Utilization Review Nurse Jobs in Boston, MA
GQR Healthcare
$2059 - $2154
Milford, MA
As an award-winning talent partner, we support healthcare professionals through every step of that process, offering meaningful opportunities, clear guidance, and long-term partnership. *Estimated weekly pay includes projected hourly wages and weekly meal and lodging per diems for eligible clinicians based on nationally published GSA rates.
GQR Healthcare
$2989 - $3084
Everett, MA
As an award-winning talent partner, we support healthcare professionals through every step of that process, offering meaningful opportunities, clear guidance, and long-term partnership. *Estimated weekly pay includes projected hourly wages and weekly meal and lodging per diems for eligible clinicians based on nationally published GSA rates.
LRS Healthcare
$1794 - $1990
Boston, MA
Demonstrated ability to maintain high level of professionalism during stressful times . LRS Healthcare offers a full benefits package, 24/7 support, and a responsive, traveler-first culture.
Cynet Health
$1931.5
Charlestown, MA
License: Active, unrestricted RN license in state of residence Certifications: None specified Must-Have: Knowledge of Medicare and Medicaid Description: The Prior Authorization Clinician is responsible for reviewing all proposed hospitalization, home care, and inpatient/outpatient services for medical necessity and efficiency. Job Title: Prior Authorization Clinician Profession: Clinical Specialty: Prior Authorization Duration: 13 weeks Shift: 8 hours Hours per Shift: 8 Experience: Minimum of 2 years prior authorization experience and knowledge of evidence-based guidelines.
Jobot
$78000 - $90000
Lawrence, MA
Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. Contact: https://apply.jobot.com/jobs/rn-case-manager-hybrid-mon-fri-days/974045029/?utm_source=CareerBuilder949-996-5645.
AccentCare, Inc.
$99000 - $115000
Norwood, MA
We’re proud to be named one of America’s Greatest Workplaces 2025 by Newsweek — a reflection of our shared commitment to excellence, integrity and compassion as we shape the future of aging in place. Graduate from an approved school of professional nursing and currently licensed to practice as a registered nurse in the state of agency operation.
Chelsea Jewish Lifecare
$40 - $48
Chelsea, MA
Start a meaningful career and apply today to become a Licensed Practical Nurse LPN or Registered Nurse RN at Katzman Family Center for Living. Benefits Available for Qualified Positions:Comprehensive benefits package, including Health, Dental, Vision, company-funded Life Insurance, and optional STD, LTD, Accident, and Critical Illness coverage.
Encompass Health Rehabilitation Hospital of New England at Lowell
Malden, MA
Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, among other accolades, which is nothing short of amazing. Encompass Health is a trusted leader in post-acute care with over 150 nationwide locations and a team of 36,000 exceptional individuals and growing!
Linden Ponds by Erickson Senior Living
Weymouth, MA
Location: Linden Ponds by Erickson Senior LivingJoin our team as the Assistant Director of Nursing is responsible for clinical leadership and outcomes within our Skilled, Assisted Living, and Memory Care neighborhoods. See Erickson Senior Living Privacy Policy at https://www.ericksonseniorliving.com/privacy-policy and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions.
US Tech Solutions, Inc.
$60 - $61
Canton, MA
Key Responsibilities/Duties – what you will be doing Provides all aspects of clinical decision making and support needed to perform utilization management, medical necessity determinations and benefit determinations using applicable coverage documents, purchased clinical guidelines or Medical Necessity Guidelines for clinically complex services / coverage requests in a consistent manner and within established, product specific time frames. Interfaces between Precertification staff and providers when issues arise regarding policy interpretation, potential access availability or other quality assurance issues to ensure that members receive coverage decisions timely within all accrediting and regulatory guidelines.
TRS Healthcare
$2336
Milford, MA
TRS give nurses the best of both worlds - the adventure of experiencing new locations with the comfort security of a company founded by nurses. TRS Healthcare is seeking a Registered Nurse who is licensed to work in MA, and has Case Management experience.
Care-One
$45 - $55
Lexington, MA
Direct day to day functions of Licensed Practical Nurses and Certified Nursing Assistants, assuring compliance with state and federal regulations and facility policies and processes. According to facility policy and procedure, assure that all members of the interdisciplinary team are aware of and understand changes in resident nursing and/or medical plan of care.
NewYork-Presbyterian
$270000 - $335000
Quincy, MA
Coordinate all aspects of clinical care to ensure the delivery of high-quality, patient-centered services to our patients, manage staffing needs, provide staff development opportunities, plan activities, recognition, and training sessions to increase engagement and cohesion among a growing team of experienced CRNAs. See NewYork-Presbyterian Privacy Policy at https://www.nyp.org/privacy-notice and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions.
