Registered Nurse, Clinical Delivery Care AccessRegistered Nurse, Clinical DeliveryBoston, MARemote$34–$48 / hourWith programs like Future of Medicine , which makes advanced health screenings and research opportunities accessible to communities worldwide, and Difference Makers , which supports local leaders to expand their community health and wellbeing efforts, we put people at the heart of medical progress. Furthermore, they serve as a point of escalation for the Member Services team, addressing complex inquiries related to lab results and assisting in the resolution of patient concerns by providing clinical insights and ensuring patients receive accurate information and appropriate follow-up.
Registered Nurse Crossway HomecareRegistered NurseNorth Andover, MassachusettsRemote$40–$42Effectively communicates with other disciplines in the case (case conferencing) to effectively and appropriately problem solve as situations arise. Reviews billing processes with patient and/or family, advising patient and/or family when co-pay or Medicare is not likely to pay for services (ABN).
NewRegistered Nurse, Radiology - 30hrs Boston Children's HospitalRegistered Nurse, Radiology - 30hrsBoston, MARemote$63,336–$136,398.60 / yearPotential to rotating through the assessment role of chart review, patient phone assessment and patient care coordination prior to anxiolysis and anesthesia for a variety of Radiology imaging studies. With patients from local communities and 160 countries around the world, we're committed to reflecting the spectrum of their cultures, while opening doors of opportunity for our team.
Utilization Review Nurse #26-17499 US Tech Solutions, Inc.Utilization Review Nurse #26-17499Canton, MARemote$55–$60 / hourWe are seeking an experienced Utilization Management (UM) Registered Nurse to support outpatient utilization review and prior authorization activities for a leading healthcare organization. US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions.
RN - Adult Oncology Order Set Coordinator - MGH Brigham and Women's HospitalRN - Adult Oncology Order Set Coordinator - MGHBoston, MARemote$41.72–$105.65 / hourAccountable for interpreting the plan of medical care, assessment of patients'' clinical decision-making regarding nursing care, assuring nursing care is provided in a safe and competent manner, providing individualized nursing care, and evaluating nursing care for groups of patients. 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.
Clinical Claim Review RN UnitedHealth Group IncClinical Claim Review RNBoston, MARemote$29–$52 / hourThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. The Program Integrity Clinical Compliance Auditor will be responsible for performing compliance reviews of medical and administrative documentation to identify instances of healthcare fraud and/or wasteful and abusive conduct by health care providers who submit claims for payment.
NewRN Health Care Facility Surveyor Impact Recruiting SolutionsRN Health Care Facility SurveyorBoston, MassachusettsRemote$75,000–$90,000The Surveyor will serve as a team member or team leader on various types of surveys (i.e. re-certification, comparative, complaint investigation, and revisits) for long-term care and non-long-term care surveys, which can include; ambulatory surgical centers (ASC), Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs/IID), end-stage renal disease (ESRD), Psychiatric Residential Treatment Facility (PRTF), hospital, critical access hospital, and hospice facilities. Impact Recruiting Solutions is currently seeking a RN Health Care Facility Surveyor to fill an opening with a Quality Improvement Consulting Company and will work in a technically exciting environment supporting internal and external customers nationwide .
Assistant/Associate Professor of Practice & Clinical Simulation Learning Specialist Simmons UniversityAssistant/Associate Professor of Practice & Clinical Simulation Learning SpecialistBoston, MARemote$85,196–$116,716 / yearInterested candidates should submit the following electronically with their application: (1) a letter of application addressing teaching experiences, (2) teaching philosophy, course or content interests, and clinical/professional interests and expertise; and (3) curriculum vitae. Simmons is committed to creating, developing, promoting, and enhancing inclusive hiring practices-at all levels, for all positions-ensuring diverse talent pools and the delivery of a consistent positive candidate experience.
RN - Adult Oncology Order Set Coordinator - MGH Mass General BrighamRN - Adult Oncology Order Set Coordinator - MGHBoston, MassachusettsRemoteAccountable for interpreting the plan of medical care, assessment of patients' clinical decision-making regarding nursing care, assuring nursing care is provided in a safe and competent manner, providing individualized nursing care, and evaluating nursing care for groups of patients. 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.
Nurse Practitioner, Compass Plus Program Brigham and Women's HospitalNurse Practitioner, Compass Plus ProgramSomerville, MARemote$126,838.40–$173,867.20 / yearThe program brings together providers, nurses, behavioral health specialists, and other care team members to deliver coordinated, patient-centered care focused on improving health outcomes, enhancing access to services, and supporting long-term health management. We are seeking a full-time, 40-hour Nurse Practitioner to join the Compass Plus team, caring for a panel of approximately 120 patients throughout the Northern Massachusetts region, including but not limited to Lawrence, Lowell, Peabody, and Newburyport.
