Post job

Utilization review nurse jobs in Peabody, MA

- 616 jobs
All
Utilization Review Nurse
Nurse
Traveling Nurse
Nurse Case Manager
Nurse Coordinator
Staff Nurse
Nurse Liaison
Field Nurse
  • Utility Management Nurses (Insurance Coding & Revenue Management)

    Mercor

    Utilization review nurse job in Cambridge, MA

    We're seeking experienced **Utility Management Nurses** to support a client's healthcare product development by leveraging expertise in **insurance coding and hospital revenue management workflows**. This role involves collaborating with hospital systems to align medical documentation with insurance policies, ensuring accurate coding and optimal reimbursement outcomes. ### **Key Responsibilities** - **Insurance Coding & Revenue Cycle Alignment:** Review, audit, and optimize insurance coding practices across hospital systems to ensure compliance and maximize reimbursement accuracy. - **Workflow Analysis:** Evaluate existing revenue management workflows and recommend improvements tailored to client's AI-driven documentation tools. - **Clinical Data Interpretation:** Translate complex clinical notes into standardized coding formats (ICD-10, CPT, HCPCS) aligned with payer policies. - **Policy Matching:** Assess coding accuracy against insurance guidelines and payer documentation requirements. - **Product Development Collaboration:** Work closely with client's engineering and product teams to refine AI models that automate or assist with medical coding and documentation. - **Compliance & Quality Assurance:** Ensure alignment with HIPAA, CMS, and payer-specific coding regulations. ### **Required Qualifications** - **Licensure:** Registered Nurse (RN) or equivalent clinical background. - **Experience:** Minimum 3-5 years in **medical coding**, **clinical documentation improvement (CDI)**, or **revenue cycle management**. - **Certifications:** CPC, CCS, or CRC certification preferred. - **Domain Expertise:** Familiarity with **hospital billing systems**, **payer policy interpretation**, and **coding audit procedures**. - **Analytical Skills:** Strong understanding of clinical documentation standards and payer logic. - **Tech Savvy:** Comfortable working with EHR systems (Epic, Cerner, Meditech) and documentation review software. ### **Preferred Qualifications** - Experience working within **hospital revenue integrity teams** or **insurance utilization management**. - Exposure to **AI-powered healthcare documentation tools** or **automated coding systems**. - Ability to identify and flag edge cases or policy exceptions in automated workflows. - Strong collaboration skills with cross-functional (engineering, compliance, and data) teams. ### **Engagement Model** - **Contract / Part-time (Remote/In person)** - Flexible hours with collaboration during U.S. business hours. In person in San Francisco is a plus
    $64k-87k yearly est. 17d ago
  • LABOR AND DELIVERY RN - TRAVEL NURSING

    LRS Healthcare-Nursing 4.3company rating

    Utilization review nurse job in Boston, MA

    LRS Healthcare - Nursing is seeking an experienced Labor and Delivery Registered Nurse for an exciting Travel Nursing job in Brighton, MA. Shift: Inquire Start Date: 12/15/2025 Duration: 13 weeks Pay: $2687 / Week Ready to start your next travel adventure? LRS Healthcare offers a full benefits package, 24/7 support, and a responsive, traveler-first culture. Health, Dental, and Vision Insurance ~ Customized Housing Options ~ Life and Disability Insurance ~Certification & Licensure Reimbursement ~ Generous Referral Bonus Program ~ Weekly Direct Deposit ~Apply today to start your Travel Adventure with LRS Healthcare! About LRS Healthcare - Nursing: At LRS Healthcare, we match skilled nursing professionals with top facilities nationwide. We know the healthcare industry never stands still, and neither do we. Our team of specialized recruiters professionals will help you find the travel healthcare job you've always wanted.
    $2.7k weekly 22h ago
  • RN-Hospice Travel Nursing

    Coast Medical Service

    Utilization review nurse job in Norwood, MA

    Coast Medical Service is seeking an experienced Hospice Registered Nurse for an exciting Travel Nursing job in Norwood, MA. Shift: 5x8 hr days Start Date: ASAP Duration: 13 weeks Pay: $2653 / Week Coast Medical Service is a nationwide travel nursing & allied healthcare staffing agency dedicated to providing an elite traveler experience for the experienced or first-time traveler. Coast is featured on Blue Pipes' 2023 Best Travel Agencies and named a 2022 Top Rated Healthcare Staffing Firm & 2023 First Half Top Rated Healthcare Staffing Firm by Great Recruiters. Please apply here or contact a recruiter directly to learn more about this position & the facility, and/or explore others that may be of interest to you. About Coast Medical Service: Coast Medical Service is a customer driven healthcare staffing company focused on per diem and travel nursing opportunities in Greater Los Angeles. At Coast, we pride ourselves on our unrelenting commitment to customer service, allowing nurses and hospitals to focus on what they do best: providing world class healthcare to patients. Since 1979, Coast Medical Service has worked hard to provide RN's a professionally and financially rewarding experience in a personally fulfilling work environment. We are fanatical about improving the quality of healthcare. Our RN's can enjoy many benefits, including: Flexible Schedule High Pay Work alongside top professionals in world class facilities
    $2.7k weekly 22h ago
  • Night Shift ICU RN - Travel Nursing Contract

