Utilization Review Nurse Jobs in Massachusetts
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.
MelroseWakefield Healthcare
$44.17 - $56.32
Melrose, MA
The Case Manager, works to achieve daily clinical, quality, and cost outcomes by providing well-coordinated experiences for patients/families through the synchronization of care activities of multiple disciplines and negotiation with third-party payers. Core to our values, MelroseWakefield Healthcare’s commitment to community is demonstrated by our many local health programs throughout our service area and participation in partnerships with community agencies and events, and education programs in more than 10 communities to support the wellness and health of our residents.
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.
Charlotte Hungerford Hospital
Ashley Falls, MA
Refers patients to a variety of resources including, but not limited to, Visiting Nurse Agency, Skilled Nursing facility, Long Term Care Hospital, Rehab Facility, Hospice Care, Durable Medical and Respiratory Care providers. In conjunction with patient, family, payers and other members of the health care team: formulates and implements a discharge plan to address assessed needs and patient/family concerns, evaluates the effectiveness of the plan in meeting the established care goals; and revises the plan as needed to achieve desired outcomes.
Tufts Medicine Care at Home
$84300.22 - $107481.2
Malden, MA
Provides hospice nursing care to patients and families utilizing current principles of palliative care and symptom management to produce hospice outcomes. Beyond base pay, Tufts Medicine provides a comprehensive Total Rewards package that supports your health, financial security, and career growth—one of the many ways we invest in you so you can thrive both at work and outside of it.
Tufts Medical Center
$34.79 - $43.49
Braintree, MA
As the principal teaching hospital of Tufts University School of Medicine and a nationally respected research institution, we are known for delivering groundbreaking, patient-centered care across more than 100 specialties and services, from primary care to our Level I Trauma Center to the region’s leading heart transplant program. Participates in hospital and/or unit based patient safety and quality activities and uses principles to support and improve patient outcomes (unit-based, hospital-wide, The Joint Commission, NPSGs, NDNQI, Patient First and other local, state and federal patient safety initiatives.
Greater Manchester Homecare
Holland, MA
It includes Manchester Memorial Hospital, a 249-bed community hospital, Rockville General, a campus of Manchester Memorial Hospital, a 102-bed facility, a large multispecialty provider group and visiting nurse services. Establishes and evaluates the Plan of Care to be delegated to the Home Health Aide, orients and supervises the Home Health Aide in accordance with State and Federal Regulations and Agency policy: Develops written plan of care for the Home Health Aide and updates this plan as patient’s condition warrants; plan of care must be reviewed every 60 days.
Greater Manchester Homecare
Springfield, MA
Here, you are part of an organization on the cutting edge – helping to bring new technologies, breakthrough treatments and community education to countless men, women and children. Our Hospice Visiting Nurse (RN) utilize their extensive education and training to provide personalized care to our patients in a rewarding environment that promotes autonomy.
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.
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.
Sevita
$65000 - $72000
Brockton, MA
Perform periodic supervisory visits for aides with a written evaluation regarding service delivery Instruct individuals, family members, and primary caregivers as needed to ensure the maintenance of or acquisition of optimal functioning level for each individual . Ensure effective coordination of home care services through the timely completion of required documentation as well as the timely transfer of pertinent medical data to the individual's physician, therapists, or other caregivers .
MelroseWakefield Healthcare
$40.53 - $51.67
Melrose, MA
Core to our values, MelroseWakefield Healthcare’s commitment to community is demonstrated by our many local health programs throughout our service area and participation in partnerships with community agencies and events, and education programs in more than 10 communities to support the wellness and health of our residents. A healthcare system that works Tufts Medicine is more than a health system — we’re a community that empowers people to live their best lives by reimagining healthcare, advancing knowledge and pioneering discovery.
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!
MelroseWakefield Healthcare
$40.53 - $51.67
Melrose, MA
Core to our values, MelroseWakefield Healthcare’s commitment to community is demonstrated by our many local health programs throughout our service area and participation in partnerships with community agencies and events, and education programs in more than 10 communities to support the wellness and health of our residents. A healthcare system that works Tufts Medicine is more than a health system — we’re a community that empowers people to live their best lives by reimagining healthcare, advancing knowledge and pioneering discovery.
