Utilization Review RN
5 days ago
At Trinity Health, we are committed to providing exceptional patient care and service. As a Utilization Review Registered Nurse, you will play a critical role in ensuring that our patients receive the most appropriate and effective care.
Responsibilities- Perform utilization review and payer notification
- Establish partnerships with site BPCI RN to align BPCI efforts with patient satisfaction outcomes
- Educate patients, families, and other members of the care team about financial responsibilities
- Identify and eliminate barriers to effective patient stay management and promote improvements in work processes
We are seeking a highly skilled and compassionate RN with 3-5 years of experience in similar roles. You should have a strong understanding of budget processes, quality improvement, report distribution, TJC standards, state and federal regulations, six sigma, and LEAN methodologies.
Salary and BenefitsThe estimated salary for this position is $85,000-$110,000 per year, depending on experience. Our comprehensive benefits package includes health insurance, retirement savings plan, paid time off, and professional development opportunities.
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Clinical Utilization Review Specialist
1 month ago
Springfield, Massachusetts, United States Trinity Health Full timeJob TitleClinical Utilization Review SpecialistAbout UsMercy Medical Center is a leading healthcare provider in Western Massachusetts, offering a range of services including acute care, rehabilitation, and outpatient programs.Salary and BenefitsThe estimated annual salary for this position is $80,000 - $110,000 depending on experience, with opportunities for...
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Nurse Case Manager Utilization Review
1 month ago
Springfield, Massachusetts, United States Trinity Health Full timeJob OverviewMercy Medical Center, a leading provider of healthcare services in Western Massachusetts, seeks an experienced Registered Nurse for a part-time Utilization Review/Appeals & Denials RN position. This role involves performing utilization review with payers, assisting physicians with level of care determinations, and collaborating with the care team...
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HVAC and Utilities Expert
2 weeks ago
Springfield, Massachusetts, United States Dennis Group Springfield Full timeHVAC and Utilities Expert Wanted!Dennis Group Springfield is seeking an experienced HVAC and Utilities Expert to join our team in designing and implementing mechanical systems for food and beverage production facilities. As a key member of our engineering team, you will be responsible for designing HVAC, plumbing, and fire suppression systems, as well as...
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Outpatient Clinical Review Nurse Specialist
1 month ago
Springfield, Massachusetts, United States Health New England Full timeJob DescriptionThe role of the UM Outpatient Clinical Review Nurse is a key position within the Utilization Management department at Health New England.
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Refrigeration and Utilities Design Expert
3 weeks ago
Springfield, Massachusetts, United States Dennis Group Full timeMechanical Engineer II: Industrial RefrigerationThe Dennis Group is seeking a highly skilled Mechanical Engineer II: Industrial Refrigeration to join our team. As a key member of our engineering department, you will play a crucial role in designing and implementing mechanical systems for industrial food and beverage production...
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Springfield, Massachusetts, United States Health New England Full timeJob SummaryWe are seeking a skilled Clinical Nurse Specialist to join our team in Outpatient Utilization Management. This role is responsible for performing clinical reviews for outpatient services, ensuring that members receive high-quality care while meeting governing regulations and internal policies.
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Travel RN Telemetry Specialist
7 days ago
Springfield, Massachusetts, United States Cross Country Nurses Full timeTravel RN Telemetry Specialist Job DescriptionCross Country Nurses is seeking a skilled Travel RN Telemetry Specialist to join our team in Springfield, Massachusetts. As a travel nurse, you will provide exceptional patient care to those who require cardiac monitoring and more frequent vitals and assessments.The ideal candidate will have at least 1 year of...
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Travel Nursing Opportunity for Telemetry RN
3 weeks ago
Springfield, Massachusetts, United States Supplemental Health Care Full timeCompany OverviewSupplemental Health Care is a leading healthcare staffing company that has been supporting talented professionals in their careers for over 40 years. With a commitment to world-class service, we inspire vital connections and enrich lives. SalaryWe are offering a competitive salary for this Tele RN position, with an estimated weekly payment...
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Travel Nurse RN Specialist
4 weeks ago
Springfield, Massachusetts, United States Magnet Medical Full timeJob OpportunityMagnet Medical is seeking a skilled travel nurse to join their team in Springfield, Massachusetts.About the Position:Skill Level: Psychiatric NursingWork Experience: 13 weeks commitmentShift Schedule: 8 hours, daysEmployment Type: Travel AssignmentPurpose of the Position:Deliver high-quality patient care utilizing the nursing process and...
