UnitedHealth Group
-
Cambridge,MA
Clinical Claim Review Nurse Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people...
Northeast Georgia Health System
-
Cambridge,MA
Job Category: Executive Leadership, Revenue Cycle Work Shift/Schedule: 8 Hr Morning - Afternoon Northeast Georgia Health System is rooted in a foundation of improving the health of our communities. ...
Perm Staff Jobs
-
Boston,MA
Perm Staff Jobs is seeking a Registered Nurse (RN) Long Term Care for a nursing job in Boston, Massachusetts. Job Description & RequirementsSpecialty: Long Term...
Optum
-
Cambridge,MA
Optum WA, (formerly The Everett Clinic) is seeking a RN Call Us First to join our team in Everett, WA. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team,...
Mass General Brigham
-
Somerville,MA
Join the Future of Acute CareFrom Our Virtual Command Center. The position to which you are applying is represented by a collective bargaining unit, Massachusetts Nurses Association. Mass General Brighams Home Hospital Virtual Command Center is...
UnitedHealth Group
-
Cambridge,MA
Clinical Review Clinician Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people...
BlueCross BlueShield of South Carolina
-
Cambridge,MA
Appeals Analyst We are currently hiring for an Appeals Analyst to join BlueCross BlueShield of South Carolina. In this role as Appeals Analyst, you will research the substance of complex appeal or retrospective review requests including...
Commonwealth Healthcare LLC
-
Cambridge,MA
Commonwealth Healthcare LLC is seeking a local contract nurse RN Post Partum for a local contract nursing job in Cambridge, Massachusetts. Job Description & Requirements Specialty: Post Partum Discipline: RN Start Date: 07/14/2026 Duration: 13 weeks...
Lancesoft
-
Cambridge,MA
Remote Nurse Position in Michigan This position will be a remote role for Nurses in Michigan. Should have a valid MI RN License. Should have utilization management experience. Should have experience completing post-acute reviews for the...
Actalent
-
Cambridge,MA
Clinical Review Nurse Duals Program Details- Brand new program of 2026 for Centene Duals = Medicare + Medicaid line of business. Members have one combined card and one authorization covering both benefit types. The duals...
Mass General Brigham
-
Belmont,MA
>brbrbrbrbrbrbrbr-1 Utilizes multiple data sources to determine actual/potential health problems and functional status. >br-Utilizes Recovery Oriented Framework to identify patient strengths. >br-2 Performs point of care testing. >br-3 Communicates...
CoreMedical Group Perm
-
Needham Heights,MA
CoreMedical Group Perm is seeking a Registered Nurse (RN) Home Health for a nursing job in Needham, Massachusetts. Job Description & RequirementsSpecialty: Home...
Brightview Senior Living, LLC
-
Wakefield,MA
About Us: Overview: Work with a great team where you feel appreciated and make a difference! Responsibilities: Provide warm and engaging personal care services, assistance, support and...
connectRN
-
Wakefield,MA
connectRN is Your Perfect Side Hustle: Certified Home Health Registered Nurse Do you have 1 year of certified home health experience as an RN? Are you skilled in OASIS? Are you looking for true flexibility...
Sentara Health
-
Cambridge,MA
City/State Norfolk, VA Work Shift Multiple shifts available Overview: Sentara Health Plansis hiring a Clinical Compliance Consultant/LPN/RN/LCSW/LPC - Remote in Virginia! Status:...
TeamHealth
-
Cambridge,MA
Evenings, Weekend Only, Full-time & Part-time opportunities available (20hrs +) Hiring for evenings and weekends (*weekends and holidays are required) Incentives for Bilingual Spanish Telephone Triage RNs! Are you looking for an...
Northwell Health
-
Cambridge,MA
Description Position at Northwell Health PART TIME- 20 hours per week- Mon-Fri 8pm- 12am shift- Rotating weekends and holiday coverage expected! Northwell is the largest not-for-profit...
Molina Healthcare
-
Cambridge,MA
Job Description JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical...
Beth Israel Lahey Health
-
Dorchester Center,MA
Essential Responsibilities: Participates in/leads departmental and multidisciplinary committees when requested and communicates information appropriately. Anticipates needed changes or potential problems and implements effective corrective actions.
DaVita
-
Medford,MA
Provide dialysis treatment to patients at SNF partner sites. Monitor patient vitals and assess treatment response. Collaborate with interdisciplinary teams to coordinate care. Educate patients and families on treatment and care plans. Maintain...
Gainwell Technologies
-
Cambridge,MA
Nurse Reviewer - Itemized Bill Review It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know...
Gentiva
-
Auburndale,MA
Overview Connect Care. Guide Families. Make Every Day Count. We are seeking an experienced and compassionate Hospice Clinical Liaison to join our team. In this role, you will ensure that intake and...
Boston Medical Center
-
Brighton,MA
Position: RN Care Coordinator-Complex Case Manager Department: Care Management Schedule: Full Time 10am-6pm EXPERIENCE: 3-5 years of diversified clinical experience is...
