Utilization review nurse jobs in Weymouth Town, MA - 517 jobs
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Utilization Review Nurse
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Travel ICU Float Pool Nurse - Cardiac ICU - $2,269 per week
Host Healthcare 3.7
Utilization review nurse job in Boston, MA
This position is for a Travel ICU Registered Nurse specializing in Cardiac Intensive Care in Boston, MA. The role involves working 36 hours per week on 12-hour day shifts for a 13-week assignment. Host Healthcare provides comprehensive benefits, housing support, and travel reimbursements to support nurses throughout their assignments.
Host Healthcare is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Boston, Massachusetts.
Job Description & Requirements
Specialty:ICU - Intensive Care Unit
Discipline:RN
Start Date:
Duration:13 weeks
36 hours per week
Shift:12 hours, days
Employment Type:Travel
Host Healthcare is an award-winning travel healthcare company with an immediate opening for this Registered Nurse - ICU in Boston, MA. If you are interested in this position, please contact your recruiter and reference Job #
Why choose Host Healthcare?
Because a great Host provides a worry-free travel experience and always puts your needs first. Our passionate and transparent team members have made Host Healthcare the #1 ranked Travel Healthcare company in the U.S. Our recruiters act not only as your dedicated travel career mentor but also as your #1 advocate. When you work with us, you can trust that we will help you with everything from travel, to housing, and acting as a liaison between you and the facility. We've got your back!
Travel Happy With Host Healthcare
We offer the best pay for our travelers
Day one medical, dental, and vision insurance
License, travel, tuition, and scrub reimbursement
Matching 401k
Deluxe private housing or generous housing stipend
Discounts to your favorite activities, restaurants, health & beauty brands, shopping and hotels
Host Healthcare Job ID #a1fVJ000006DQR3YAO. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN - ICU
About Host Healthcare
At Host Healthcare, we provide a truly comfortable experience as you explore your travel nursing, therapy, or allied career. We make your travel healthcare journey easy by taking care of all the details, so you don't have to.
We are on a mission to help others live better and we do this by helping the healers of the world be as comfortable as possible. With access to tens of thousands of travel nursing, therapy, and allied jobs in all 50 states, our responsive and friendly recruiters find your dream position based on what's important to you.
During your assignment, get access to premium benefits, including Day 1 medical that continues up to 30 days between assignments, 401K matching, travel reimbursements, dedicated housing support, and more. We also offer 24/7 support from our team and access to our on-staff clinicians so you can feel comfortable and confident throughout your entire assignment.
Travel comfortably with Host Healthcare.
Benefits
Referral bonus
School loan reimbursement
Vision benefits
Wellness and fitness programs
Company provided housing options
License and certification reimbursement
Life insurance
Medical benefits
Mileage reimbursement
Pet insurance
Discount program
Employee assistance programs
Guaranteed Hours
Health savings account
Holiday Pay
401k retirement plan
Continuing Education
Dental benefits
Keywords:
travel nurse, ICU nurse, cardiac ICU, registered nurse, intensive care unit, healthcare travel jobs, nursing assignment, Boston nursing jobs, travel nursing benefits, Host Healthcare
$86k-162k yearly est. 1d ago
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Travel ICU Nurse - $2,542 per week
LRS Healthcare-Travel Nursing 4.3
Utilization review nurse job in Beverly, MA
LRS Healthcare - Travel Nursing is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Beverly, Massachusetts.
Job Description & Requirements
Specialty: ICU - Intensive Care Unit
Discipline: RN
Start Date:
Duration: 12 weeks
36 hours per week
Shift: 12 hours, nights
Employment Type: Travel
LRS Healthcare - Travel Nursing Job ID #. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined.
About LRS Healthcare - Travel Nursing
LRS Healthcare can lend a hand to take your career to new heights and places. As an industry leader in healthcare staffing, we work to connect you with jobs at top of the line facilities in the locations you've always wanted to live and visit. LRS is truly a full service medical staffing agency, so we take care of everything from housing and travel expenses to your itinerary, too. We handle it all because we want to be with you throughout your journey - not just your next placement.
As a medical staffing agency that fosters long relationships with their employees, we're determined to help amplify your personal and career growth through placement. We identify both temporary and permanent positions for candidates, and even some temp-to-perm positions that begin as 13-week programs.
We have many positions available across the country, so let's discuss what would be a good fit for you!
Benefits:
Medical, Dental, and Vision
Short-Term Disability
Long-Term Disability
Life Insurance
401(k)
Certification & License Reimbursement
Refer-a-friend Bonus Program
Direct Deposit - Weekly
24-Hour Support
Benefits
Medical benefits
Life insurance
401k retirement plan
License and certification reimbursement
Referral bonus
Weekly pay
$98k-190k yearly est. 1d ago
Case Management Nurse
Fast Switch 4.3
Utilization review nurse job in Reading, MA
Join Our Team as an RN Case Manager in Reading, MA!
