• Registered Nurse - Remote

    Cognizant (Boston, MA)
    …Friday - Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact by performing advanced level work related to clinical ... as well as timely filing deadlines and processes. . Review clinical denials including but not limited to referral,...Based on this role's business requirements, this is a remote position open to qualified applicants in United States.… more
    Cognizant (10/07/25)
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  • Prior Authorization, RN - Hybrid Remote

    Fallon Health (Worcester, MA)
    …on Facebook, Twitter and LinkedIn. **Brief summary of purpose:** The PA Nurse uses a multidisciplinary approach to review service requests ... needs of FH members and their families. The PA Nurse is responsible for assuring the receipt of high...from medical care providers as needed for the clinical review process + Conducts pre-authorization and concurrent more
    Fallon Health (10/02/25)
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  • Clinical Documentation Integrity Specialist- RN-…

    Beth Israel Lahey Health (Winchester, MA)
    …a job, you're making a difference in people's lives.** **This position is remote . Candidates must be local to New England States for consideration** The Clinical ... Documentation Improvement (CDI) Specialist Registered Nurse (RN) assists with the appropriate identification of diagnoses, conditions, and/or procedures that are… more
    Beth Israel Lahey Health (09/24/25)
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  • Clinical Documentation Specialist III

    Tufts Medicine (Burlington, MA)
    …and regulatory compliance related to the CDI and coding functions. 2. Performs initial concurrent review of new patients every day and concurrent re-reviews ... **Location: 100% Remote ** **Certification and experience required for this role**...Overview** The role of the position is responsible for concurrent and retrospect review and analysis of… more
    Tufts Medicine (10/04/25)
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  • Clinical Documentation Specialist I / II

    Tufts Medicine (Burlington, MA)
    …an all-inclusive list. Other duties and responsibilities may be assigned. 1. Performs initial concurrent review of new patients every day and concurrent ... **Location: 100% Remote ** **Certification and experience required for this role**...at Home **Job Overview** The position is responsible for review and analysis of the medical record to improve… more
    Tufts Medicine (10/04/25)
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