    Fusion Medical Staffing 4.3company rating

    Utilization review nurse job in Boston, MA

    Fusion Medical Staffing is seeking an experienced Intensive Care Unit Registered Nurse for an exciting Travel Nursing job in Boston, MA. Shift: Inquire Start Date: 01/12/2026 Duration: 13 weeks Pay: $2254 / Week Travel ICU RN Fusion Medical Staffing Facility in Boston, Massachusetts Job Details Fusion Medical Staffing is seeking a ICU RN for a 13-week travel assignment in Boston, Massachusetts. One year of recent experience as an ICU RN Valid RN license in compliance with state regulations Critical Care Registered Nurse (CCRN) certification Summary: The ICU Registered Nurse is responsible for providing comprehensive, critical care to patients in the intensive care unit. This role encompasses assessing and monitoring critically ill patients, operating life-support equipment, administering advanced treatments, and collaborating with multidisciplinary healthcare teams. The position requires strong critical care skills, advanced clinical judgment, excellent communication, and a commitment to maintaining the highest standards of patient safety and professional ethics in high-acuity settings. Administer complex medications and treatments in accordance with approved critical care nursing techniques Operate and manage advanced life support equipment Ensure patient safety and comfort in high-acuity ICU environments, addressing physical and emotional needs Perform and interpret advanced hemodynamic monitoring, including arterial lines, central venous pressure, and pulmonary artery catheters Accurately document all assessments, interventions, and patient responses in the medical record in a timely manner to ensure continuity of care and compliance with regulatory standards Provide education to patients and families regarding the ICU environment, treatments, and recovery expectations Communicate closely with interdisciplinary healthcare teams to optimize patient care Maintain proficiency in critical care procedures and technologies through ongoing education and training Adhere to strict infection control protocols to protect immunocompromised patients and reduce risks Engage in quality improvement initiatives to enhance ICU patient outcomes and operational efficiency Adhere to hospital safety protocols, infection control guidelines, and regulatory standards The ability to read, write, and communicate in the English language Physical Abilities - Must be able to remain in a stationary position, move about, move equipment (50-100lbs), push, pull, and bend Technical/Motor Skills - Must have the ability to grasp, perform fine manipulation, push/pull, and move about when assisting with procedures and/or using department equipment Mental Requirements - Must be able to cope with frequent contact with the general public and customers while meeting deadlines under pressure. Must be able to work under close supervision occasionally, as well as working without assistance from other personnel. Sensory - Must possess visual acuity and ability to effectively communicate Highly competitive pay for travel professionals ~ Comprehensive medical, dental, and vision insurance with first day coverage ~ Life and Short-term disability offered ~Aggressive Refer-a-friend Bonus Program ~Reimbursement for licensure and CEUs At Fusion Medical Staffing, our goal is to improve the lives of everyone we touch, and we're always looking for people like you to join our mission. Your passion for helping others deserves a partner just as committed to supporting you - that's why we offer day one insurance, $0 copay for mental health services, scholarships and awards, exclusive discounts, and more. From your personal recruiter to our clinical and traveler experience teams, we're here to guide and celebrate you along your journey. You take care of others; we take care of you. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Start your rewarding career as a Travel ICU RN with Fusion Medical Staffing and join our mission to improve lives. Fusion is an EOE/E-Verify Employer About Fusion Medical Staffing: Fusion Medical Staffing provides career opportunities to healthcare professionals by helping medical facilities fill their staffing needs. Fusion staffs a variety of specialties within the nursing and allied healthcare fields. Specialty Fields: Home Health Long Term care Nursing Radiology Therapy
    $2.3k weekly 22h ago
  • LABOR AND DELIVERY RN - TRAVEL NURSING

    Atlas Medstaff 3.7company rating

    Utilization review nurse job in Newburyport, MA

    Atlas MedStaff is seeking an experienced Labor and Delivery Registered Nurse for an exciting Travel Nursing job in Newburyport, MA. Shift: 3x12 hr nights Start Date: 12/29/2025 Duration: 13 weeks Pay: $2448.16 / Week Scroll down to find an indepth overview of this job, and what is expected of candidates Make an application by clicking on the Apply button. Atlas Medstaff is currently seeking candidates in the RN, Labor and Delivery profession for a 13 week contract in the Newburyport, Massachusetts area. Our commitment to excellence and our consultative approach has helped us become a premier leader in the staffing industry. *Estimated compensation package based on a usual week of work, inclusive of taxable hourly wage and expected weekly travel expenses. The payment package is not a guaranteed salary or promise of payment, and does not include taxes, insurance, or other deductions that may occur. Comprehensive Health, Dental and Vision insurance. Telehealth services for ease of use when an office visit isn't feasible. Voluntary Term Life and Dependent Life coverage as well as In Hospital Cash Plans. We think your recruiter and your travel healthcare agency should care about you. Like co-founders who are transparent, a tight-knit community for our travelers, creating content that tells *your* story, and helping you find adventure. Skiing, mountain climbing, skydiving, or even just a weekend at a spa or tickets to a concert you can't wait for. We have been ranked #1 by BluePipes as the best travel healthcare agency. And received the distinction of being the highest-rated travel healthcare staffing agency by Great Recruiters. Both of those recognitions are fueled by real reviews by real travel nurses and allied healthcare professionals that work with our team. the fastest-growing staffing company in the country, and the fastest-growing healthcare staffing company in the country by Staffing Industry Analysts; You may not be in the office (heck, we're not either since a lot of our team has been working remote since the pandemic), but you are part of the Atlas Community. xevrcyc If you don't have this kind of relationship with your current recruiter and travel nurse agency, maybe it's time you try one that's a little bit different.
    $2.4k weekly 1d ago
  • Radiology - Radiology RN - Travel Nurse