Are you a compassionate registered nurse looking to make a meaningful difference in patients' lives? We are seeking an experienced RN Case Manager to join our interdisciplinary team in Reading, MA. In this rewarding role, you will coordinate holistic patient care in home, skilled nursing facilities, and inpatient settings, ensuring comfort and dignity for patients and their families during challenging times. If you're committed to providing excellent care, collaborating with a dedicated team, and supporting quality patient outcomes, this is the opportunity for you. Enjoy the flexibility of various schedules and be part of a supportive organization that values professional growth.
Key Responsibilities:
Assess, plan, implement, and evaluate hospice patient care across multiple settings.
Develop individualized care plans collaborating with interdisciplinary team members.
Perform ongoing patient assessments considering physical, psychosocial, and spiritual needs.
Provide education and support to patients and families, including bereavement follow-up.
Supervise ancillary staff and handle specialized procedures, such as venous access management.
Maintain accurate, timely documentation supporting quality care and regulatory compliance.
Participate in 24/7 on-call rotations, providing coverage during holidays and off-hours.
Required Skills & Qualifications:
Registered Nurse (RN), licensed in Massachusetts (good standing).
Associate's degree in Nursing; Bachelor's degree preferred.
Minimum of three years of diverse nursing experience, including at least one year in an acute setting.
Strong assessment skills and the ability to respond effectively to patient and family needs.
Knowledge of hospice principles and compassionate care delivery.
Valid driver's license with insured vehicle in good condition.
Excellent communication, teamwork, and organizational skills.
Ability to work independently, be flexible, and adapt to changing patient needs.
Work Schedule & Compensation:
Hours: Monday through Friday, Day Shift.
Schedule options: 20/20 or 24/16 hours weekly; also available in 32 or 40 hours.
Compensation: $45 - $60 per hour, based on experience and schedule.
Pay Type: Per Hour.
Location: Reading, MA.
Benefits & Career Growth:
While this role does not include standard benefits, you'll gain invaluable experience in hospice care, build meaningful relationships with patients and families, and have opportunities for professional development within a supportive environment.
Why Join Us?
Competitive hourly pay with flexible scheduling options.
Opportunity to work in a collaborative, interdisciplinary team.
Make an impactful difference in patients' lives during their most vulnerable times.
Supportive environment that encourages ongoing learning and leadership.
Ready to Make a Difference? Apply Today!
Join our dedicated team and help provide compassionate hospice care that truly makes a difference. Submit your application now or contact us for more information. We look forward to welcoming you to our caring community!
Note: Candidates must be able to transport themselves between patient locations and maintain compliance with all health and safety protocols.
$45-60 hourly 3d ago
Travel Labor and Delivery Nurse - $4,446 per week
Premier Medical Staffing Services 3.8
Utilization review nurse job in Cambridge, MA
Premier Medical Staffing Services is seeking a travel nurse RN Labor and Delivery for a travel nursing job in Cambridge, Massachusetts.
Job Description & Requirements
Specialty: Labor and Delivery
Discipline: RN
Start Date:
Duration: 11 weeks
40 hours per week
Shift: 10 hours
Employment Type: Travel
Premier Medical Staffing Job ID #613981. Pay package is based on 10 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: L&D RN
About Premier Medical Staffing Services
Premier Medical Staffing Services, LLC is a nationally expanding healthcare staffing firm for healthcare professionals and companies. We understand our clients' need for highly qualified, expertly trained medical professionals and are passionate about helping clinicians find employment opportunities that fit their personality and needs. Able to accommodate the ever-changing needs of the healthcare landscape, we offer per-diem, contract and direct hire placements to support the unique needs of each industry sector. Premier Medical Staffing Services is Joint Commission Certified, a Military Spouse Employment Partner and is certified as a Women's Business Enterprise. We are proudly nurse owned.
Stepdown travel nurse job in Boston, MA - earn $2,503/week on a 13 week, Variable shift at a travel-friendly hospital with Advantis Medical. Looking for Stepdown travel nursing jobs near you? This contract follows a (3×12) schedule and offers high pay, clinical experience, and the full support of the #1 rated travel nurse agency.
Whether you're planning your next assignment in Massachusetts or searching for "Stepdown travel RN jobs near me", this opportunity could be the perfect fit. This travel assignment is perfect for nurses looking to be near Boston, MA.
Don't miss out-click "I'm Interested" to start your application and connect with an Advantis recruiter to explore more travel Stepdown nurse jobs near you.
Job Details
Facility: Boston Medical Center
Location: Boston, MA 02118
Explore the area! See our local guide and an interactive map further down this page.
Contract Length: 13 Weeks
Shift: Variable (3×12)
Travel Nursing Requirements:
2+ years of recent Stepdown nursing experience.
Active Massachusetts RN License or Compact License (if applicable)
Benefits
Day One Benefits - Medical, Dental, Vision & 401(k)
Relocation and Travel Reimbursement
Dedicated team to help with travel & housing accommodations
Weekly Direct Deposit
$500 Referral Bonuses
Near Boston, MA
Boston, MA anchors a historic region where healthcare assignments span world-class teaching hospitals and community facilities. For clinicians seeking travel RN jobs near me, the metro provides steady demand across specialties. During time off, explore the cobblestone lanes of Beacon Hill, browse boutiques along Newbury Street, or spend an afternoon by the Charles River Esplanade. Travel nursing jobs also reach into nearby Cambridge, Somerville, and Quincy, broadening living options while keeping commutes short. From its research institutions to its walkable neighborhoods, Boston, Massachusetts supports travelers with both consistent contracts and cultural enrichment, making it a setting that blends professional access with one of the country's most distinctive urban traditions.