NewNurse Case Manager II - Pennsylvania Apidel TechnologiesNurse Case Manager II - PennsylvaniaPlease note: Actual location may vary., RIRemoteContractorThrough the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services. The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individuals benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes.
RN Health Care Facility Surveyor Greenlife Healthcare StaffingRN Health Care Facility SurveyorBoston, MARemote$75,000–$90,000 / yearThe Surveyor will serve as a team member or team leader on various types of surveys (i.e. re-certification, comparative, complaint investigation, and revisits) for long-term care and non-long-term care surveys, which can include; ambulatory surgical centers (ASC), Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs/IID), end-stage renal disease (ESRD), Psychiatric Residential Treatment Facility (PRTF), hospital, critical access hospital, and hospice facilities. Impact Recruiting Solutions is currently seeking a RN Health Care Facility Surveyor to fill an opening with a Quality Improvement Consulting Company and will work in a technically exciting environment supporting internal and external customers nationwide.
Nurse Practitioner, Compass Plus Program Mass General BrighamNurse Practitioner, Compass Plus ProgramSomerville, MassachusettsRemoteThe program brings together providers, nurses, behavioral health specialists, and other care team members to deliver coordinated, patient-centered care focused on improving health outcomes, enhancing access to services, and supporting long-term health management. We are seeking a full-time, 40-hour Nurse Practitioner to join the Compass Plus team, caring for a panel of approximately 120 patients throughout the Northern Massachusetts region, including but not limited to Lawrence, Lowell, Peabody, and Newburyport.
Strategic Clinical Quality Manager - Minneapolis/St.Paul and surrounding areas - Minnesota Region Fresenius Medical CareStrategic Clinical Quality Manager - Minneapolis/St.Paul and surrounding areas - Minnesota RegionWaltham, MassachusettsRemoteThis role oversees clinical outcomes, coordinates quality initiatives, ensures adherence to regulations, and collaborates with the interdisciplinary team to drive continuous improvement in patient safety and clinical quality performance. Collaborate with physicians, nurses, dietitians, social workers, and leadership to support evidence-based clinical initiatives.
Virtual Primary Care Physician Firefly HealthVirtual Primary Care PhysicianBoston, MARemoteHave experience delivering care within value-based care models, including commercial risk arrangements or other risk-bearing care models, and understand the role of accurate clinical documentation, quality measurement, and population health initiatives in improving patient outcomes. You will practice as part of Firefly's multidisciplinary Care Team, collaborating closely with Nurse Practitioners (NPs), Registered Nurses (RNs), Health Guides, Behavioral Health Specialists, and other clinical partners to deliver coordinated, patient-centered care.
Nurse Case Manager II LancesoftNurse Case Manager IIPlease note: Actual location may vary., RIRemote$34.35Duties:Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services. The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual’s benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes.
RN Case Manager Blue Cross and Blue Shield of Massachusetts IncRN Case ManagerHingham, MARemote$44.12–$53.93 / hourAn employee's pay position within the salary range will be based on several factors including, but limited to, relevant education, qualifications, certifications, experience, skills, performance, shift, travel requirements, sales or revenue-based metrics, and business or organizational needs and affordability. The Team The Clinical Care Manager is part of a highly dedicated and motivated team of professionals, including medical and behavioral health care managers, dieticians, pharmacist, clinicians, medical directors and more, who collaborate to facilitate care.
Family Nurse Practitioner Apidel TechnologiesFamily Nurse PractitionerRemote, RIRemoteContractorYou will work in collaboration with a dedicated team of professionals as you independently provide holistic, evidenced based care inclusive of accurate assessment, diagnosis, treatment, management of health problems, health counseling, and disposition planning for our patients ranging in age 18 months and above. Complete necessary tasks for clinic operations, including but not limited to taking inventory, following up on lab results, receiving incoming phone calls, ordering supplies and maintaining clinic cleanliness.
NewUtilization Management Nurse Brigham and Women's HospitalUtilization Management NurseSomerville, MARemote$90,000–$107,000 / yearPrincipal Duties and Responsibilities: Expertise in clinical review for prospective, concurrent, retrospective utilization management reviews utilizing 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. Working with some of the most accomplished professionals in healthcare today, our employees have opportunities to learn and contribute expertise within a welcoming and supportive environment that embraces their unique and varied backgrounds, experiences, and skills.
Bilingual (Spanish/English) Diabetes Educator - Clinical Guide(Certified Diabetes Care and Education Specialist) Devoted Health IncBilingual (Spanish/English) Diabetes Educator - Clinical Guide(Certified Diabetes Care and Education Specialist)Waltham, MARemote$80,000–$95,000 / yearComplete detailed assessments and continue following up with members in the Diabetes Clinic to complete ongoing education on all pillars of diabetes management (disease process, medications, glucose monitoring, lifestyle counseling, contingency planning). The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.