Hebrew SeniorLife
$77035 - $115553
Dedham, MA
Routinely assesses patients response to plans of care and performs comprehensive assessments, hospice aide supervision, and coordination/oversight of hospice services provided in assisted living, LTC, SNF and hospital settings. The philosophy of the Hospice is rooted in Hessed (loving kindness), and Kevod HaBeriyot (honoring life), but Hebrew SeniorLife Hospice Care is open to anyone regardless of religious affiliation; our mission is informed by Jewish values that are shared across many faith traditions and spiritual belief systems.
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.
Hartford HealthCare at Home
Springfield, MA
Here, you are part of an organization on the cutting edge – helping to bring new technologies, breakthrough treatments and community education to countless men, women and children. Every day, over 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here.
Yale New Haven Health
Cheshire, NY New York
Develops, Communicates And Documents A Plan Of Care Reflecting Individualized Patient Problems And Interventions To Achieve Desired Outcomes, Involving The Patient, Family And Healthcare Team In This Process. The Registered Nurse (Rn) Assesses, Plans, Implements, Evaluates And Supervises Individual Patient Care On A Nursing Unit/Department According To Unit Policies And Procedures.
Linden Ponds by Erickson Senior Living
Hingham, 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.
Greater Manchester Homecare
Hampden, MA
It includes Manchester Memorial Hospital, a 249-bed community hospital, Rockville General, a campus of Manchester Memorial Hospital, a 102-bed facility, a large multispecialty provider group and visiting nurse services. Provides intermittent skilled nursing service to patients and their families in compliance with state and Medicare regulations, incorporating the following: a) Assesses the physical and psychosocial status of the patient.
Tufts Medicine Care at Home
$122301.82 - $155933.24
Lowell, MA
Provide effective guidance to professional staff regarding: justification for appropriate home health and hospice service utilization in terms of frequency, duration, and type of service; rationale for clinical interventions based on patient condition, family, and community resources and the POC. A healthcare system that works Tufts Medicine is more than a health system — we’re a community that empowers people to live their best lives by reimagining healthcare, advancing knowledge and pioneering discovery.
Tufts Medical Center
$40.53 - $51.67
Medford, MA
In addition, this role focuses on performing the following Clinical Nurse duties: Assesses, plans, implements, and evaluates the care needs of a designated group of patients or provides nursing care and identified clinical support tasks within the scope of practice for achievement of the patient’s plan of care as directed. 2. Works with patients diagnosed with diabetes and their families, to facilitate improving self-management age specific goals for all patients; providing lifestyle coaching and conducting one-on-one patient visits in a hospital clinic setting as well as group visits.
Fusion Medical Staffing
$2031 - $2161
Burlington, MA
This role encompasses assessing and monitoring critically ill patients, operating life-support equipment, administering advanced treatments, and collaborating with multidisciplinary healthcare teams. As a member of our team, you'll have the opportunity to make a positive impact on the lives of patients while enjoying competitive pay, comprehensive benefits, and the support of a dedicated clinical team.
Greater Manchester Homecare
Hampden, MA
Hartford HealthCare at Home is part of Hartford HealthCare, a system that includes 7 acute care hospitals, a comprehensive Behavioral Health Network, Senior Services, and an extensive Medical Group network. Its care-delivery system of over 40,000 colleagues— in more than 500 locations serving 185 towns across Connecticut offers unparalleled expertise-touching more than 23,000 lives every single day.
Tufts Medicine Care at Home
$111175.79 - $141756.53
Lowell, MA
A healthcare system that works Tufts Medicine is more than a health system — we’re a community that empowers people to live their best lives by reimagining healthcare, advancing knowledge and pioneering discovery. Provide effective guidance to professional staff regarding: justification for appropriate home health service utilization in terms of frequency, duration, and type of service; rationale for clinical interventions based on patient condition, family, and community resources and the POC.
Tufts Medicine Care at Home
$111175.79 - $141756.53
Haverhill, MA
Ensures the delivery of quality care by reviewing referrals to determine most appropriate initial course of action, promoting service excellence, maintaining team productivity, and ensures contribution from all members of the IDT in the delivery of hospice care for each patient. Communicates with appropriate individuals regarding the palliative care and hospice programs, i.e. Medical Directors, hospital personnel, vendors, director, managers and staff to ensure optimal care.