FAQs - Stepdown Travel Nurse Jobs Near Boston, MA
Expand All
Are there Stepdown travel nursing jobs near Boston, Massachusetts?
Yes! Advantis Medical frequently staffs Stepdown travel RN jobs in Boston and nearby areas like Cambridge (02138), Somerville (02143) and Quincy (02169). This assignment offers $2,503 per week and is one of our top current opportunities.
Is Boston a good location for Stepdown travel nursing jobs?
Yes. With competitive pay, career-boosting clinical environments, and great local lifestyle perks, Boston is a top destination for Stepdown travel nurse jobs in Massachusetts.
What are the licensing requirements for working as a travel nurse in Massachusetts?
Massachusetts Board of Nursing
Contact information
Website: https://www.mass.gov/orgs/board-of-registration-in-nursing
Phone: 800.414.0168 / 617.973.0900
Fees
License by Exam: $230
License by Endorsement: $275
Renewal: $120
License Verification Free: $20
Timing
Processing Time: 4 - 5 weeks
Valid for: 2 years
Renewal Schedule: your birthdate on even years
General Information
Nurse Licensure Compact: No
Nursys: Yes
CEU Requirements: CEU Requirements: 15 contact hours; a one-time course in Alzheimer's Training
Helpful Links
Apply Now
Check Status
Verify License
Travel Nursing Jobs With Advantis Medical - The Gold Standard
At Advantis Medical Staffing, we take great pride in our commitment to caring for travel nurses. We are dedicated to connecting nurses with the best travel nursing jobs nationwide, while providing exceptional service that fosters a trusted partnership for life. Our mission is to deliver the "Gold Standard" in service -not only by securing your first assignment but by advocating for your long-term career goals and well-being. Experience our gold standard level of service as we create a stress-free and rewarding journey for you.
View Similar Stepdown Jobs ⟶
Travel Nursing Job in Boston, MA
Weekly Pay: $2,503
This pay combines taxable wages and tax-free stipends. For a full, transparent breakdown, submit the "I'm Interested" form, & a recruiter will send you the details. ×
Location: Boston, MA 02118
Explore the area! See our local guide and an interactive map further down this page. ×
Facility: Boston Medical Center
Specialty: Stepdown
Duration: 13 weeks
Shift: Variable (3x12)
I'm Interested
Have a question? Call us at 214-305-6445
$2.5k weekly 1d ago
Travel Charge Nurse (RN) - ED - Emergency Department - $2,653 per week
Malone Healthcare-Nursing
Utilization review nurse job in Beverly, MA
Malone Healthcare - Nursing is seeking a travel ED - Emergency Department Charge Nurse (RN) for a travel nursing job in Beverly, Massachusetts.
Job Description & Requirements
Specialty: ED - Emergency Department
Discipline: RN
Start Date:
Duration: 12 weeks
36 hours per week
Shift: 12 hours, nights
Employment Type: Travel
Charge Nurse Position
About Malone Healthcare - Nursing
With a commitment to providing a higher standard of service and experience in patient care, Malone Healthcare places expert nurses and allied health professionals in rewarding careers throughout the United States. As a leading healthcare staffing agency, Malone's focus on compliance and integrity translates to a seamless experience for our team members and partner facilities. When you work with Malone Healthcare, you can rely on over 50 years of proven experience placing exceptional professionals in quality healthcare settings.
Benefits
Weekly pay
Holiday Pay
Guaranteed Hours
Continuing Education
401k retirement plan
Pet insurance
Referral bonus
Medical benefits
Dental benefits
Vision benefits
License and certification reimbursement
Life insurance
$78k-140k yearly est. 1d ago
Overnight Corrections Nurse
Amergis
Utilization review nurse job in Billerica, MA
Registered Nurse (RN) & Licensed Practical Nurse (LPN) - Correctional Facility Partner: Amergis Healthcare Staffing Employment Type: Full-Time | 6-Month Contract with Strong Potential for Extension Facility Type: Correctional Facility
Shifts Available:
Tuesday-Saturday, 11:00 PM - 7:00 AM
About the Opportunity
Amergis Healthcare Staffing is proud to partner with a respected correctional facility in Billerica, MA. We are currently seeking dedicated Registered Nurses (RNs) and Licensed Practical Nurses (LPNs) for full-time assignments. Correctional or psychiatric experience is required for both roles. This is an excellent opportunity to make an impact in an underserved population while working within a highly collaborative healthcare environment.
