• Nurse Educator, Cardiac Cath & EP Lab

    Baystate Health (Springfield, MA)
    …American Heart AssociationAmerican Heart Association, Certification in Specialty - OtherOther, Registered Nurse - State of MassachusettsState of Massachusetts ... Center (BMC), a Magnet Hospital for Nursing Excellence is looking for a** ** Nurse Educator** **to join our** **Cardiac Cath and Electrophysiology Lab!** **The … more
    Baystate Health (10/01/25)
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  • Utilization Nurse

    Beth Israel Lahey Health (Plymouth, MA)
    …using Interqual criteria. + Integrates clinical knowledge with billing knowledge to review , evaluate, and appeal clinical denials related to the care provided to ... the hospitalized patient. + Conducts concurrent reviews to determine the continued need for acute...may reasonably be required._ **Education/Experience Required:** + Current MA RN licensure + Bachelor's Degree in Nursing or advanced… more
    Beth Israel Lahey Health (08/15/25)
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  • Clinical Documentation Specialist I / II

    Tufts Medicine (Burlington, MA)
    …**Minimum Qualifications for CDI level I:** 1. Associate's degree in Nursing 2. Active Registered Nurse ( RN ) license in Massachusetts or compact state 3. ... level II:** 1. Bachelor's Degree in Nursing 2. Active Registered Nurse ( RN ) license in...duties and responsibilities may be assigned. 1. Performs initial concurrent review of new patients every day… more
    Tufts Medicine (10/04/25)
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  • Clinical Documentation Specialist III

    Tufts Medicine (Burlington, MA)
    …**Job Description** **Minimum Qualifications:** 1. Bachelor's Degree in Nursing 2. Active Registered Nurse ( RN ) license in Massachusetts or compact ... compliance related to the CDI and coding functions. 2. Performs initial concurrent review of new patients every day and concurrent re-reviews approximately… more
    Tufts Medicine (10/04/25)
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  • Clinical Documentation Specialist

    Brockton Hospital (Brockton, MA)
    …Must have current license from Commonwealth of Massachusetts to practice as a Registered Nurse Experience: Minimum of five years clinical experience required. ... Case Management, the Quality Department and ancillary staff to perform concurrent analytical review of the medical record to ensure an accurate representation of… more
    Brockton Hospital (09/25/25)
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  • Manager, Utilization Management

    Commonwealth Care Alliance (Boston, MA)
    …for overseeing and managing the daily operation of the Utilization Management Review Nurse and Specialist staff responsible for conducting centralized clinical ... reviews). * Hire, train and mentor UM staff, including nurse reviewers and support personnel. * Act as liaison...& Abilities (must have): * Expertise in managing utilization review processes including prior authorization, concurrent and… more
    Commonwealth Care Alliance (10/02/25)
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