Tufts Medical Center
$49.68 - $82.11
Boston, MA
In addition, this role focuses on conducting comprehensive patient assessments, ordering and interpreting diagnostic tests, developing and implementing treatment plans for acute and chronic illness, providing education to patients and families about preventive care, treatment options, and self-care techniques, and evaluation of therapeutic response to the treatment plan and with adjustment of interventions developed as needed. The NP is uniquely qualified to meet the responsibilities of the role which include, but are not limited to: Comprehensive assessment, diagnosis and treatment; Prescribing and performance of diagnostic and therapeutic interventions; Supervise protocols and insure compliance of studies; Development, evaluation and modifications of treatment plans as patient condition warrants; Review/prescribe therapeutic orders for patients; and Participate in diagnostic and therapeutic procedures as indicated by patient condition.
OneStaffMedical
$2231.45
Newton, MA
Employee Assistance ProgramFree to all employees who’d like information on personal issues: Education, Dependent Care, Care Giving, Legal, Financial, Lifestyle & Fitness Management, Working Smarter. THE POSITION:The Home Health Nurse provides skilled nursing care to patients in their homes, focusing on promoting health, preventing disease, and helping patients manage chronic conditions.
OneStaffMedical
$1996.53
Salem, MA
Employee Assistance ProgramFree to all employees who’d like information on personal issues: Education, Dependent Care, Care Giving, Legal, Financial, Lifestyle & Fitness Management, Working Smarter. As a Cardiac Cath Lab Nurse, you can specialize even further in coronary catherization—procedures that involve coronary arteries, and take place in state of the art labs.
Fusion Medical Staffing
$2232 - $2374
Pittsfield, MA
This role involves assessing patient health conditions, monitoring cardiac telemetry data, and collaborating with multidisciplinary teams to manage diverse patient needs. As a member of our team, you'll have the opportunity to make a positive impact on the lives of patients while enjoying competitive pay, comprehensive benefits, and the support of a dedicated clinical team.
Fusion Medical Staffing
$1827 - $1944
Boston, MA
This role involves assessing patient health conditions, monitoring cardiac telemetry data, and collaborating with multidisciplinary teams to manage diverse patient needs. The Med Surg/Tele Registered Nurse delivers comprehensive high-quality, patient-centered care in medical-surgical and telemetry units.
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
Fall River, 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
Worcester, 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.
Lowell General Hospital
$30 - $33.59
Dracut, MA
3. Possesses and applies the skills and knowledge necessary to provide care to patients throughout the life span, with consideration of aging processes, human development stages and cultural patterns in each step of the care process. 2.Provides direct patient care within the primary nursing model to ensure continuity of care for all patients within their caseload in a safe efficient manner maintaining the patient's rights and dignity at all times.
MelroseWakefield Healthcare
$30 - $33.59
Melrose, MA
3. Possesses and applies the skills and knowledge necessary to provide care to patients throughout the life span, with consideration of aging processes, human development stages and cultural patterns in each step of the care process. 2.Provides direct patient care within the primary nursing model to ensure continuity of care for all patients within their caseload in a safe efficient manner maintaining the patient's rights and dignity at all times.
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.
Tufts Medicine Care at Home
$84300.22 - $107481.2
Lowell, MA
Within the RN scope of practice, the model of care delivery is collaborative and consultative with responsibilities associated but not limited to: (1) developing and providing individualized education and plan of care for patient/support persons (2) developing and providing direct care as required by patient condition (3) education of clinical staff on the plan of care (4) providing follow up monitoring and direct patient care as required. Provides direct care to patients with complex wound/skin care needs, including but not limited to: marking ostomy sites pre-op, changing ostomy appliances, and applying dressings and other interventions to wounds, recommending best practices for pressure relief.
TRS Healthcare
$2674
Hyannis, 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.
Yale New Haven Health
Cheshire, NY New York
Develops, Communicates And Documents A Plan Of Care Reflecting Individualized Patient Problems And Interventions To Achieve Desired Outcomes, Involving The Patient, Family And Healthcare Team In This Process. The Registered Nurse (Rn) Assesses, Plans, Implements, Evaluates And Supervises Individual Patient Care On A Nursing Unit/Department According To Unit Policies And Procedures.
Fusion Medical Staffing
$2280 - $2426
Boston, MA
This role encompasses assessing and monitoring critically ill patients, operating life-support equipment, administering advanced treatments, and collaborating with multidisciplinary healthcare teams. As a member of our team, you'll have the opportunity to make a positive impact on the lives of patients while enjoying competitive pay, comprehensive benefits, and the support of a dedicated clinical team.
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).
AHS Staffing
$2771
Hyannis, MA
AHS Staffing is looking for a Case Management Registered Nurse in Hyannis, MA for a Long Term (Travel) position. Apply today to speak with a recruiter about the position!