Compensation
Registered Nurse (RN)
Local: $60/hr
Travel: $2,650 weekly gross (Local Travelers must live 50 miles from facility to qualify)
Start Date: ASAP
Licensed Practical Nurse (LPN)
Local: $48/hr
Travel: $2,050 weekly gross (Local Travelers must live 50 miles from facility to qualify)
Start Date: ASAP
Responsibilities (RN & LPN)
Administer medications and support medical treatments
Perform triage, risk assessments, and emergency first aid
Apply surgical dressings and bandages
Monitor, document, and report vital signs and patient conditions
Collect specimens for diagnostic testing
Accurately document all care and interventions
Notify appropriate staff of treatment reactions or condition changes
Educate patients and assist with discharge planning
Promote a safe, therapeutic, and professional environment
Support physicians and perform other duties as assigned
Note: RNs may be assigned additional scope-of-practice responsibilities as appropriate.
Qualifications
Registered Nurse (RN)
Active Massachusetts RN license or proof of application
Minimum 1 year of correctional or psychiatric experience
Current CPR certification
Current health certificate (per contract or state regulation)
Licensed Practical Nurse (LPN)
Active Massachusetts LPN license or proof of application
Minimum 1 year of correctional or psychiatric experience
Current CPR certification
Current health certificate (per contract or state regulation)
How to Apply
For more information or to submit your application, please contact:
Annelise Mahoney | Recruiter
************
********************
Benefits
At Amergis, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits:
Competitive pay & weekly paychecks
Health, dental, vision, and life insurance
401(k) savings plan
Awards and recognition programs
*Benefit eligibility is dependent on employment status.
About Amergis
Amergis, formerly known as Maxim Healthcare Staffing, has served our clients and communities by connecting people to the work that matters since 1988. We provide meaningful opportunities to our extensive network of healthcare and school-based professionals, ready to work in any hospital, government facility, or school. Through partnership and innovation, Amergis creates unmatched staffing experiences to deliver the best workforce solutions.
Amergis is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.
$60 hourly 1d ago
Travel Float Pool Nurse - $821 per week
Lucid Staffing Solutions
Utilization review nurse job in Concord, MA
Lucid Staffing Solutions is seeking a travel nurse RN Long Term Care (LTC) Med Surg for a travel nursing job in Concord, Massachusetts.
Job Description & Requirements
Specialty: Med Surg
Discipline: RN
36 hours per week
Shift: 12 hours, days
Employment Type: Travel
We're looking for a Travel CNA ready to make a meaningful impact while enjoying top-tier pay, and a support system that truly understands your journey.
Location: Concord, Massachusetts
Shift: 12hr Days
At Lucid Staffing Solutions, we were founded by healthcare travelers who know first hand the challenges you face. That's why we provide a stress-free, transparent, and honest approach to travel healthcare.
Why Choose Lucid?
High Pay & Flexible Packages - You'll always know what you're earning and why.
Weekly Direct Deposits - Every Friday without fail.
Housing & Meals Stipends - Structured up to the maximum GSA.gov limits whenever possible.
Stress-Free Compliance - We handle health screens and immunizations; just show up!
Travel Reimbursement - $500 upfront for every assignment.
Referral Bonuses - $500 per referral, $750 after 5 referrals.
Insurance Options - Choose from 4 health plans plus dental, vision, and worker's compensation.
401(k) Match - 4% match to secure your future. Vested after only 6 months.
License & Certification Reimbursement - We cover everything you need to stay compliant.
Professional Liability Insurance - Always have peace of mind.
At Lucid, we believe in honesty, transparency, and providing all the tools you need to succeed. No hidden fees or surprises-just clear communication and unmatched support.
What we are looking for:
Actively working as CNA
Licensed in Massachusetts or compact licensure.
Minimum of 1-2 years of recent experience in LTC/Skilled
Ability to adapt quickly to new environments and maintain high patient care standards.
Join a team built on understanding and integrity. We're here to make your travel career as rewarding as possible.
Apply now to become part of the Lucid Traveler Team!
Lucid Staffing Solutions Job ID #. Pay package is based on 12 hour shifts and 36.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: CNA:LTC/Skilled,07:00:00-19:00:00
About Lucid Staffing Solutions
Clinician Owned & Operated
At Lucid Staffing Solutions, we do things differently-because we've been in your shoes. Founded by actual healthcare professionals, Lucid was built to fix the issues we experienced as travelers. We know what makes a great assignment: competitive pay, seamless onboarding, honest recruiters, and most importantly-working with a team that truly sees and supports you.
Our entire team is made up of former clinicians who understand the demands of the job and what travelers truly need to succeed. We offer some of the highest paying allied health and nursing contracts across the country, along with some amazing benefits & perks.
Whether you're chasing freedom, flexible schedules, bigger paychecks, or your next adventure, Lucid helps you get there-with real support, real respect , and real healthcare experts.
Benefits
Dental benefits
Medical benefits
Vision benefits
$78k-141k yearly est. 1d ago
Travel Emergency Department Nurse - $3,192 per week
Prime Staffing 4.4
Utilization review nurse job in Providence, RI
This position is for a Travel Nurse Registered Nurse (RN) specializing in the Emergency Department (ED) for a 13-week assignment in Providence, Rhode Island. The role involves working 36 hours per week in 12-hour shifts and offers competitive pay including a potential tax-free stipend. The job is facilitated by Prime Staffing, which specializes in contingent healthcare staffing solutions.
