• ED RN Case Manager - UR & Discharge…

    Beth Israel Lahey Health (Plymouth, MA)
    …admission, discharge, and/or transfer in collaboration with physician and primary nurse Identifies high-risk social situations and works collaboratively with Social ... may reasonably be required._ **Education/Experience Required:** _Required_ + State of MA Registered Nurse (RN) + 3-5 years acute care nursing + Two years of recent… more
    Beth Israel Lahey Health (08/10/25)
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  • Registered Nurse - Utilization Review

    Beth Israel Lahey Health (Plymouth, MA)
    …improve the denial management, documentation, and appeals process. + Collaborates with UR Manager and/or physician advisor regarding cases that do not meet ... established guidelines for admission or continued stay. + Acts as a liaison between physicians and payers, coordinating peer-to-peer phone calls. + Collects and compiles data as required. _It is understood that this is a summary of key job functions and does… more
    Beth Israel Lahey Health (08/16/25)
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  • Utilization Nurse

    Beth Israel Lahey Health (Plymouth, MA)
    …improve the denial management, documentation, and appeals process. + Collaborates with UR Manager and/or physician advisor regarding cases that do not meet ... established guidelines for admission or continued stay. + Acts as a liaison between physicians and payers, coordinating peer-to-peer phone calls. + Collects and compiles data as required. _It is understood that this is a summary of key job functions and does… more
    Beth Israel Lahey Health (08/15/25)
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  • Transition Coordinator I

    Tufts Medicine (Lowell, MA)
    …daily census reports, become liaison with skilled nursing facilities, visiting nurse agencies, infusion companies, hospices etc. 10. Faxes necessary paperwork, ... documentation into EMR of insurance authorizations, denials, or other important UR communications. **Physical Requirements:** 1. Occasionally lift and/or move up to… more
    Tufts Medicine (08/21/25)
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  • RN, Case Manager/Continuing Care Coordinator Per…

    Beth Israel Lahey Health (Plymouth, MA)
    …a job, you're making a difference in people's lives.** REGISTERED NURSE - PER DIEM **Job Description:** **Duties/Responsibilities:** + Identifies continuing care ... of treatments/procedures to optimize reimbursement. + Collaborates with the UR team regarding level of care determination/LOS. + Coordinates continuing… more
    Beth Israel Lahey Health (07/13/25)
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  • Manager Utilization Management

    Beth Israel Lahey Health (Burlington, MA)
    …Degree preferred **Licensure, Certification, Registration:** Current license as a Registered Nurse **Skills, Knowledge & Abilities** : + Current and accurate ... **Key Relationships:** **Position Purpose/Activities** Executive Director HIM, Coding & UR : Receives direction regarding priorities, assignment, coordination and outcome.… more
    Beth Israel Lahey Health (06/06/25)
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