Clinical Nurse Specialist
3 weeks ago
The Clinical Nurse Specialist - Utilization Management will play a key role in ensuring that patients receive the necessary medical care while minimizing unnecessary costs. This position will be responsible for reviewing and authorizing medical treatments, procedures, and services to ensure that they are medically necessary and meet the standards of care.
Responsibilities- Review and authorize medical treatments, procedures, and services to ensure that they are medically necessary and meet the standards of care.
- Collaborate with healthcare providers to ensure that patients receive the necessary medical care while minimizing unnecessary costs.
- Develop and implement policies and procedures to ensure that utilization management practices are consistent with the organization's goals and objectives.
- Provide education and training to healthcare providers on utilization management practices and policies.
- Monitor and evaluate the effectiveness of utilization management practices and make recommendations for improvement.
- Current and unrestricted California Board Licensed Vocational Nurse (LVN) or Registered Nurse (RN) license.
- 3 years of clinical nursing experience, preferably in a managed care environment.
- 2 years of progressive leadership experience, including direct supervision of staff in managed care and/or utilization management.
- 1 year of utilization management/prior authorization review experience.
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Clinical Care Specialist
1 month ago
Braintree, Massachusetts, United States Aspire Health Alliance Full timeAbout Aspire Health AllianceAspire Health Alliance is a private, non-profit behavioral health agency providing services for children, teens, and adults experiencing serious emotional challenges, behavioral issues, and substance abuse. Our vision is there is no health without mental health.Job SummaryWe are seeking a skilled Clinical Care Specialist to join...
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Clinical Care Specialist
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Clinical Care Specialist
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Braintree, Massachusetts, United States Aspire Health Alliance Full timeExciting Opportunity at Aspire Health AllianceWe are seeking a skilled Clinical Care Specialist to join our multi-disciplinary team providing clinical care in the community to adults with mental health and substance use diagnoses.As a member of our team, you will gain comprehensive clinical experience working under experienced, independently licensed...
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Clinical Recovery Specialist
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Clinical Recovery Specialist
3 weeks ago
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Clinical Research Nurse Specialist
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Registered Nurse
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Registered Nurse
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Cardiology Nurse Specialist
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Clinical Nurse Specialist
4 weeks ago
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Registered Nurse
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Registered Nurse
2 weeks ago
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Clinical Care Specialist
4 weeks ago
Braintree, Massachusetts, United States Mass General Brigham Healthcare at Home Full timeJob SummaryWe are seeking a skilled Registered Nurse to provide high-quality clinical services to patients in various community settings. As a member of our interdisciplinary team, you will deliver patient care within our organizational philosophy, policy, and standards of community health practice.Key ResponsibilitiesProvide skilled nursing care, including...
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Clinical Research Nurse
3 days ago
Braintree, Massachusetts, United States Incredible Health Full time{"h2": "Clinical Research Nurse Position at Incredible Health ","ul": [{"li": "We are actively hiring for a Clinical Research Nurse at our hospital in Long Branch, NJ. This is a great opportunity for nurses with experience in clinical trials, oncology, or peer review to join our team and contribute to the advancement of medical research."}, {"li": "As a...
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Registered Nurse
3 weeks ago
Braintree, Massachusetts, United States Mass General Brigham Full timeJob Title: Registered Nurse - Endoscopy SpecialistMass General Brigham is seeking a highly skilled Registered Nurse to join our Endoscopy team in Braintree, Massachusetts.Job Summary:We are looking for a dedicated and detail-oriented Registered Nurse to support the quality, efficiency, and satisfaction of care taking place at our South Shore Endoscopy Center...
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Clinical Nurse Coordinator
2 weeks ago
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Clinical Nurse Specialist
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Clinical Nurse Specialist
2 days ago
Braintree, Massachusetts, United States Mass General Brigham Healthcare at Home Full timeJob SummaryWe are seeking a skilled and compassionate Registered Nurse to join our team at Mass General Brigham Healthcare at Home. As a key member of our interdisciplinary team, you will provide high-quality, patient-centered care to individuals in their homes, promoting independence and improving quality of life.ResponsibilitiesAssess patients' needs and...
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Medical Records Specialist
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Ambulatory Clinic Nurse Leader
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