Prime Staffing is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Providence, Rhode Island.
Job Description & Requirements
Specialty: ED - Emergency Department
Discipline: RN
Start Date:
Duration: 13 weeks
36 hours per week
Shift: 12 hours
Employment Type: Travel
Prime Staffing Job ID #. Pay package is based on 12 hour shifts and 36.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN:ED,07:00:00-19:30:00
About Prime Staffing
At Prime Staffing, we understand the importance of finding the perfect fit for both our clients and candidates. Prime Staffing utilizes a unique matchmaking approach, providing the most qualified contingent staffing to our clients, and the most competitive contracts to our workforce. Our experienced team takes the time to get to know both our clients and candidates, their needs, and preferences, to ensure that each placement is a success.
We offer a wide range of staffing services including temporary, temp-to-perm, and direct hire placements. Our extensive network of qualified candidates includes nurses, allied healthcare professionals, corporate support professionals and executives.
Keywords:
travel nurse, emergency department nurse, RN, registered nurse, travel nursing job, healthcare staffing, emergency nursing, temp nursing job, Prime Staffing, nursing assignment
$32k-65k yearly est. 1d ago
Travel Medical ICU Nurse - $2,576 per week
GQR Healthcare
Utilization review nurse job in Boston, MA
GQR Healthcare is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Boston, Massachusetts.
Job Description & Requirements
Specialty: ICU - Intensive Care Unit
Discipline: RN
Start Date:
Duration: 11 weeks
36 hours per week
Shift: 12 hours, nights
Employment Type: Travel
Contract - W2 ICU Registered Nurse (RN) Job
Location: Boston, Massachusetts
Start Date: February 16, 2026
Profession: Registered Nurse (RN)
Facility:
Estimated Pay: $2575.99 - $2670.99
Duration:11 weeks
Specialty:ICU
Shift: Night
Shift Details: 3x12 Night
Job Type: Travel
*Estimated weekly pay includes projected hourly wages and weekly meal and lodging per diems for eligible clinicians based on nationally published GSA rates. Actual weekly pay and per diems may differ from the amount shown and are subject to change during an assignment.
Benefits:
• Day 1 Insurance
• Cigna medical, MetLife dental and vision insurance
• License reimbursement for new licenses needed for each assignment
• Discounts with hotels and rental cars
• A dedicated recruiter and support team that will help you every step of the way to sure you start on time and have an exceptional experience
• Referral bonus up to $700
About the Company:
Finding the right role is about more than just matching skills to a job-it's about aligning with your goals, values, and the way you want to work.
As an award-winning talent partner, we support healthcare professionals through every step of that process, offering meaningful opportunities, clear guidance, and long-term partnership. From our first conversation to your first day on the job (and beyond!), we're here to help you move forward with confidence.
GQR Job ID #768755. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Registered Nurse (RN)
About GQR Healthcare
GQR's Healthcare team specializes in connecting experts within the industry to highly skilled healthcare professionals across the US market.
In the competitive healthcare market, we recognize that the industry's common goals of improved quality of care and patient outcomes are wholly reliant upon the professionals directly supporting these initiatives. Leveraging our extensive candidate network, we deliver continuity of care for the communities our partners serve to ensure the patient experience is of the highest quality.
Through deep market specialization and a unique approach to talent acquisition, GQR Healthcare provides an unparalleled and personalized experience across all medical specialties in nursing and within diverse healthcare platforms across the industry.
Staff Registered Nurse (RN) Boston, MA An established, growing, non-certified home care agency has an immediate need for a Staff Registered Nurse (RN). This flexible, yet rewarding career opportunity offers a chance to impact the lives of our elderly Registered Nurse, Staff, Registered, Nurse, Healthcare, Staffing
$23k-55k yearly est. 1d ago
Utilization Review Nurse
Massachusetts Eye and Ear Infirmary 4.4
Utilization review nurse job in Somerville, MA
Site: Mass General Brigham Health Plan Holding Company, 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
The UMCM will utilize clinical knowledge to analyze, assess, and render approval decisions, to determine the need for physician review as well as complete determinations following physician review. The ideal candidate will have prior authorization (outpatient review) experience in a managed care setting with Medicaid/MassHealth knowledge.
Principal Duties and Responsibilities:
• Expertise in clinical review for prospective, concurrent, retrospective utilization management reviewsutilizing Interqual , company policies and procedures, and other resources as determined by review, including physician reviews as needed for all lines of business as per departmental needs
• Review authorization requests for medical services, including making initial eligibility and coverage determinations, screening for medical necessity appropriateness, determining if additional information is required, and referral to correct programs within Mass General Brigham Health Plan as needed.
• Manage incoming requests for procedures and services including patient medical records and related clinical information.
• Strong working knowledge of commercial, self-insured, fully insured and limited network plans.
• Adherence to program, departmental and organizational performance metrics including productivity.
• Excellent verbal and written communication skills.
• Excellent problem solving and customer service skills.
• Would need to be available for “on call” for a minimum of once per month with the possibility of that increasing depending on staff availability; Approximately 6 months after hire.
• Must be self-directed and highly motivated with an ability to multi-task.
