical nursing experience, hospital case management or care coordination preferred; strong assessment, utilization review, and computer skills; weekend and holiday commitment.
2mo
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Case Manager RN - Per Diem
Beverly, Massachusetts, United States
$36-$79/hr OnsitePart Time
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.
1mo
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RN Case Manager
Brewster, Massachusetts, United States
$55-$60/hr OnsiteFull Time
ADN required (BSN preferred), active RN required, strong communication and problem-solving, case management or utilization review preferred, direct patient care experience preferred.
2mo
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Case Manager, Per Diem
Brighton, Massachusetts, United States
$28-$41/hr OnsitePart Time, Temporary
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.
Microsoft Office
1mo
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Case Manager - Care Transitions (Part Time
Burlington, Massachusetts, United States
$38-$98/hr OnsitePart Time
3+ YOECurrent Massachusetts RN license and BLS required; ACLS preferred. Minimum 3 years medical/surgical nursing experience; 2 years case/utilization management desirable. Experience with utilization review criteria (InterQual/AEP) and discharge planning.
InterQual, AEP
2d
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RN Case Manager (40hr)
Needham, Massachusetts, United States
$37-$93/hr OnsiteFull Time
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
2d
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RN Case Manager (40hr)
Needham, Massachusetts, United States
$37-$93/hr OnsiteFull Time
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
2mo
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RN, Hospital Case Manager
Springfield, Massachusetts, United States
$98k-$133k/yr OnsiteFull Time
3+ YOEBSN required, 3+ years clinical nursing experience; hospital case management or care coordination preferred. Requires knowledge of community resources and utilization/quality review, excellent interpersonal and computer skills, and weekend/holiday commitment.
1w
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RN, Case Manager, 24hr, Days
Southbridge, Massachusetts, United States
$42-$75/hr OnsitePart Time
Current Massachusetts nursing license and graduation from an accredited nursing school as an RN or BSN. Experience in discharge planning and utilization review required.
Medhost, Meditech, InterQual
1mo
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Per Diem Case Manager
Weymouth, Massachusetts, United States
$59-$86/hr OnsitePart Time
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.
eDischarge, EHR, Interqual, MCCM, Epic, Workday
2mo
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Case Manager-MNA MRMC - Case Mgmt - 32 hr days
Milford, Massachusetts, United States
$84k-$177k/yr OnsiteFull Time
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.
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RN Case Manager - Milford Regional, Per Diem
Milford, Massachusetts, United States
$40-$85/hr OnsitePart Time
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.
2w
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Complex Care Team Manager (RN or LICSW)
Somerville or Boston
$59k-$142k/yr HybridFull Time
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.
2mo
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Prior Authorization Supervisor
Brookline, Massachusetts, United States
$97k-$109k/yr HybridFull Time
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.
Microsoft Office
2mo
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Clinical Document Integrity Specialist - Part Time - Remote (Mooresville, NC, US, 28117)
Mooresville or Alabama or Arizona or California or Colorado or Connecticut or Delaware or Florida or Georgia or Hawaii or Illinois or Indiana or Iowa or Kentucky or Louisiana or Maine or Maryland or Massachusetts or Michigan or Missouri or Montana or New Hampshire or New Jersey or New York or North Carolina or Ohio or Oregon or Pennsylvania or South Carolina or Tennessee or Texas or Virginia or Washington or District of Columbia
RemotePart Time
3+ YOEBSN/PA/NP/Doctorate in a medically related field required; 3+ years progressive acute care experience; prior case management/utilization review preferred; licensed as RN/PA/NP/MD preferred; CCDS/CCS/CDIP preferred; strong communication, critical thinking, and computer skills.
ICD-9, ICD-10, PCS, DRG, SOI/ROM, CDI database, AHIMA Practice Brief
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