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Keywords: Utilization Management Nurse, Location: Worcester, MA

Page: 1

Utilization Management Nurse

clinical experience as a Registered Nurse in a clinical setting required. 2 years’ experience as a Utilization Management... records and submits reports as assigned by the Manager Refers high-risk cases to the Case Management Department, Government...

Company: Fallon Health
Location: Worcester, MA
Posted Date: 26 Feb 2025

Senior Utilization Management Nurse - Remote with Travel in MA

in. Required Qualifications: Undergraduate degree or 4+ years of equivalent nursing experience Current unrestricted RN nurse license... development or management experience (in long-term care) Experience working within medical insurance and/or healthcare industries...

Location: Worcester, MA
Posted Date: 23 Jan 2025

Senior Utilization Management Nurse - Remote with Travel in MA

in. Required Qualifications: Undergraduate degree or 4+ years of equivalent nursing experience Current unrestricted RN nurse license... development or management experience (in long-term care) Experience working within medical insurance and/or healthcare industries...

Location: Worcester, MA
Posted Date: 23 Jan 2025

Registered Nurse (RN)

Actively participates in Utilization Management or interdisciplinary Care Management Meeting to facilitate appropriate... the registered nurse delivers efficient and effective nursing care while achieving positive clinical outcomes and patient...

Posted Date: 08 Mar 2025

Prior Authorization Nurse

to five years clinical experience as a Registered Nurse in a clinical setting required. 2 years’ experience as a Utilization... Management/Prior Authorization nurse in a managed care payer preferred. One year experience as a case manager in a payer...

Company: Fallon Health
Location: Worcester, MA
Posted Date: 05 Mar 2025

Licensed Practical Nurse (LPN)

, participates in utilization management or interdisciplinary care management meeting to facilitate appropriate discharge planning... and/or ADON, the licensed practical nurse delivers efficient and effective nursing care while achieving positive clinical outcomes...

Posted Date: 02 Mar 2025

Registered Nurse RN

Reliant Medical Group, part of the Optum family of businesses, is seeking a Registered Nurse RN to join our team... to time utilization and program development Utilizes the curriculum developed for the care of patients Provides professional...

Location: Worcester, MA
Posted Date: 23 Jan 2025

Clinician- 30hr Weekend and Evening- Community Healthlink

a training plan to enhance professional growth. 6. Participates in utilization management, employs Commission on the... coordination. 8. Works closely with MMAT clinical team (Recovery Coach, Nurse, and Psychiatrist) to coordinate client services...

Posted Date: 13 Feb 2025

Front Desk Receptionist (Medical Practice)

: 1. Appointment Management: ● Schedule patient appointments, ensuring efficient utilization of clinicians' time. ● Make..., Rhode Island, Illinois, New Jersey & Maryland . Led by Mohammad Munir, MD, the team of psychiatrists, nurse practitioners...

Posted Date: 30 Jan 2025

Clinician- 37.5hrs, Worcester, Community Healthlink

a training plan to enhance professional growth. 6. Participates in utilization management, employs Commission on the... coordination. 8. Works closely with MMAT clinical team (Recovery Coach, Nurse, and Psychiatrist) to coordinate client services...

Posted Date: 24 Jan 2025

RES, PACT3 Community Clinician IV, Full- Time, Days

as needed. Develop a training plan to enhance professional growth. 6. Participates in utilization management, employs Commission on the... coordination. 8. Works closely with MMAT clinical team (Recovery Coach, Nurse, and Psychiatrist) to coordinate client services...

Posted Date: 12 Jan 2025