• Develop and maintain effective working relationships with internal and external customers
• Hold self and others accountable to meet commitments.
• Sound decision-making and time management skills.
• Proactive in areas of professional development, personally and for the department.
• Persist in accomplishing objectives to consistently achieve results despite any obstacles and setbacks that arise.
• Build strong relationships and infrastructures that designate Mass General Brigham Health Plan as a people-first organization.
• Proficient with Microsoft Word, Excel, Outlook, McKesson InterQual , Outlook, SharePoint, PC based operating system, and web-based phone system.
Qualifications
Education
Associate's Degree Nursing required or Bachelor's Degree Nursing preferred
Licenses and Credentials
Massachusetts Registered Nurse (RN) license required
Experience
At least 2-3 years of utilizationreview experience is highly preferred
Experience using Interqual or Milliman is highly preferred
At least 1-2 years of experience in a payer setting is highly preferred
At least 1-2 years of experience in an acute care setting is highly preferred
Knowledge, Skills, and Abilities
Demonstrate Mass General Brigham Health Plan's core brand principles of always listening, challenging conventions, and providing value
Strong aptitude for technology-based solutions.
Embrace opportunities to take the complexity out of how we work and what we deliver.
Listen to our constituents, learn, and act quickly in our ongoing pursuit of meaningful innovation
Current in healthcare trends.
Ability to inject energy, when and where it's needed.
Exercise self-awareness; monitor impact on others; be receptive to and seek out feedback; use self-discipline to adjust to feedback.
Be accountable for delivering high-quality work. Act with a clear sense of ownership.
Bring fresh ideas forward by actively listening to and working with employees and the people we serve.
Communicate respectfully and professionally with colleagues
Strong EQ; exercises self-awareness; monitors impact on others; is receptive to and seeks out feedback; uses self-discipline to adjust to feedback.
Additional Job Details (if applicable)
Working Conditions
Would need to be available for “on call” for a minimum of once per month with the possibility of that increasing depending on staff availability; Approximately 6 months after hire.
This is a remote role with occasional onsite team meetings in Somerville, MA.
Remote Type
Remote
Work Location
399 Revolution Drive
Scheduled Weekly Hours
40
Employee Type
Regular
Work Shift
Day (United States of America)
Pay Range
$58,656.00 - $142,448.80/Annual
Grade
98TEMP
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:
Mass General Brigham Health Plan Holding Company, 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.
$58.7k-142.4k yearly Auto-Apply 38d ago
Staff - Registered Nurse (RN) - Home Health - $90K-95K per year
Core Medical-Perm
Utilization review nurse job in Fall River, MA
This permanent full-time position is for a Registered Nurse (RN) specializing in Home Health care in Fall River, Massachusetts, offering a salary of $90,000-$95,000 annually. The role involves providing exceptional patient care during 8-hour day shifts covering the New Bedford area. CoreMedical Group supports candidates with career development, resume assistance, and interview coaching, plus unique travel perks through their Club CoreMed program.
Core Medical-Perm is seeking a Registered Nurse (RN) Home Health for a nursing job in Fall River, Massachusetts.
Job Description & Requirements
Specialty: Home Health
Discipline: RN
Start Date: ASAP
Duration: Ongoing
40 hours per week
Shift: 8 hours
Employment Type: Staff
Home Health Nurses
Coverage area-New Bedford
Shift-8 hour days
Pay-$90,000-$95,000
Mileage-Current Government rate We are looking for a healthcare professional who is ready to provide exceptional patient care in this permanent position. This is an excellent opportunity to expand your healthcare career and take the next step in your professional journey.
CoreMedical Group is a nationally recognized leader in the medical recruitment and employment industry. Core will provide you with dedicated, personalized support from a recruiter who understands your needs and healthcare industry trends.
Our services will connect you with open positions like this one nationwide. Working with a CoreMedical Group recruiter is free and confidential. You'll get access to:
Extensive healthcare industry expertise that will help you map out your career
Resume edits and formatting to make sure you put your best foot forward when applying
Interview scheduling and coaching to help you win the job
Support during difficult conversations, including help with pay negotiations
Streamlined communication and feedback from the hiring manager
Advice and support for relocation requirements
CoreMedical Group also offers you the opportunity to earn a free, all-inclusive vacation each year as our way of saying "thank you" for your hard work. Join other healthcare professionals on the annual Club Coremed retreat and you'll see why candidates choose to work with us to expand their careers.
Your career is too valuable to tackle on your own. Let CoreMedical Group help you with your healthcare journey!
Core Medical Direct Job ID #. Posted job title: RN
About Core Medical-Perm
CoreMedical Group is one of the largest healthcare staffing agencies in the country. We have jobs nationwide in travel nursing, travel allied health, interim, locum tenens, and permanent placements! Join the staffing agency with Club CoreMed, the best perk in the industry - an all inclusive paid trip to a tropical resort!
