1305 Utilization Review Nurse jobs in Hingham,MA
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Sr Utilization Management Nurse RN - Remote
UnitedHealth Group
Boston, MA 02112
$72,800-$130,000/yr
RemoteRetirement Benefit
- 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
RN Ambulatory - Nurse Advice Call Center
Cambridge Health Alliance
Malden, MA 02148
Bilingual Preferred
Easy Apply
Production Operations
Adecco
Waltham, MA 02453
$28/hr
OnsiteHealth InsurancePaid Time OffRetirement Benefit
- High School Diploma or GED
- Minimum of 1 year customer service-related experience preferred and at least 2 years related shipping experience preferred
- Experience with shipping goods both domestic and international, as well as familiarity with consolidating shipments
- Knowledge and experience processing shipments using various shipping software and systems such as UPS WorldShip, Fed-Ex Ship Manager, and DHL Easy Ship Professional
- Experience with (A.E.S.) Automated Export System - Experience with generating shipping documentation such as airway bills, (S.E.D.'s) Shippers Export Declarations and (S.L.I.'s) Shippers Letter of Instruction for domestic and international shipments
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Data Encoder (Part Time)
Apex Focus Group
Boston, MA 02298
$750/wk
Remote
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Outpatient Registered Nurse - RN
FRESENIUS
Roxbury, MA 02119
Paid Relocation to Roxbury, MA
RemoteEducation AssistanceHealth InsurancePaid Time OffRetirement Benefit
- Graduate of an accredited School of Nursing.
- Current appropriate state licensure.
- Current or successful completion of CPR BLS Certification.
- Must meet the practice requirements in the state in which he or she is employed.
- Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
- Must have a minimum of 9 months experience as a RN.
- Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN.
New, Posted 1 day ago
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Travel Utilization Review Registered Nurse - $1,906 per week
Supplemental Health Care
Boston, MA 02298
$1,906/wk
Urgently Hiring
New, Posted 2 hours ago
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Nurse
Yale New Haven Hospital
South Boston, MA 02127
~ 30 min Onsite
- Graduate Of An Accredited School Of Nursing
- 1 Year Neonatal ICU RN experience required.
- Valid State Of Connecticut Registered Nurse License
- Proficient In Use Of Computer Software To Include Electronic Patient Records.
- Must Have Ability To Use Internet For Literature Searches Regarding Care For Patients.
- BLS Required
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Payroll Specialist
Lesley University
Cambridge, MA 02139
$72,618-$82,521/yr
New, Posted 22 hours ago
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Coding and Compliance Auditor
South Shore Health
Weymouth, MA 02188
Hybrid~ 14 min
- Associates or Bachelor's degree in Health Information Management.
- Minimum 5 years acute care coding with demonstrated expertise in ICD-9-CM, ICD-10-CM, PCS and CPT coding.
- CCA - Certified Coding Associate (AHIMA-American Health Information Management Assoc)
- CCS - Certified Coding Specialist (AHIMA-American Health Information Management Assoc)
- CCS-P - Certified Coding Specialist-Physican Based (AHIMA-American Health Information Management Assoc)
- CPC - Certified Professional Coder (AAPC-American Academy of Professional Coders)
- CPMA -Certified Professional Medical Auditor (AAPC-Academy of Professional Coders)
- RHIA - Registered Health Information Administrator (AHIMA-American Health Information Management Association)
New, Posted just now
Luxury Assisted Living Jobs - Resident Caregivers & CNAs
myCNAjobs
East Boston, MA 02128
No Experience
What companies are hiring Utilization Review Nurse jobs in Hingham,MA?
- UnitedHealth Group
- Cambridge Health Alliance
- Adecco
- Apex Focus Group
- FRESENIUS
- Supplemental Health Care
- Yale New Haven Hospital
- Lesley University
- South Shore Health
- myCNAjobs
- UnitedHealth Group
- Cambridge Health Alliance
- Adecco
- Apex Focus Group
- FRESENIUS
- Supplemental Health Care
- Yale New Haven Hospital
- Lesley University
- South Shore Health
- myCNAjobs
What is the hourly salary range for Utilization Review Nurse jobs in Hingham,MA?
The hourly salary range is $28 - $28.
The hourly salary range is $28 - $28.