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RN Healthcare Expert
2 weeks ago
Springfield, Massachusetts, United States MedSource LLC Full timeMEDSOURCE LLC is seeking a highly skilled RN Healthcare Expert to fill a challenging Telemedicine Assignment in Springfield, MA. This is a unique opportunity to work with patients who require intense monitoring and utilize advanced equipment to deliver outstanding care.Job RequirementsACLS, BLS, NIH certification2 years of experience in acute care settingsAs...
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Ambulatory Surgery Center
1 month ago
Springfield, Massachusetts, United States Ambulatory Surgery Center Full timeJob Title: Ambulatory Surgery Center - RN with Excellent Patient Care SkillsEstimated Salary: $80,000 - $110,000 per yearAbout the Role:We are seeking an experienced Registered Nurse (RN) to join our team at the Ambulatory Surgery Center. As a key member of our healthcare team, you will provide high-quality patient care and support in a fast-paced, dynamic...
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Travel Nurse RN Position
6 days ago
Springfield, Massachusetts, United States Supplemental Health Care Full timeJob Title: Medical Telemetry ProfessionalAbout the Job:Supplemental Health Care is seeking a qualified Telemetry RN to work in Springfield, Massachusetts. This 13-week contract offers a competitive salary of $1,944 – $2,152 per week, with the possibility of extension.Key Responsibilities:Review patient data to track heart rate, blood pressure, breathing,...
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Springfield, Massachusetts, United States Anders Group Full timeExperience the Difference with Anders GroupWe are seeking a dedicated Travel Nurse RN to join our team in Springfield, Massachusetts.About the RoleThis 13-week assignment offers a unique opportunity to work in Labor and Delivery, providing top-notch care to patients in need.Key ResponsibilitiesDeliver high-quality patient care in a dynamic and fast-paced...
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Nurse Specialist
6 days ago
Springfield, Massachusetts, United States Greater Springfield Senior Services, Inc. (GSSSI) Full timeAbout the Job: As a Caregiver and Nurse Professional at Greater Springfield Senior Services, Inc. (GSSSI), you will have the privilege of working with seniors and their families to provide them with the support and care they need. In this role, you will conduct comprehensive assessments, screenings, and evaluations of potential participants and care...
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Senior Home Health Nurse
1 month ago
Springfield, Massachusetts, United States Fallon Community Health Plan Full timeJob OverviewAt Fallon Community Health Plan, we are committed to delivering exceptional care to our members. As a Senior Home Health Nurse, you will play a vital role in ensuring that our participants receive the highest quality of care in the comfort of their own homes.About UsFallon Community Health Plan is a leading provider of government-sponsored health...
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Emergency Department RN Specialist
6 days ago
Springfield, Massachusetts, United States Anders Group Full timeWe are seeking a skilled Emergency Department RN Specialist to join our team at Anders Group. As a traveling healthcare expert, you will have the opportunity to work in various settings across the country, developing your clinical skills and expanding your professional network.About the BenefitsCompetitive salary range: $120,000 - $150,000 per year, based on...
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Travel Nurse RN Specialist
1 week ago
Springfield, Massachusetts, United States Anders Group Full timeJob SummaryWe are seeking a skilled Travel Nurse RN to join our team in Springfield, Massachusetts. As a vital member of our healthcare staff, you will be responsible for providing exceptional patient care and contributing to the success of our medical facility.About the RoleThis is a 13-week contract opportunity with a 36-hour workweek, requiring 12-hour...
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RN Home Care Case Manager Specialist
7 days ago
Springfield, Massachusetts, United States MVP Recruitment, LLC Full timeAbout the RoleWe are seeking a skilled Registered Nurse to join our team as a Home Care Case Manager in Greater Springfield, MA. The ideal candidate will have a passion for delivering exceptional home health care and making a positive impact on patients' lives.Key Responsibilities:Manage a caseload of home health patients, coordinating personalized care...
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Pediatric Specialty Nurse
2 weeks ago
Springfield, Massachusetts, United States Baystate Health Full timeAbout the RoleThis is an exciting opportunity for a Registered Nurse (RN) to join our pediatric specialty practice in a per diem capacity. As a key member of our team, you will provide high-quality patient care, utilizing strong assessment skills, point-of-care testing, and quality assurance checks.The successful candidate will have a Massachusetts license...
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Travel Healthcare Specialist
4 weeks ago
Springfield, Massachusetts, United States Supplemental Health Care Full timeAbout the RoleWe are seeking a skilled Travel Healthcare Specialist - Telemetry RN to join our team. As a vital member of our healthcare staff, you will be responsible for providing high-quality patient care in a telemetry setting.Job SummaryThis travel nursing opportunity is available at a reputable hospital in Springfield, Massachusetts. You will work...