Keywords:
Registered Nurse, Home Health RN, patient care, nursing jobs, healthcare career, CoreMedical Group, Fall River Massachusettsnursing, home health care, travel nursing, permanent nursing position
$15k-63k yearly est. 1d ago
Inpatient Behavioral Health Admission Review Nurse
Veterans 4.4
Utilization review nurse job in Shrewsbury, MA
With the belief that
they were there when we needed them, so we must be there now that they need us
, Veterans Inc., the largest provider of supportive services to Veterans and their families in New England, is seeking to fill the Inpatient Behavioral Health Admission ReviewNurse position and become a valued member of the Veterans Inc. team!
WHAT YOU'LL BE DOING DAY TO DAY:
Patient Assessment: Conducting initial, comprehensive assessments of patients to determine their need for inpatient care.
Information Gathering: Collecting and reviewing medical histories, current medications, existing treatment plans, and diagnostic information from patients, families, and referring providers.
Eligibility & Compliance: Reviewing information to ensure patients meet specific eligibility criteria for program admission that include reviewing the organization's requirements, insurance providers, and state regulations.
Documentation & Coordination: Completing all required documentation and collaborating with the multidisciplinary treatment team to coordinate care and develop initial treatment plans.
Crisis Intervention: Utilizing knowledge of crisis management and behavioral health protocols to manage patients in acute distress during the admissions process.
Referral Management: Processing referrals from doctors, emergency departments, or other agencies and, if the patient is not a candidate for the facility, coordinating alternative referrals.
WHAT YOU MUST HAVE:
Minimum Associate's degree from an accredited school of Nursing required. Bachelor's degree in Nursing is highly valued.
Must have a current and valid Massachusetts licensure as a Registered Nurse
Current certification in CPR
Minimum of one year of nursing experience preferred. Experience providing nursing care in a substance abuse treatment setting is highly valued.
Time Management skills and the ability to answer medical questions before referral reaches Admissions staff
Must be able to successfully pass a CORI/Background records check.
Compliance with Veterans Inc. COVID-19 Vaccination Policy. Religious and Medical Exemptions are considered.
For more information, or to apply now; visit our website. Please do not mail, email, or fax your cover letter/resume as we are limited to only accepting completed applications through our career page. Mailed, emailed, or faxed cover letter, resume, and applications will not be reviewed.
Veterans Inc. is proud to be an equal opportunity employer. We are committed to equal employment opportunity regardless of race, color, religion, sex, national origin, sexual orientation, age, marital status, disability, gender identity or protected Veteran status.
If you need assistance completing an application please contact
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.
We do not accept unsolicited resumes from agencies. Agencies are requested not to contact Veterans Inc. with recruiting inquiries.
Formulary Strategy & UtilizationReview Pharmacist
Shape the drug benefit landscape-analyze and optimize medication use.
Key Responsibilities:
Review prescribing trends and propose cost-saving alternatives.
Maintain evidence-based formularies across multiple payers.
Conduct retrospective DUR and prepare stakeholder reports.
Qualifications:
PharmD with managed care, DUR, or pharmacy benefit experience.
Strong Excel/data analytics background preferred.
Understanding of clinical guidelines and P&T processes.
Why Join Us?
Join a top-tier managed care team
Hybrid flexibility
Strategic and data-driven focus
$67k-80k yearly est. 60d+ ago
Travel PACU Nurse - $2,481 per week
LRS Healthcare-Travel Nursing 4.3
Utilization review nurse job in Plymouth, MA
LRS Healthcare - Travel Nursing is seeking a travel nurse RN PACU - Post Anesthesia Care for a travel nursing job in Plymouth, Massachusetts.
Job Description & Requirements
Specialty: PACU - Post Anesthesia Care
Discipline: RN
Start Date:
Duration: 12 weeks
36 hours per week
Shift: 12 hours, evenings
Employment Type: Travel
LRS Healthcare - Travel Nursing Job ID #. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined.
About LRS Healthcare - Travel Nursing
LRS Healthcare can lend a hand to take your career to new heights and places. As an industry leader in healthcare staffing, we work to connect you with jobs at top of the line facilities in the locations you've always wanted to live and visit. LRS is truly a full service medical staffing agency, so we take care of everything from housing and travel expenses to your itinerary, too. We handle it all because we want to be with you throughout your journey - not just your next placement.
As a medical staffing agency that fosters long relationships with their employees, we're determined to help amplify your personal and career growth through placement. We identify both temporary and permanent positions for candidates, and even some temp-to-perm positions that begin as 13-week programs.
We have many positions available across the country, so let's discuss what would be a good fit for you!
Benefits:
Medical, Dental, and Vision
Short-Term Disability
Long-Term Disability
Life Insurance
401(k)
Certification & License Reimbursement
Refer-a-friend Bonus Program
Direct Deposit - Weekly
24-Hour Support
Benefits
Medical benefits
Life insurance
401k retirement plan
License and certification reimbursement
Referral bonus
Weekly pay
$99k-191k yearly est. 1d ago
Travel Labor and Delivery Nurse - $2,383 per week
Premier Medical Staffing Services 3.8
Utilization review nurse job in Cambridge, MA
Premier Medical Staffing Services is seeking a travel nurse RN Labor and Delivery for a travel nursing job in Cambridge, Massachusetts.
