25 utilization review case manager jobs at 7 companies in Quincy, MA
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Utilization Review Nurse
Lawrence, Massachusetts, United States
$38-$81/hrOnsitePart Time
Lawrence General Hospital: Independent, non-profit community hospital serving the Merrimack Valley region.
5+ YOEMassachusetts nursing license, bachelor's degree preferred, and five years each of acute-care case management and clinical nursing experience, including utilization review and discharge planning.
Our Lady of Fatima Hospital: Catholic nonprofit community hospital serving patients and families in North Providence, Rhode Island.
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.
Beverly Hospital: Beverly Hospital is a nonprofit acute-care community hospital serving North Shore and Cape Ann patients in Massachusetts.
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.
Spaulding Rehabilitation: Harvard-affiliated nonprofit rehabilitation hospital network providing inpatient, outpatient, long-term acute, and skilled nursing care in Eastern Massachusetts.
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 Deaconess Hospital–Needham: Nonprofit 73-bed community acute-care hospital providing comprehensive medical care to Needham-area patients.
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
Women & Infants Hospital of Rhode Island: Nonprofit specialty hospital providing obstetric, gynecologic, newborn, and women’s healthcare in Rhode Island.
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: Independent, not-for-profit health system serving Southeastern Massachusetts.
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 – Milford Regional Medical Center: Nonprofit acute-care teaching hospital serving patients across more than 20 Central Massachusetts communities.
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: Integrated health care organization based in Rhode Island.
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.
Integra Community Care Network: Integrated health care organization based in Rhode Island.
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: Non-profit cancer research and treatment center.
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.