    Travel Nurse Across America 4.5company rating

    Utilization review nurse job in Cambridge, MA

    We're looking for Radiology RNs for an immediate travel nurse opening in Cambridge, MA. The right RN should have 1-2 years recent acute care experience. Read below for more requirements. As a Radiology RN, you should have experience and skill in caring for patients in a diagnostic environment. Radiology Travel Nurses will work with a diverse team of caregivers to appropriately evaluate and implement diagnostic care using correct procedures and physician instructions. As a Radiology Travel Nurse, you should be prepared to perform the following tasks: Start or check peripheral IVs, access and assess infusaports, administer medications, monitor vital signs, suction patients, insert foleys, and help patients with their personal needs. Inform the technologist or radiologist of any unusual patient needs. Perform specialized nursing duties, such as administering IV sedation or analgesia during special procedures. Closely monitor patients with cardiac/pulse oximeters. Radiology Travel Nurses should be able to stand and walk for long periods of time, as well as bend, lean and stoop without difficulty. RNs should be able to easily lift 20 pounds. Moving or lifting of patients may require lifting of up to 50 pounds at times. Radiology RNs may face hazards from exposure to chemicals and infectious diseases. Requirements*: ACLS, BLS, 2 Years * Additional certifications may be required before beginning an assignment.
    $87k-180k yearly est. 4d ago
  • Rn Nursing Staff Position - Night Shift

    Stability Healthcare 4.2company rating

    Utilization review nurse job in Portsmouth, NH

    Stability Healthcare is seeking an experienced Medical Surgical Registered Nurse for an exciting Travel Nursing job in Portsmouth, NH. Shift: 3x12 hr nights Start Date: ASAP Duration: 13 weeks Pay: $1863 / Week Any additional information you require for this job can be found in the below text Make sure to read thoroughly, then apply. About Stability Healthcare: Stability HealthCare is a premier Per Diem and Travel Nurse Company. We provide the most qualified Nurses with great opportunities throughout the United States. We are recognized in the industry, not by our size, but the quality of our professionals, committed service, staff and consultative approach. As a dedicated healthcare professional, you want choices in your profession - choices that suit your lifestyle, your professional goals, and your personal needs. xevrcyc Stability believes that our Customers and Nurses come first! You deserve a healthcare staffing company that delivers on its promises - excellent compensation, personalized service and support every step of the way. If you are a registered nurse interested in Travel, Local Travel or Per Diem Nursing opportunities, Stability has the right assignment for you!
    $1.9k weekly 1d ago
  • Utilization Review RN

    Aura Staffing Partners

    Utilization review nurse job in Cambridge, MA

    Benefits: Direct Deposit Weekly Pay Competitive salary Inpatient RN - Utilization Review Nurse (Behavioral Health) - Cambridge, MA Schedule: Day Shift, Monday-Friday, 8:30 AM - 5:00 PM Pay: $72/hour Job Summary: We are seeking a skilled Inpatient RN Utilization Review Nurse to join our behavioral health team in Cambridge. This role focuses on acute care review and utilization management to ensure high-quality patient care. Requirements: Must be a local candidate within 50 miles of Cambridge, MA Acute care experience required Experience with InterQual criteria EMR experience required (EPIC preferred) Strong clinical judgment and utilization review skills Responsibilities: Review and evaluate patient care for appropriateness and efficiency Collaborate with interdisciplinary teams to support patient care and discharge planning Ensure compliance with hospital policies and clinical guidelines Apply now to join a team dedicated to delivering exceptional behavioral health care. Compensation: $72.00 per hour Great jobs. Great company. Great community of caregivers. At Aura Staffing Partners, we know that partnering with you to find the right opportunity in healthcare is just the beginning. We don't leave you high and dry, instead we help you grow even brighter with quarterly reviews, continued training and plenty of communication.
    $72 hourly Auto-Apply 48d ago
  • Nurse Reviewer I