NewYork-Presbyterian
$270000 - $335000
Cumberland, RI
Coordinate all aspects of clinical care to ensure the delivery of high-quality, patient-centered services to our patients, manage staffing needs, provide staff development opportunities, plan activities, recognition, and training sessions to increase engagement and cohesion among a growing team of experienced CRNAs. See NewYork-Presbyterian Privacy Policy at https://www.nyp.org/privacy-notice and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions.
NewYork-Presbyterian
$270000 - $335000
Haverhill, MA
CRNAs will have the option to rotate between New York-Presbyterian Hospital/Columbia University Irving Medical Center and the New York-Presbyterian Hospital /Morgan Stanley Children’s Hospital to work with both adult and pediatric patients. Our team of CRNAs at Columbia University Irving Medical Center provides patient-centered anesthesia for all types of surgical procedures, including cardiac, vascular, neurosurgery, and pediatrics.
NewYork-Presbyterian
$270000 - $335000
Quincy, MA
Transform your career as a Certified Registered Nurse Anesthetist (CRNA) at NewYork-Presbyterian/Lower Manhattan Hospital, the singular source of advanced care and caring for the 600,000 New Yorkers who live and work south of 14th Street. Surgeries at NewYork-Presbyterian range from the vital to the complex to the truly ground breaking, with one common thread: an expert CRNA team, driven by a deep seated passion for patients.
NewYork-Presbyterian
$270000 - $335000
Cumberland, RI
Our CRNA’s have a continued commitment to providing patients with the most integrated and innovative patient care and use their expertise and top technology to consistently achieve surgical success rates and the nation’s lowest mortality rate. Our team of CRNAs at Weill Cornell provide patient-centered anesthesia for all types of surgical procedures, including cardiac, vascular, neurosurgery, pediatrics and obstetrics.
NewYork-Presbyterian
$270000 - $335000
Cumberland, RI
Amazing Patients, Inspiring CareersCertified Registered Nurse Anesthetist - CRNA -NYP/Queens-SIGN ON BONUS AVAILABLEAt New York-Presbyterian Queens Hospital, Certified Registered Nurse Anesthetists (CRNAs) deliver incredible care that is unseen anywhere else in the world. See NewYork-Presbyterian Privacy Policy at https://www.nyp.org/privacy-notice and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions.
NewYork-Presbyterian
$270000 - $335000
Cumberland, RI
CRNAs will have the option to rotate between New York-Presbyterian Hospital/Columbia University Irving Medical Center and the New York-Presbyterian Hospital /Morgan Stanley Children’s Hospital to work with both adult and pediatric patients. Our team of CRNAs at Columbia University Irving Medical Center provides patient-centered anesthesia for all types of surgical procedures, including cardiac, vascular, neurosurgery, and pediatrics.
NewYork-Presbyterian
$270000 - $335000
Quincy, MA
Collaborating closely with surgical teams ensures high-quality anesthesia and analgesia services are delivered within an Anesthesia Care Team model for various procedures, including robotic surgery, general surgery, orthopedics, pediatrics, and endoscopic cases. See NewYork-Presbyterian Privacy Policy at https://www.nyp.org/privacy-notice and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions.
Boston Children's Hospital
$76003.2 - $163687.68
Boston, MA
With decades of collective experience, our team has the expertise to care for some of the most complex cases in the world, annually caring for more than 1,000 patients who just had cardiac surgery or who need non-surgical treatment for acquired or congenital heart disease. With more than 40 beds, our facility is one of the largest and most sophisticated intensive care units in the country that is dedicated solely to the care of critically ill children who have acquired and congenital heart conditions.
Boston Children's Hospital
$76003.2 - $163678.32
Boston, MA
Key ResponsibilitiesProviding competent nursing care to critically ill patients (newborn – adult) and their families across all 4 ICUs (Medical ICU, Medical/Surgical ICU, Neonatal ICU and Cardiac ICU). We are seeking an experienced RN to join our Pediatric ICU Float pool to meet the ever-changing staffing needs across the Critical Care and Cardiovascular programs.
Boston Children's Hospital
$76003.2 - $163687.68
Boston, MA
The Boston Children's Hospital Critical Care Transport Team employs experienced registered nurses to provide safe, efficient, family-centered care to patients requiring critical care in transit. *This position is eligible for a $5,000.00 sign-on bonus (not eligible for internal candidates and not eligible for former BCH employees who worked here in the past 2years).The posted pay range is Boston Children’s reasonable and good-faith expectation for this pay at the time of posting.
Jobot
$90000 - $100000
Quincy, MA
Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. Registered Nurse Case Manager: The Clinical Case Manager will work with an interdisciplinary team ensuring continuity of care, managing and modifying treatment plans, discharge planning, reviewing and analyzing case management reports, etc.
