• Nursing Supervisor

    Monte Nido (Dedham, MA)
    …deserve. Learn more at www.waldenbehavioralcare.com. The Nursing Supervisor provides clinical leadership, management oversight, and guidance during the absence of ... the patient care administration. This role uses both clinical and administrative expertise to lead, support, and mentor...+ Performs regular nursing rounds on each of the inpatient units and in the residential program. + Assists… more
    Monte Nido (08/16/25)
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  • Care Transitions Jobs

    Beth Israel Lahey Health (Plymouth, MA)
    …and insurers * Collect data and support denial prevention strategies * Integrate clinical and reimbursement knowledge for optimal outcomes ** RN Case Manager - ... Care Transitions team plays a vital role in ensuring seamless, patient-centered care. ** RN - Utilization Review** This role is ideal for nurses with strong… more
    Beth Israel Lahey Health (10/02/25)
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  • Medical Assistant II Certified - Malden Family…

    Tufts Medicine (Malden, MA)
    …direction of physicians, mid-level practitioners, and may work under the direction of registered nurses depending on their unit. A clinical technologist role ... care services to patients, but does not have an RN or LPN license. Positions in this nursing support...in the outpatient/ambulatory setting. The position is a patient liaison through both clinical and administrative responsibilities.… more
    Tufts Medicine (10/12/25)
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  • Utilization Nurse

    Beth Israel Lahey Health (Plymouth, MA)
    …establish the appropriate level of care using Interqual criteria. + Integrates clinical knowledge with billing knowledge to review, evaluate, and appeal clinical ... meet established guidelines for admission or continued stay. + Acts as a liaison between physicians and payers, coordinating peer-to-peer phone calls. + Collects and… more
    Beth Israel Lahey Health (08/15/25)
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  • Medicare/Medicaid Claims Editing Specialist

    Commonwealth Care Alliance (Boston, MA)
    …Analyst will be responsible for developing prospective claims auditing and clinical coding and reimbursement edits and necessary coding configuration requirements ... Responsibilities:** + Develop enhanced, customized prospective claims auditing and clinical coding and reimbursement policies and necessary coding configuration… more
    Commonwealth Care Alliance (08/26/25)
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