    Elevance Health

    Utilization review nurse job in Woburn, MA

    Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Schedule: 9:30am-6:00pm local time, with rotating weekends. New Grads are encouraged to apply! The Nurse Reviewer I will be responsible for conducting preauthorization, out of network and appropriateness of treatment reviews for diagnostic imaging services by utilizing appropriate policies, clinical and department guidelines. * Collaborates with healthcare providers, and members to promote the most appropriate, highest quality and effective use of diagnostic imaging to ensure quality member outcomes, and to optimize member benefits. * Works on reviews that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or management. * Partners with more senior colleagues to complete non-routine reviews. * Through work experience and mentoring learns to conduct medical necessity clinical screenings of preauthorization request to assess assessing the medical necessity of diagnostic imaging procedures, out of network services, and appropriateness of treatment. How you will make an impact: * Conducts initial medical necessity clinical screening and determines if initial clinical information presented meets medical necessity criteria or requires additional medical necessity review. * Conducts initial medical necessity review of exception preauthorization requests for services requested outside of the client health plan network. * Notifies ordering physician or rendering service provider office of the preauthorization determination decision. * Follows-up to obtain additional clinical information. * Ensures proper documentation, provider communication, and telephone service per department standards and performance metrics. Minimum Requirements: * AS in nursing and minimum of 3 years of clinical nursing experience in an ambulatory or hospital setting or minimum of 1 year of prior utilization management, medical management and/or quality management, and/or call center experience; or any combination of education and experience, which would provide an equivalent background. * Current unrestricted RN license in applicable state(s) required. Preferred Skills, Capabilities, and Experiences: * Familiarity with Utilization Management Guidelines, ICD-9 and CPT-4 coding, and managed health care including HMO, PO and POS plans strongly preferred. * BA/BS degree preferred. * Previous utilization and/or quality management and/or call center experience preferred. * Knowledge in Microsoft office. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $33.12/hr - $56.77/hr Locations: New York, New Jersey, Washington, Nevada, Maryland, Massachusetts, Illinois, District of Columbia In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Job Level: Non-Management Non-Exempt Workshift: Job Family: MED > Licensed Nurse Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
    $33.1-56.8 hourly 1d ago
  • Utilization Management Nurse

    Centerwell

    Utilization review nurse job in Boston, MA

    **Become a part of our caring community and help us put health first** Conviva Care Solutions is seeking a RN who will collaborate with other health care givers in reviewing actual and proposed medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part of a team that focuses on excellent service to others. **Use your skills to make an impact** **Required Qualifications** + Active unrestricted RN license with the ability to obtain Compact Nursing License + A minimum of three years clinical RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to work independently and within a team setting + Willing to work in multiple time zones + Strong written and verbal communication skills + Attention to detail, strong computer skills including Microsoft office products + Ability to work in fast paced environment + Ability to form positive working relationships with all internal and external customers **Preferred Qualifications** + Education: BSN or bachelor's degree in a related field + Experience with Physical Therapy, DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare + Current nursing experience in Hospital, SNF, LTAC, DME or Home Health. + Bilingual **Alert** Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from ******************** with instructions on how to add the information into your official application on Humana's secure website. **Interview Format - HireVue** As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. **Work-At-Home Requirements** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested. + Satellite, cellular and microwave connection can be used only if approved by leadership. + Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. + Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. **Benefits** Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security-both today and in the future, including: + Health benefits effective day 1 + Paid time off, holidays, volunteer time and jury duty pay + Recognition pay + 401(k) retirement savings plan with employer match + Tuition assistance + Scholarships for eligible dependents + Parental and caregiver leave + Employee charity matching program + Network Resource Groups (NRGs) + Career development opportunities Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $71,100 - $97,800 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 12-25-2025 **About us** About Conviva Senior Primary Care: Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of CenterWell Senior Primary Care, Conviva's innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options *************************************************************
    $71.1k-97.8k yearly Easy Apply 22d ago
  • Concurrent Review Nurse

    Iplace Usa 4.0company rating

    Utilization review nurse job in Bedford, NH

    Discharge planning. Educate providers on utilization and medical management. Provide clinical knowledge. Perform onsite review of emergent/urgent and continued stay requests Qualifications 2+ years of clinical nursing experience in an acute care. Current state's RN license. Additional Information All your information will be kept confidential according to EEO guidelines.
    $65k-79k yearly est. 12h ago
  • Clinical Nurse Liaison

    Hebrew Rehabilitation Center 4.1company rating

    Utilization review nurse job in Dedham, MA

    Clinical Nurse Liaison Title of Immediate Supervisor: Senior Director, Home and Community-Based Services The Liaison enhances continuity of patient care by providing liaison between assigned locations (SNFs, ALs and other), physicians, and home care agency. Position Responsibilities Include: Transfers Patients from facility to HCBS service lines that include home health and hospice services by establishing and maintaining relationships with nurses, social services, physical and occupational therapy, and other support services. Provides all necessary information concerning home care/hospice intake coordination and provides input related to clinical concerns for individual patients. Resolves patient care issues by working one-on-one with Patient Care Managers to standardize patient home care assessments; collecting relevant information; conferring with co-care givers; assessing patient home care needs. Keeps facility and attending physician informed of patient status by monitoring and reporting home care services rendered and/or modified; following up on patient reports and other patient information; anticipates additional home care services needed, i.e. wound therapy, physical therapy, social work and/or other specialties. Promotes effective written/verbal communication daily. Gives accurate information to patients and or families regarding home care and related issues. Serves and protects home care/hospice by adhering to professional standards, policies and procedures, federal, state, and local requirements, and professional and licensing standards. Promotes education for patients, their families and the community. Assists in intake process by entering as much documentation as possible regarding patients transfer to home care/hospice Updates job knowledge by participating in educational opportunities. Keeps an accurate log of all discharges to home care from facility and submits completed log on monthly basis. Serves as a resource and support to patients. Identifies and responds to safety concerns of patients. Maintains compliance with policies, procedures, and regulatory matters. Promotes and maintains an agency environment that is in compliance with federal, state, and local regulatory agencies. Participates in personal and professional growth and development including staff meetings and in-service education. Communicates with patients, families, and other health professionals in a manner that conveys respect, caring, and sensitivity. Communicates with the physician and/or nurse practitioner regarding patient status and medical intervention. Contributes to HCBS program effectiveness by identifying short-term and long-range issues that must be addressed; providing information and commentary pertinent to deliberations; recommending options and courses of action; implementing directives Enhances HCBS service reputation by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments. Provides information by responding to queries of hospitals, nursing homes, attending physicians and their practice staffs, and other agencies; sorting and distributing messages and documents; answering questions and requests; preparing information for patient transfer; preparing statistical reports related to referral and intake activities from assigned locations maintaining databases. Educates assigned location teams by attending team and community meetings; providing orientation/in-service programs concerning home care intake coordination and hospital relations; providing input relating to clinical concerns for individual patients. Reflects the cultural Belief of Teaming Up with HSL peers including Intake Coordinators to optimize patient transitions. Performs other duties and activities as delegated by the Supervisor and the Executive Director. Markets HCBS services to HSL housing sites, hospitals, physician groups, ALFs, senior centers and at vendor fairs. Performs patients screens at the request of referral sources Attends networking events as requested Qualifications: Graduate of an Accredited School of Nursing. Current License with Massachusetts State Board of Nursing. Two years nursing experience preferred. Good verbal and written communication skills. Must be motivated to learn and flexible to change. Computer literacy required. Must be able to work independently. Current CPR certification. Remote Type Hybrid Hebrew SeniorLife is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
    $70k-88k yearly est. Auto-Apply 60d+ ago
  • Enterostomal Nurse