Advantis Medical Staffing
$2541
Milford, MA
Advantis Medical, the #1 rated travel nurse agency, is currently seeking an experienced Case Manager Registered Nurse (RN) for an exciting new travel job in Milford, MA 01757. If you are an experienced Case Manager Registered Nurse (RN) with a passion for providing exceptional patient care, just let us know you’re interested.
TalentBurst, Inc.
$40 - $42
Boston, MA
ALL RTO REQUESTS MUST BE PRESENTED AT TIME OF SUB Travelers who have worked for Beth Israel Lahey Health as perm or per diem within the last six months will not be accepted - MUST be separated from facility for six months to be considered. Looking for RNs to circ and preferably scrubs either cardiac, vascular, ENDOVASCULAR, thoracic (robot).
Boston Children's Hospital
$40.6 - $87.44
Waltham, MA
Any base pay offer provided depends on skills, experience, education, certifications, and a variety of other job-related factors. The posted pay range is Boston Children’s reasonable and good-faith expectation for this pay at the time of posting.
Encompass Health Rehabilitation Hospital of Braintree at Framingham
Foxborough, MA
Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, among other accolades, which is nothing short of amazing. Encompass Health is a trusted leader in post-acute care with over 150 nationwide locations and a team of 36,000 exceptional individuals and growing!
Boston Children's Hospital
$84448 - $181864.8
Boston, MA
Any base pay offer provided depends on skills, experience, education, certifications, and a variety of other job-related factors. *$20,000 sign-on for RNs with over 2 years of OR experience who have not worked at BCH in 2+ years*.
Metrowest Medical Center - Consolidated
$95000 - $114000
Natick, MA
There are so many stories of compassionate care; so many "firsts" in terms of medical innovation; so many examples of enhancing healthcare delivery and shaping a business that is truly centered around patients and community need. See SonicJobs Terms & Conditions at https://www.sonicjobs.com/us/terms-conditions and Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions.
Accountable Healthcare Staffing
$2041.2 - $2268
Salem, MA
Updated resume, Basic Life Support (BLS - AHA or Red Cross), Advanced Cardiac Life Support (ACLS - AHA or Red Cross), Pediatric Advanced Life Support (PALS - AHA or Red Cross), current drivers license (DL), and an active Massachusetts RN license. *Rate is comprised of taxable hourly rate, specifically including if applicable, nontaxable (housing and M&IE) stipends converted to an hourly rate based on a 36-hour work week, and may be eligible for overtime .
Lancesoft Inc
$4124 - $4248
Concord, MA
We are seeking an experienced Nurse Manager – Endoscopy to oversee clinical operations and ensure high-quality patient care across the Endoscopy Unit and Interventional Radiology. Supervise and support clinical and non-clinical staff including RNs, CNAs, Patient Care Assistants, and Unit Secretaries.
Brooksby Village by Erickson Senior Living
$42 - $50
Peabody, MA
Developing relationships with the residents and their families using a consistent caregiver approach, supporting the resident’s physical, spiritual, emotional, and clinical needs, and focusing on placing the resident first. See Erickson Senior Living Privacy Policy at https://www.ericksonseniorliving.com/privacy-policy and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions.
Saint Vincent Hospital
$65000 - $78000
Hopkinton, MA
From our advanced heart and vascular services, to our comprehensive orthopedics and rehabilitation programs, our robust surgical facility including our Da Vinci robotic surgery and Cyberknife technology, to our comfortable and compassionate women & infants programs - you don't have to travel far for high-quality health care: We're right here, in the heart of Worcester. See SonicJobs Terms & Conditions at https://www.sonicjobs.com/us/terms-conditions and Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions.
Core Medical Group
$2430
Milford, MA
In addition to dedicated, personalized support from your recruiter, when you work with CoreMedical Group you'll receive:Access to an extensive benefits package, including day 1 health, dental, and vision insurance, employer paid life insurance, a health reimbursement account, and more! *Estimate of weekly payments is intended for informational purposes and includes hourly wages, as well as reimbursements for meal & incidental expenses, and housing expenses incurred on behalf of the Company.
Jobot
$78000 - $90000
Methuen, MA
Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. Contact: https://apply.jobot.com/jobs/registered-nurse-rn-complex-care-manager/2142832769/?utm_source=CareerBuilder949-996-5645.
