1857 Rn jobs in Roxbury,MA

Registered Nurse (RN) with a current, active, unrestricted RN License in Massachusetts
Currently have OR be able to obtain an RAC/CT MDS certification (must have completed certification prior to start date)
4+ years of nursing experience, specifically in long-term care and/or medical record review with knowledge of Medicare and Medicaid
Recent long-term care MMQ, MDS, staff development or management experience (in long-term care)
Experience working within medical insurance and/or healthcare industries
Experience analyzing inventory, researching, identifying, and resolving issues
Experience with defining and managing processes within a team
Experience trouble shooting issues for users within teams, IT, and/or business partners
Proven knowledge of healthcare insurance industry (Medicaid, Medicare, CMS)
Demonstrated knowledge of process flow of UM, including prior authorization, concurrent authorization, and/or clinical appeal and guidance reviews
Must live in the Boston MA Regional Area to conduct daily travel requirements
Ability to travel within geographic territory (state of Massachusetts) at least 90% of the time (some weeks will require 100% travel as business needs dictate) and assist when needed throughout the state of Massachusetts for audits. (Audits will be conducted onsite)
Must have reliable transportation and be able to provide proof of a valid, unrestricted Driver's License and current Auto Insurance

Production Tech

Adecco

Boxborough, MA 01719

Experience in mechanical assembly and testing
Ability to read and interpret engineering drawings and documentation
Ability to perform acceptance and performance testing to ensure compliance with specifications
Strong problem-solving, organizational, and time-management skills

Intercare Therapy

Boston, MA 02114

Bachelor's degree in behavior analysis, education, psychology, or related field required
Ability to travel between sites (as needed)
Valid driver's license and reliable transportation (if applicable)
Meets all required background, health, and compliance standards