    Massachusetts Eye and Ear Infirmary 4.4company rating

    Utilization review nurse job in Salem, MA

    Site: North Shore Medical Center, Inc. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Job Summary Description - External The wound ostomy continence (WOC) Nurse assumes roles of clinician, consultant, change agent, educator, and participates in research activities. They provide expert clinical consultation and education to nurses, family, patient, and RC regarding their responsibilities for coordinating all aspects of managing and delivering quality, cost effective patient and family centered care specifically in the areas of wound ostomy and continence. The WOC Nurse collaborates with the nurse and RC to assure that all patients have a comprehensive plan of care that provides continuity across all settings. The WOC Nurse acts as a resource to the nurse in providing patient/family education. The WOC Nurse evaluates the quality of care through data analysis, direct observation, chart review, and collaboration with the health care team, administrators, nursing quality, and wound care collaboratives. Qualifications - External Required: • Completion of Debridement Workshop. • Medium physical demands including constant standing, walking, hearing and vision, intermittent bending, pushing, pulling, carrying, lifting, and lowering of 20-50 pounds of force. • Satisfactory completion of a pre-employment physical examination • Three to five years of relevant clinical experience. • Bachelor's Degree from an accredited School • Graduate from an accredited School of Nursing. • Current License to practice as a Registered Nurse in the Commonwealth of Massachusetts • Current Wound and Ostomy certification by a nationally accredited certifying body (WOCNCB preferred). Preferred: • WOCNCB sets the standard for wound, ostomy, and continence nursing certification by validating nurses' knowledge to provide safe, patient-centered care. Qualifications Education Other Certificate/Diploma Nursing required or BSN preferred Licenses and Credentials Valid and current license to practice as an RN in the Commonwealth of Massachusetts. Experience 3+ years Wound care experience preferred. Knowledge, Skills and Abilities - Perform this job successfully within the scope of nursing, an individual must be able to perform each essential duty satisfactorily and be able to demonstrate any knowledge and skills necessary to provide care appropriate to the age of the patients serviced in his/her assigned department Certifications in CPR, or PALS, ACLS, and BLS may be required upon hire for specific patient care units. Additional Job Details (if applicable) Physical Requirements Standing Frequently (34-66%) Walking Frequently (34-66%) Sitting Occasionally (3-33%) Lifting Frequently (34-66%) 35lbs+ (w/assisted device) Carrying Frequently (34-66%) 20lbs - 35lbs Pushing Occasionally (3-33%) Pulling Occasionally (3-33%) Climbing Rarely (Less than 2%) Balancing Frequently (34-66%) Stooping Occasionally (3-33%) Kneeling Occasionally (3-33%) Crouching Occasionally (3-33%) Crawling Rarely (Less than 2%) Reaching Frequently (34-66%) Gross Manipulation (Handling) Frequently (34-66%) Fine Manipulation (Fingering) Frequently (34-66%) Feeling Constantly (67-100%) Foot Use Rarely (Less than 2%) Vision - Far Constantly (67-100%) Vision - Near Constantly (67-100%) Talking Constantly (67-100%) Hearing Constantly (67-100%) Remote Type Onsite Work Location 81 Highland Avenue Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $37.40 - $90.18/Hourly Grade RN1450 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: North Shore Medical Center, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
    $37.4-90.2 hourly Auto-Apply 24d ago
  • Nurse - Field Trips

    Cambridge School District

    Utilization review nurse job in Cambridge, MA

    Description of Service Opportunity: Nurse needed to accompany a student on Field Trips Minimum Requirements: Must be a Registered Nurse. Must have at least three (3) to five (5) years of experience in nursing, preferably in a school setting. Strong communication and interpersonal skills with the ability to be empathetic and listen to others Experience in emergency treatment, preferred. Experience working with youth. Length of Contract: September 22 to June 30, 2026 Contract Amount: Not to exceed $3498.00 Please note that your hourly rate is dependent upon your collective bargaining agreement or individual hourly rate. If you are a non-exempt employee and have worked more than 40 hours a week, you will be paid time and a half for any hours worked over 40 hours
    $74k-124k yearly est. 43d ago
  • Nurse Coordinator (PHN-10)

