25 utilization review case manager jobs at 7 companies in Quincy, MA

3d
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Utilization Review Nurse
Lawrence, Massachusetts, United States
$38-$81/hr OnsitePart Time
Lawrence General Hospital
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.
2w
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Case Manager (NE)
North Providence, Rhode Island, United States
OnsitePart Time
Our Lady of Fatima Hospital
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.
Care Port, InterQual, MCG, Meditech
2mo
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Case Manager RN - Per Diem
Beverly, Massachusetts, United States
$36-$79/hr OnsitePart Time
Beverly Hospital
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.
2mo
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Case Manager, Per Diem
Brighton, Massachusetts, United States
$28-$41/hr OnsitePart Time, Temporary
Spaulding Rehabilitation
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.
Microsoft Office
5d
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RN Case Manager (40hr)
Needham, Massachusetts, United States
$37-$93/hr OnsiteFull Time
Beth Israel Deaconess Hospital–Needham
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
4d
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Registered Nurse Case Manager-Per Diem
Providence, Rhode Island, United States
OnsitePart Time
Women & Infants Hospital of Rhode Island
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.
EMR, Microsoft Office
1mo
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Per Diem Case Manager
Weymouth, Massachusetts, United States
$59-$86/hr OnsitePart Time
South Shore Health
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.
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
UMass Memorial Health – Milford Regional Medical Center
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.
1mo
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Transitions RN Care Manager
Warwick, Rhode Island, United States
OnsiteFull Time
Care New England
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.
Epic, Cerner
1mo
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Transitions RN Care Manager
Warwick, Rhode Island, United States
OnsiteFull Time
Integra Community Care Network
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.
Epic, Cerner, Microsoft Excel
2mo
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Prior Authorization Supervisor
Brookline, Massachusetts, United States
$97k-$109k/yr HybridFull Time
Dana-Farber Cancer Institute
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.
Microsoft Office