Mindlance Health
Charlestown, MA
Identifies opportunities for improved communication or processes May participate in audit activities and meetings Documents rate negotiation accurately for proper claims adjudication Identify and refer potential cases to Care Management Performs all other related duties as : Nursing degree or diploma required, bachelor s degree in nursingPreferred/Desirable: Bachelor s degree RN license in state of MA, NH or compact license Medicare and Medicaid knowledgeExperience: 2+ years prior authorization experience and evidence-based guidelines (InterQual Guidelines) Managed care experience All employees working remotely will be required to adhere to Wellenses Telecommuter PolicyLicensure, Certification or Conditions of Employment: Active, unrestricted RN license in state of residence Pre-employment background check Ability to take after hours call, including evening/nights/weekendsCompetencies, Skills, and Attributes: Strong oral and. ID: 76538855 Shift: 8hrs Description: Job Prior Authorization Clinician is responsible for reviewing all proposed hospitalization, home care, and inpatient/outpatient services for medical necessity and efficiency to ensure members receive the appropriate and timely care to support members in achieving optimal health outcomes.
Prime Time Healthcare
$3417 - $3819
Boston, MA
Exact pay and benefits package will be negotiated with Prime Time Healthcare and may vary with several factors including but not limited to, guaranteed hours, travel distance, demand, eligibility, etc. As an integral part of our team, you'll collaborate closely with fellow healthcare professionals, ensuring every patient receives the highest level of care possible.
TalentBurst, Inc.
$35 - $41
Plymouth, MA
85% is the passing score, there is NO opportunity for remediation or re-sit, so we suggest RN's prepare for the test, leveraging the Study Guide provided by the client that include tips and answers WILL BE EXPECTED TO FLOAT TO LIKE UNITS AND TO OVERFLOW AREAS License Registered Nurse required MINIMUM REQUIREMENTS: at least 2 years of Med Surg Telemetry experience and able to pass Telemetry Competency Exam. FLU required during compliance - 12H Night shift, weekends and holidays expected **PASS/FAIL ECG/TELE TEST AND MEDICATIONS TEST DURING ONBOARDING - ONE ATTEMPT ONLY TO PASS ** Dysrhythmia and Medication tests are now administered by CCH via Zoom Protector meeting PRIOR to assignment.
Host Healthcare
$2353.92 - $2506.94
Boston, MA
Passionate and transparent team members have made Host Healthcare the agency of choice for new and experienced travelers looking for opportunities far away and close to home. Host Healthcare is an award-winning travel healthcare company with an immediate opening for this Registered Nurse - Case Management in Boston, MA.
Host Healthcare
$2286.98 - $2440
Melrose, MA
Passionate and transparent team members have made Host Healthcare the agency of choice for new and experienced travelers looking for opportunities far away and close to home. Host Healthcare is an award-winning travel healthcare company with an immediate opening for this Registered Nurse - Case Management in Melrose, MA.
Jobot
$72000 - $116000
Dorchester, MA
Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. Contact me today! https://jobot.com/apply/telephone-triage-outpatient-clinic-registered-nurse-office-role/1772552602?utm_source=Monster.
Seven Healthcare
$3200
Lawrence, MA
This contract offers a competitive weekly blended rate of $3,200, based on three 12-hour night shifts per week, providing an excellent opportunity to apply your emergency and critical care expertise in a fast-paced hospital known for outstanding patient outcomes and teamwork. With a 5-star Google rating, recognition as Best Travel Healthcare Company 2024 by BluePipes, and top reviews on Vivian, Seven Healthcare is the trusted partner for healthcare professionals nationwide.
Seven Healthcare
$3000
Concord, MA
This contract offers a competitive weekly blended rate of $3,000, based on four 10-hour day shifts per week, providing an excellent opportunity to expand your procedural nursing skills in a leading facility recognized for excellence in gastrointestinal and surgical care. With a 5-star Google rating, recognition as Best Travel Healthcare Company 2024 by BluePipes, and top reviews on Vivian, Seven Healthcare is the trusted partner for healthcare professionals nationwide.
Seven Healthcare
$2800
Weymouth, MA
This contract offers a competitive weekly blended rate of $2,800, based on three 12-hour night shifts per week, providing an excellent opportunity to expand your emergency and critical care expertise in a highly regarded healthcare facility committed to patient safety and clinical excellence. With a 5-star Google rating, recognition as Best Travel Healthcare Company 2024 by BluePipes, and top reviews on Vivian, Seven Healthcare is the trusted partner for healthcare professionals nationwide.
Seven Healthcare
$2700
Norwell, MA
This contract offers a competitive weekly blended rate of $2,700, based on five 8-hour day shifts per week, providing an excellent opportunity to expand your clinical and patient care skills in a leading outpatient facility known for exceptional service and quality outcomes. With a 5-star Google rating, recognition as Best Travel Healthcare Company 2024 by BluePipes, and top reviews on Vivian, Seven Healthcare is the trusted partner for healthcare professionals nationwide.