    Internships.com 4.1company rating

    Utilization review nurse job in Boston, MA

    Under direction of Head Nurse and/or Program management, plays a leadership role in the investigation and follow-up of communicable disease cases/outbreaks or other situations of public health concern. Performs and oversees communicable disease surveillance, prevention and control measures according to protocols for cases/outbreaks as assigned. In conjunction with other Division staff, identifies patterns of communicable diseases and related risk factors, and provides health education and outreach as needed for communicable disease prevention and control. This nursing leadership position ensures high quality nursing practice within the CDC Division, by overseeing clinical nursing activities and directing and evaluating the professional practice of nurses, according to established standards of care. This position is also expected to work with the nursing leadership to develop standard operating procedures and workflows for case and outbreak investigations and contact tracing efforts. Investigates and provides care and follow-up of contagious diseases including COVID-19. Vaccinates against contagious diseases including COVID-19. In conjunction with other Division staff, identifies patterns of communicable diseases and related risk factors, and provides health education and outreach as needed for communicable disease prevention and control. Assists with development of data collections tools and ensures complete and accurate collection of data. Supervises subordinates as required. Assists in orientation of new staff, program visitors and in staff development programs. Identifies or develops resources as needed for case or outbreak follow-up. Provides nursing support for CDC Division activities, including vaccine and other clinics or other projects or activities as needed. Provides nursing services at the TB Clinic, including phlebotomy, patient assessment, patient/family/significant other education, medication monitoring, and skin testing. Participates in special projects and initiatives as requested and acts as clinical back-up for special projects. Participates in staff conferences, research activities, meetings with community based or other agencies as requested. Plays a key role in communicable disease related epidemiologic activities. Plays a key role in providing education and outreach on communicable disease issues to health care providers, agencies, and community groups throughout the city. Acts as a resource on communicable disease related issues for division staff, providers, and community groups. Collaborates with others throughout the Division to ensure public health preparedness for bioterrorism and other communicable diseases. May be required to perform duties of other CD or TB nurses. Performs other duties as required. Works to help BPHC advance as an antiracist organization by meeting or exceeding the standards set by the BPHC Anti-Racism Policy.
    $88k-113k yearly est. 1d ago
  • Wellness Nurse (LPN) Sign On Bonus

    Monarch Communities 4.4company rating

    Utilization review nurse job in Beverly, MA

    The Current Beverly, our senior living community in Beverly, MA is a beautiful newly renovated historic building, inviting residents for both Assisted Living and Memory Care. Apply now for consideration and/or to learn more! Each and every member of our team is committed to developing progressive yet approachable communities to support the needs of all future generations. We want to transform healthcare infrastructure so that people can not only age well but live well and THRIVE. Job Description Reporting to Director of Health and Wellness, the Wellness Nurse (LPN) provides direct nursing care to the residents, and supervises the day-to-day nursing activities performed by care staff. Schedule: The Wellness Nurse (LPN) is Full-Time: 7am - 3pm and/or 7:30am-7:pm. We also have Per diem available for all shifts Salary Range: $37.00 - $41.00 Hourly Responsibilities and Duties Supervise care staff in accordance with current state regulations and community policies Monitors the health, safety, and well-being of all residents Assisting in training and monitoring of medication administration Maintaining clinical quality assurance in accordance with federal, state and local standards Promote the highest degree of service to our residents while leading and demonstrating the mission of the company Conduct thorough resident assessments Qualifications Graduation form an accredited School of Nursing, with current LPN license At least 1 year of experience with long-term care, assisted living, home health or hospital setting preferred Experience working with residents with Alzheimer's or other related dementias Ability to handle multiple tasks Knowledge of federal and state regulations, and of nursing practices, techniques and methods applied to health and wellness resident Proficiency in computer skills, Microsoft Office (Windows, Outlook, Excel) with the ability to learn new applications While performing the duties of this job, the associate is often required to stand, walk, sit, use fine and gross motor skills, reach with hands and arms, balance, stoop, kneel, crouch, talk, hear, and smell. An individual in this position will be required to lift or carry weight in up to 50 lbs. Intermittent physical activity includes lifting and supporting residents. The associate must use proper body mechanics. Additional Information Benefits Offered(Full Time): Health Insurance: Medical/Rx, Dental, and Vision Ancillary Benefits: Life Insurance/AD&D, Short Term Disability and Long-Term disability Basic Life & Accidental Death & Dismemberment (AD&D) Insurance FSA (Commuter/Parking) Employee Assistance Program (EAP) 401(k) Retirement with Company Match Paid Time Off (PTO) and Holidays Tuition Reimbursement Other Compensation Programs: Employee Referral Bonus Resident Referral Bonus Benefits Offered (Per Diem Employees): Flexible Schedule On the job training Free Parking Equal Opportunity Statement: Monarch Communities and Brandywine Senior Living is an Equal Opportunity Employer. We comply with all applicable federal, state, and local laws. We celebrate diversity and are committed to creating an inclusive environment for all employees.
    $37-41 hourly 20d ago
  • Wellness Nurse Per Diem

