- CVS Health (Boston, MA)
- …- 1 year of advanced proficiency in Microsoft Word, Excel, and Outlook - Active and unrestricted Licensed Practical Nurse ( LPN ) in MA and NJ - Hospice/ ... nursing, or rehabilitative stay. Under the direction of a Registered / Licensed RN , the TOC Coach...Degree **EDUCATION** High School Diploma or equivalent GED plus Licensed Practical Nurse **Anticipated Weekly… more
- Brockton Hospital (Brockton, MA)
- …responsibilities. EDUCATION: + RN with Master's Degree + Current License as Registered Nurse in the Commonwealth of Massachusetts EXPOSURE CATEGORY: It is ... delays through problem resolution and follow-up. Monitors on-site case managers and utilization review staff to ensure compliance with Signature Healthcare… more
- Molina Healthcare (Worcester, MA)
- …Licensed Vocational Nurse (LVN) or Licensed Practical Nurse ( LPN ) with experience in lieu of RN license. + OR Bachelor's or master's degree in ... performing one or more of the following activities: care review / utilization management (prior authorizations, inpatient/outpatient medical necessity,...**Required Education** + Registered Nurse or equivalent combination of … more
- Evolent (Boston, MA)
- …other duties as assigned. **The Experience You'll Need (Required):** + Registered Nurse or Licensed Practical /Vocational Nurse with a current, ... quality and cost effective care delivery. **What You'll Be Doing:** + Performs utilization review of outpatient procedures and ancillary services. + Fulfills on… more
- Healthfirst (MA)
- …+ Occasional overtime as necessary + Additional duties as assigned Minimum Qualifications: + RN , LPN , LMSW, LMHC, LMFT, LCSW, PT, OT, and/or ST license + ... The Case Manager, Utilization Management coordinates the care plan for assigned...care plan for assigned members and conducts pre-certification, concurrent review , discharge planning, and case management as assigned. The… more
- Beth Israel Lahey Health (Burlington, MA)
- …to the age of the patient Cares for patients as delegated by the provider, RN or LPN within scope of practice and competence. Contributes information provided by ... plans since last appointment were followed and results are available for physician review + Confirms that lab and other ancillary tests are performed and results… more
- Beth Israel Lahey Health (Danvers, MA)
- …the age of the patient D. Cares for patients as delegated by the provider, RN or LPN within scope of practice and competence. E. Contributes information provided ... plans since last appointment were followed and results are available for physician review o Confirms that lab and other ancillary tests are performed and results… more