1134 Utilization Review Rn jobs in Boston,MA

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Travel Utilization Review RN - $1,906 per week

Supplemental Health Care

Boston, MA 02298

$1,906/wk

Urgently Hiring

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Regulatory Affairs Specialist

Adecco

Bedford, MA 01730

$38/hr

~ 31 min OnsiteHealth InsurancePaid Time OffRetirement Benefit

Bachelor's degree required, preferably in Life Sciences, Engineering, or a related field
Experience in Regulatory Affairs, Quality Assurance, Medical Devices, or another highly regulated industry preferred
Familiarity with ISO 13485 and ISO 14971 preferred
Strong technical writing, documentation, and organizational skills
Proficiency with Microsoft Office applications including Word, Excel, PowerPoint, and Adobe Acrobat
Experience with SAP is a plus
Ability to manage multiple projects and priorities in a fast-paced environment
Strong communication and collaboration skills
International regulatory support experience is a plus

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New, Posted 1 day ago

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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

SmartExplore AI is experimental.

New, Posted 5 hours ago

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(RN)Transition of Care Coach (Bristol County, MA based)

Molina Healthcare

Boston, MA 02112

$30.37-$59.21/hr

New, Posted 22 hours ago

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Overnight Associate

Wegmans Food Markets

Westwood, MA 02090

$19.50-$20.50/hr

No Experience

New, Posted 1 day ago

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Research Technician - Biology

Tufts University

Medford, MA 02155

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Travel Nurse RN - Case Management - $3,000 per week

Mass General Brigham - Internal Travel

Salem, MA 01971

$3,000/wk

iHire

Clinical Coordinator

Emerson Health

Concord, MA 01742

$19-$25/hr

Flexible Schedule

New, Posted 22 hours ago

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Senior Workers Compensation Claims Adjuster - New England

Gallagher Bassett

Quincy, MA 02169

Remote

High School Diploma.
Minimum of 5 years related claims experience.
Appropriately licensed and/or certified in all states in which claims are being handled.
Knowledge of accepted industry standards and practices.
Computer experience with related claims and business software.
Active Adjusters' licenses : Applicable licensure
Jurisdictional Experience: New England states - CT, ME, RI, MA, NH, VT

SmartExplore AI is experimental.

New, Posted 1 day ago

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