    Brigham House 3.9company rating

    Utilization review nurse job in Watertown Town, MA

    Full-time, Part-time Description Job Title: Wellness Nurse Hours: Per Diem The Resident Care Nurse is responsible for assisting the Resident Care Director with the overall implementation, delivery and coordination of Resident Care services at the Community. Nurse will also assist in monitoring the medication management program. Duties and Responsibilities: The following essential functions are the fundamental job duties of the position to be completed with or without appropriate reasonable accommodation. • Assist in supervising the medication program and assisting the residents with self-administration of their medication. • Assist residents with Activities of Daily Living and Independent with Activities of Daily Living as needed. • Maintain positive relations with residents, families and physicians. • Report any significant incidents and/or changes in the residents needs to the Executive Director/Resident Care Director. • Assist in the completion of resident assessments and services plans. • Assist in the training of assisted living staff and participates in orientation of new staff. • Attend and participates in scheduled in-service programs, training programs and staff meetings. • Assist with scheduling and staffing of Resident Care Assistants • RN will maintain GAFC. • May perform other duties as assigned. Requirements Minimum Qualifications: • Registered Nurse/Licensed Practical Nurse/Licensed Vocational Nurse with a current license in good standing. • Certification or licensed per state guidelines. • Must successfully complete all HallKeen • Community specified training programs. • Able to apply common sense understanding to carry out detailed but uninvolved written or oral instructions. Able to deal with problems involving a few concrete variables in standardized situations. • Able to work various schedules and shifts as needed. • Required Behavior: • Appearance is neat, clean, and according to dress code. • Able to demonstrate a high level of service delivery; does what is necessary to ensure customer satisfaction; deals with service failures and prioritizes customer needs. • Able to clearly present information through the spoken word; reads and interprets complex information; talks with residents, family members and customers; listens well. • Able to communicate with others in a warm and helpful manner while simultaneously building credibility and rapport. • Able to work cooperatively with a group of people to achieve goals and objectives. • Able to be tactful; maintains confidences, and fosters an ethical work environment; prevents inappropriate behavior by coworkers; gives proper credit to others; handles all situations honestly. • Able to keep an open mind and change opinions on the basis of new information; performs a variety tasks and changes focus quickly as demands change; manages transitions effectively from task to task; adapts to varying customer needs. Physical Demands: • Physically able to move at least 50 lbs. without assistance. • Physically able to bend, reach, and work in small areas. • Physically able to push and pull equipment and furnishings. • Physically able to stand for long periods of time.
    $64k-83k yearly est. 18d ago
  • Substitute Nurse Pool (SY25-26)

    Boston Public Schools 4.5company rating

    Utilization review nurse job in Boston, MA

    Reports to: Health Administrator General Description: The substitute school nurse provides skilled nursing care and management of the special needs of students as well as medication administration. Routine emergency care is provided for students and staff. If necessary, students are referred to their primary health care provider for an evaluation. For students with complex medical needs, the substitute school nurse may act as a liaison for the school, home, and outside medical facilities. The substitute school nurse promotes student wellness and assists in maintaining a healthy school environment. Experience in: support services in a school setting; liaison and case management; high-risk, multi-problem children and adolescents Responsibilities: 1. Provides emergency medical care to students. 2. Administers and supervises the administration of prescription medication to students. 3. Counsels and educates students in small groups or as individuals concerning medical issues. 4. Conducts formal and informal evaluations of medical conditions and develops accurate medical summaries on students. 5. Teach mini-courses to small groups of students in medical or health areas related to survival skills. 6. Monitors and assesses compliance with immunization standards as per BPS and DPH regulations. 7. Performs vision, hearing, scoliosis, dental, and other health-related screenings as required by DPH or BPS school health services. 8. Develops and maintains contacts with medical persons or facilities that might provide direct service or consultation. 9. Engages in Service Team Meetings with students when they require medical input, interpretation, or consultation. 10. Establishes and maintains appropriate record-keeping and reporting formats and procedures. 11. Conducts formal workshops and informal training for staff as appropriate. 12. Maintains adequate and updated health records. 13. Serves as medical representative to evaluations and re-evaluations and obtains and interprets medical evaluations at these meetings. Qualifications Required: 1. Bachelor of Science in Nursing 2. Massachusetts license as a Registered Nurse 3. MA State Dept. of Education School Nurse License. 4. CPR & First Aid Certification 5. Experience working with children and adolescents in public school/agency/human services setting Current authorization to work in the United States-Candidates must have such authorization by their first day of employment Preferred: The terms for the position include BTU, and the daily rates for Substitute Nurses may vary. Daily rates range from $371.59 to $385.30 dependent upon the school and length of the assignment. https://acrobat.adobe.com/id/urn:aaid:sc:VA6C2:a0***********-4b59-843a-b29e104960af?viewer%21megaVerb=group-discover
    $82k-103k yearly est. 60d+ ago
  • NP/PA - GI - MGH Waltham