Job Description & Requirements
Specialty: Labor and Delivery
Discipline: RN
Start Date:
Duration: 12 weeks
36 hours per week
Shift: 12 hours
Employment Type: Travel
Premier Medical Staffing Job ID #615142. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: L&D RN
About Premier Medical Staffing Services
Premier Medical Staffing Services, LLC is a nationally expanding healthcare staffing firm for healthcare professionals and companies. We understand our clients' need for highly qualified, expertly trained medical professionals and are passionate about helping clinicians find employment opportunities that fit their personality and needs. Able to accommodate the ever-changing needs of the healthcare landscape, we offer per-diem, contract and direct hire placements to support the unique needs of each industry sector. Premier Medical Staffing Services is Joint Commission Certified, a Military Spouse Employment Partner and is certified as a Women's Business Enterprise. We are proudly nurse owned.
$92k-167k yearly est. 1d ago
Travel Labor and Delivery Nurse - $2,945 per week
Prime Staffing 4.4
Utilization review nurse job in Lawrence, MA
Prime Staffing is seeking a travel nurse RN Labor and Delivery for a travel nursing job in Lawrence, Massachusetts.
Job Description & Requirements
Specialty: Labor and Delivery
Discipline: RN
36 hours per week
Shift: 12 hours
Employment Type: Travel
About the Position
Specialty: Registered Nurse - Labor & Delivery (L&D)
Experience: Minimum 2 years of recent L&D experience required
License: Active State or Compact RN License
Certifications: BLS, ACLS, NRP required - must include expiration dates
Must-Have: All time-off requests must be submitted with the initial application
Description:
We are seeking a skilled L&D RN to provide care to patients throughout the labor, delivery, and postpartum stages. Responsibilities include fetal monitoring, assisting during deliveries (vaginal and cesarean), administering medications, and supporting patient education. Must be comfortable working in a fast-paced, high-acuity environment.
This is a 12-hour shift position with weekend, holiday, and potential on-call expectations. Compliance and onboarding typically require 4-6 weeks to complete.
Requirements
Required for Onboarding:
Active RN License
BLS
ACLS
NRP
Prime Staffing Job ID #. Pay package is based on 12 hour shifts and 36.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN:Labor and Delivery (L&D),19:00:00-07:30:00
About Prime Staffing
At Prime Staffing, we understand the importance of finding the perfect fit for both our clients and candidates. Prime Staffing utilizes a unique matchmaking approach, providing the most qualified contingent staffing to our clients, and the most competitive contracts to our workforce. Our experienced team takes the time to get to know both our clients and candidates, their needs, and preferences, to ensure that each placement is a success.
We offer a wide range of staffing services including temporary, temp-to-perm, and direct hire placements. Our extensive network of qualified candidates includes nurses, allied healthcare professionals, corporate support professionals and executives.
$29k-58k yearly est. 1d ago
Utilization Review Pharmacist
Pharmacy Careers 4.3
Utilization review nurse job in Worcester, MA
UtilizationReview Pharmacist
Shape the drug benefit landscape-analyze and optimize medication use.
Key Responsibilities:
Review prescribing trends and propose cost-saving alternatives.
Maintain evidence-based formularies across multiple payers.
Conduct retrospective DUR and prepare stakeholder reports.
Qualifications:
PharmD with managed care, DUR, or pharmacy benefit experience.
Strong Excel/data analytics background preferred.
Understanding of clinical guidelines and P&T processes.
Why Join Us?
Join a top-tier managed care team
Hybrid flexibility
Strategic and data-driven focus
$67k-80k yearly est. 60d+ ago
Travel Labor and Delivery Nurse - $2,963 per week
Premier Medical Staffing Services 3.8
Utilization review nurse job in Lawrence, MA
Premier Medical Staffing Services is seeking a travel nurse RN Labor and Delivery for a travel nursing job in Lawrence, Massachusetts.
Job Description & Requirements
Specialty: Labor and Delivery
Discipline: RN
Start Date:
Duration: 8 weeks
36 hours per week
Shift: 12 hours
Employment Type: Travel
Premier Medical Staffing Job ID #615782. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: L&D RN
About Premier Medical Staffing Services
Premier Medical Staffing Services, LLC is a nationally expanding healthcare staffing firm for healthcare professionals and companies. We understand our clients' need for highly qualified, expertly trained medical professionals and are passionate about helping clinicians find employment opportunities that fit their personality and needs. Able to accommodate the ever-changing needs of the healthcare landscape, we offer per-diem, contract and direct hire placements to support the unique needs of each industry sector. Premier Medical Staffing Services is Joint Commission Certified, a Military Spouse Employment Partner and is certified as a Women's Business Enterprise. We are proudly nurse owned.
How much does a utilization review nurse earn in Weymouth Town, MA?
The average utilization review nurse in Weymouth Town, MA earns between $56,000 and $101,000 annually. This compares to the national average utilization review nurse range of $47,000 to $89,000.
Average utilization review nurse salary in Weymouth Town, MA
$75,000
What are the biggest employers of Utilization Review Nurses in Weymouth Town, MA?
The biggest employers of Utilization Review Nurses in Weymouth Town, MA are: