• ED RN Case Manager - UR

    Beth Israel Lahey Health (Plymouth, MA)
    …the job that may reasonably be required._ **Education/Experience Required:** _Required_ + State of MA Registered Nurse ( RN ) + 3-5 years acute care nursing + ... One summer and one winter holiday. **Job Description:** The Emergency Department Case Manager is responsible and accountable for patient trajectory by assisting the… more
    Beth Israel Lahey Health (08/10/25)
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  • RN - Clinical Manager Hospice House

    Tufts Medicine (Haverhill, MA)
    …oversees one of the TM CAH Hospice teams. Assumes a leadership role with clinical staff to ensure that best practices are followed. Works cooperatively with VNA, ... Qualifications:** 1. Bachelor's degree in Nursing (BSN). 2. Massachusetts RN Licensure. 3. Five (5) years of palliative, hospice,...at a facility base. + Oversees of the day-to-day clinical operations at High Pointe House in addition to… more
    Tufts Medicine (08/10/25)
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  • Weekend Intake RN

    Tufts Medicine (Lowell, MA)
    …billing to verify atypical insurances as requested by referral sources and to support UR and Clinical Staff. + Identifies pre-admit evaluated patients and works ... or not appropriate for home care. Shift: Weekend Intake RN (Saturday and Sunday) Hours: 24 Hours Part Time...as required by insurer. + Completes e-tracking and Forcura case final verification to inform clinical departments… more
    Tufts Medicine (08/17/25)
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  • Care Transitions Jobs

    Beth Israel Lahey Health (Plymouth, MA)
    …prevention strategies * Integrate clinical and reimbursement knowledge for optimal outcomes ** RN Case Manager - Emergency Department UR & Discharge ... a difference in people's lives.** **Job Description:** Are you a case management/utilization review professional passionate about improving care delivery and patient… more
    Beth Israel Lahey Health (07/03/25)
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  • Manager - Utilization Review & Denials Management

    Beth Israel Lahey Health (Plymouth, MA)
    …Plymouth and Barnstable counties. Our Nutrition Services Team consists of registered and licensed dietitians who provide expert nutritional interventions to improve ... Review & Denials Management Manager, you will:** + Directs staff performance regarding UR and the analysis, resolution, monitoring & reporting of clinical more
    Beth Israel Lahey Health (07/29/25)
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  • Manager Utilization Management

    Beth Israel Lahey Health (Burlington, MA)
    …Degree, Master's Degree preferred **Licensure, Certification, Registration:** Current license as a Registered Nurse **Skills, Knowledge & Abilities** : + Current ... UR : Receives direction regarding priorities, assignment, coordination and outcome. Clinical Leaders: Receives direction and training from Case Managers:… more
    Beth Israel Lahey Health (06/06/25)
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