    Brigham and Women's Hospital 4.6company rating

    Utilization review nurse job in Waltham, MA

    Site: The General Hospital Corporation Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. The GI Division at Massachusetts General Hospital is looking for an experienced nurse practitioner or physician assistant to join our fast-paced, ambulatory, academic gastroenterology practice for our Waltham location. Under the supervision and direction of the Advanced Practice Provider (APP) Manager and faculty of the General GI team, and in accordance with the rules and regulations of Massachusetts governing nurse practitioner and physician assistant practice, the APP will play an important team role with care delivery and continuity for patients with general GI conditions. The APP will be clinically based with 8 clinical sessions with one hour of administrative time given for each clinical session. Working closely with a dedicated team of physicians, APPs, nurses, medical assistants, and patient care coordinators, the APP plays a critical role in delivering direct patient care. The APP will participate in a team-based care approach to see patients diagnosed with various GI disease and disorders. The APP will be responsible for new, urgent and follow-up visits. Job Summary The Nurse Practitioner (NP) is a licensed provider. The NP is responsible for the assessment and management of various populations of patients, medical and/or surgical, including diagnostic and therapeutic interventions, development of appropriate plans of care and ongoing evaluation. Does this position require Patient Care? Yes Essential Functions * Provides direct care, counseling, and teaching to a designated patient population in the ambulatory, inpatient, operative, and/or procedural setting * Performs complete histories and physical examinations * Orders, interprets, and evaluates appropriate laboratory and diagnostic tests * Develops appropriate plans of care and follow-up based on the outcomes of diagnostic, laboratory, and physical examination findings * Consistently provides high quality and timely documentation including admission and progress notes, procedure notes, operative notes and discharge summaries * Performs bedside procedures as are appropriate to the patient population * Orders medications and writes prescriptions according to organizational and regulatory policies and procedures Qualifications Education Master's Degree Nursing required Can this role accept experience in lieu of a degree? No Licenses and Credentials Registered Nurse MA Nurse Practitioner MA Experience Experience as a Nurse Practitioner 0-1 year preferred Knowledge, Skills and Abilities * Skilled in taking medical histories to assess medical condition and interpret findings. * Ability to maintain quality control standards. * Ability to react calmly and effectively in emergency situations. * Ability to interpret, adapt and apply guidelines and procedures. * Ability to communicate clearly and establish/maintain effective working relationships with patients, medical staff and the public. Additional Job Details (if applicable) Remote Type Onsite Work Location 52 Second Avenue Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $120,390.40 - $170,456.00/Annual Grade 7 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: The General Hospital Corporation is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
    $120.4k-170.5k yearly Auto-Apply 47d ago
  • Per Diem Nurse

    Country Club Heights 4.2company rating

    Utilization review nurse job in Woburn, MA

    Job Description Licensed Practical Nurse (LPN/LVN) We are seeking a skilled Licensed Practical Nurse (LPN/LVN) to join our healthcare team at our senior living community. The LPN will be responsible for providing direct patient care under the supervision of a registered nurse or physician. The LPN will also be responsible for administering medications, monitoring vital signs, assisting with patient assessments and care plans, and overseeing the patient care provided by caregivers. Designed and purpose built for seniors, our communities incorporate resort-style amenities and social activities to provide seniors a carefree, maintenance-free lifestyle, while providing best in class care. Our Brands deliver a variety of lifestyles: cottages, senior apartments, and independent living, assisted living and memory care in different locations. Most important, our residents love living with us, and you will love working with us. At Aviva Senior Living, we are committed to providing a supportive and engaging environment. Our dedicated staff is passionate about ensuring that each resident feels at home, offering personalized care and assistance as needed. Our beautifully designed units and welcoming atmosphere create a space where residents can thrive and enjoy life to the fullest. Join us at Aviva Senior Living and be part of a community that prioritizes the well-being and happiness of our residents, fostering a sense of comfort, connection, and joy every day. This position makes a difference to our residents' overall well-being and happiness and brings peace of mind to families that their loved ones are cared for and treated well Shift Details: We are currently searching for an LPN to join our shifts. Please note, this may change throughout employment as needed with notice. Primary Responsibilities: Administer medications and treatments as prescribed by a physician or registered nurse Monitor and record vital signs, such as blood pressure, temperature, and pulse Assist with patient assessments and care plans Provide direct patient care, including bathing, dressing, and feeding Assist with diagnostic tests and procedures Document patient care and progress in medical records Communicate with patients and their families about care plans and progress Collaborate with other healthcare professionals to provide comprehensive patient care Qualifications, skills, and abilities: Active LPN license valid in the State position is located. Minimum of 1 year of experience as an LPN Excellent communication and interpersonal skills Ability to work independently and as part of a team Strong attention to detail and organizational skills Ability to prioritize and manage multiple tasks Basic computer skills Ability to treat residents, families and team members with respect and compassion. Full-time employees can take advantage of: Medical/Prescription Insurance Dental Insurance Vision Insurance Paid time off accrued up to 15 days per year. Paid Holidays Employee Referral Program Company Paid Life Insurance Pet Insurance available Company matching 401k Available pay advance (daily pay) (Available to all employees) Aviva Senior Living is an Equal Opportunity Employer and a Drug-Free Workplace.
    $55k-68k yearly est. 3d ago

Learn more about utilization review nurse jobs

How much does a utilization review nurse earn in Peabody, MA?

The average utilization review nurse in Peabody, MA earns between $56,000 and $100,000 annually. This compares to the national average utilization review nurse range of $47,000 to $89,000.

Average utilization review nurse salary in Peabody, MA

$75,000

What are the biggest employers of Utilization Review Nurses in Peabody, MA?

The biggest employers of Utilization Review Nurses in Peabody, MA are:
  1. Elevance Health
  2. Verisk Analytics
Job type you want
Full Time
Part Time
Internship
Temporary