23 utilization review case manager jobs at 6 companies in Woonsocket, RI
1mo
Save
Mark Applied
Hide
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
1w
Save
Mark Applied
Hide
Case Manager (NE)
North Providence, Rhode Island, United States
OnsitePart Time
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
1mo
Save
Mark Applied
Hide
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
1d
Save
Mark Applied
Hide
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
17h
Save
Mark Applied
Hide
Registered Nurse Case Manager-Per Diem
Providence, Rhode Island, United States
OnsitePart Time
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
1w
Save
Mark Applied
Hide
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
Save
Mark Applied
Hide
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
1mo
Save
Mark Applied
Hide
Transitions RN Care Manager
Warwick, Rhode Island, United States
OnsiteFull Time
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
Save
Mark Applied
Hide
Transitions RN Care Manager
Warwick, Rhode Island, United States
OnsiteFull Time
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
Save
Mark Applied
Hide
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