- Commonwealth Care Alliance (Boston, MA)
- …for day-to-day timely clinical and service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer ... CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is responsible… more
- Novo Nordisk Inc. (Boston, MA)
- …sales volume Utilize discretionary budget for maximum impact on sales Clinical Understanding Deep understanding of cardiometabolic disease state and patient ... Inform health system decision makers, influencers and stakeholders hospital faculty, medical students, residents, interns as well as attending physicians, nurse… more
- Evolent (Boston, MA)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior ... policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as... medical necessity and appropriateness of services using clinical review criteria. + Accurately documents all… more
- Fresenius Medical Center (Peabody, MA)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical ... kidney disease. **Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture...a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in… more
- Dana-Farber Cancer Institute (Boston, MA)
- …for a non-oncology area, eg infection control) and the process of conducting medical clinical research. In addition, the CRN utilizes evidence-based nursing ... The Research Nurse in collaboration with the physician, is responsible...physician, is responsible for the implementation and evaluation of clinical research in their specific program/area. The CRN has… more
- AccentCare, Inc. (Milton, MA)
- Overview Clinical Supervisor, Registered Nurse Hospice Inpatient Location: Milton, MA Position Type: Full-Time Remote/Virtual Position: No Find Your Passion and ... Purpose as a Clinical Supervisor, Registered Nurse Hospice Inpatient Salary:...Minimum three years' experience in hospice, home health, general medical surgical, oncology or patient population specific (ie: geriatrics,… more
- BAYADA Home Health Care (Wilmington, MA)
- …DCO to ensure cohesive and consistent management of all field staff. + Review all clinical documentation to ensure consistent, accurate, high-quality services. + ... BAYADA Home Health Care is seeking a Registered Nurse (RN) to fill the position of **Home...holidays, vacation and sick leave. + Vision, dental and medical health plans. + Employer paid life insurance, 401k… more
- Beth Israel Lahey Health (Burlington, MA)
- … necessity of the hospital care. Using the concepts of utilization review , clinical documentation improvement and revenue integrity, these specialized case ... of the hospital care. Using the concepts of utilization review , clinical documentation improvement and revenue integrity,...staff on best practices to ensure reimbursement based on medical care provided. 11. Maintains and reports clinical… more
- Fresenius Medical Center (Roxbury, MA)
- …12 weeks of paid & structured training with an assigned Preceptor & Nurse Educator** + 70,000+ dedicated employees, 200,000+ patients, 2,600+ dialysis centers, 350+ ... of the hemodialysis health care team as a Registered Nurse Applicant under the direction or supervision of a...transcribes and enters physician lab orders accurately into the Medical Information System. + Ensures appropriate preparation of lab… more
- Dana-Farber Cancer Institute (Boston, MA)
- …modify nursing assignments, as needed, to meet the needs of patients. The Nurse Manager provides clinical leadership and management and promotes professional ... inquiry, facilitation of learning and advocacy for patients and staff. The Nurse Manager collaborates with the Clinical Specialist to provide clinical… more