• RN Medicare Compliance Sr

    Sedgwick (Boston, MA)
    …is selected to advance to the next round, recruiter will be in touch. \# nurse # medicare #medicaresetaside _As required by law, Sedgwick provides a reasonable ... Fortune Best Workplaces in Financial Services & Insurance RN Medicare Compliance Sr **PRIMARY PURPOSE OF THE ROLE:** To...are driven to deliver great work. + Apply your nursing or rehabilitation knowledge and experience to assist in… more
    Sedgwick (08/29/25)
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  • Utilization Management Registered…

    Humana (Boston, MA)
    …a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied...need it. These efforts are leading to a better quality of life for people with Medicare ,… more
    Humana (09/04/25)
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  • SE Primary Nurse

    Fallon Health (Springfield, MA)
    …and PACE- in the region. **Brief Summary of purpose** Responsible for the effective management and delivery of direct nursing care to PACE participants in any ... of nursing practice. **Responsibilities** **Primary Job Responsibilities** + Primary nurse not only has the responsibility for the participant, but the authority… more
    Fallon Health (08/23/25)
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  • Home Care Nurse - Framingham - Worcester

    Fallon Health (Framingham, MA)
    …and PACE- in the region. **Brief Summary of Purpose:** Responsible for the effective management and delivery of direct nursing care to PACE participants in any ... Founded in 1977 in Worcester, Massachusetts, we deliver equitable, high- quality coordinated care and are continually rated among the...by the provider. Functions independently in the home care nurse role. Independent in performing a nursing … more
    Fallon Health (08/13/25)
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  • Home Health Licensed Practical Nurse…

    Aveanna Healthcare (Springfield, MA)
    …reliable transportation + Must be able to read and write English Preferred: + Medicare Skilled Nursing experience + Basic understanding of Oasis + 1-year LPN ... Home Health Licensed Practical Nurse (LPN/LVN) ApplyRefer a FriendBack Job Details Requisition...and long-term care services, catering to individuals under the Medicare and Medicaid programs, as well as those with… more
    Aveanna Healthcare (09/04/25)
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  • Nurse Practitioner-Float

    Fallon Health (Worcester, MA)
    …8:00 to 5:00 Day Shift! + No Nights, No Weekends, No On-Call! + Quality over Quantity Care Setting! + Great Mentoring with Physicians and Opportunities to Work ... Founded in 1977 in Worcester, Massachusetts, we deliver equitable, high- quality coordinated care and are continually rated among the...for the Elderly-PACE for short. PACE, an alternative to nursing home care, is a program that helps people… more
    Fallon Health (07/04/25)
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  • Home Health Registered Nurse (RN)

    Aveanna Healthcare (Springfield, MA)
    …have reliable transportation + Must be able to read and write English Preferred: + Medicare Skilled Nursing experience + Basic understanding of Oasis + 1-year RN ... Home Health Registered Nurse (RN) ApplyRefer a FriendBack Job Details Requisition...Details Requisition #: 202331 Location: Springfield, MA 01101 Category: Nursing Salary: $38.00 - $42.00 per hour Position Details… more
    Aveanna Healthcare (09/04/25)
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  • CIC Registered Nurse - Hybrid

    Commonwealth Care Alliance (Springfield, MA)
    …by impacting acute care utilization, ensuring optimal treatment for chronic disease management , and closing quality gaps. Additionally, the RN interfaces with ... health patients. The RN participates in providing the highest quality , community-based skilled care to a defined panel of...management , including: + 5+ years' experience as Registered Nurse in a high touch clinical environment or home… more
    Commonwealth Care Alliance (07/03/25)
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  • Registered Nurse I

    State of Massachusetts (Northampton, MA)
    The Department of Developmental Services (DDS) is seeking a qualified nursing professional for our*Registered Nurse I*(RN I) position. The Registered Nurse I ... promoted. * Participates in survey and certifications and in quality assurance activities * Utilizes HCSIS * Annually completes...nurse under the Massachusetts Board of Registration in Nursing .* *Recent graduates from an approved school of … more
    State of Massachusetts (08/08/25)
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  • Clinical Reviewer, Nurse

    Evolent (Boston, MA)
    …Reviewer, Nurse , you will routinely interact with leadership and management staff, other CR's (Clinical Reviewers), providers, office staff and Field Medical ... you will be a key member of the utilization management team. We can offer you a meaningful way...**Qualifications:** + Current, unrestricted state licensure as a Registered Nurse + Associate or Bachelors in Nursing … more
    Evolent (08/19/25)
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