11 results for Utilization Manager Jobs in Massachusetts, US

Manages the Utilization Management team, ensuring appropriate patient admission status based on regulatory requirements. Responsibilities include supervising UM staff, collaborating with physicians, conducting audits, providing training, and leading process improvement initiatives. Monitors effectiv...

Job Type: RegularTime Type: Full timeWork Shift: Day (United States of America)FLSA Status: ExemptWhen you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.Full TimeJob Description:Utilization Review & Denials management manager - Full Time W...

Provides direct clinical patient care, including assessing, planning, and implementing care for assigned patients. Responsible for supervising staff and supporting the Chief Nursing Officer in ensuring high quality nursing care and resource management.

Coast Medical Service is seeking a travel nurse RN Case Management for a travel nursing job in Milford, Massachusetts.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNStart Date: ASAPDuration: 13 weeks40 hours per weekShift: 8 hours, daysEmployment Type: TravelCoast Medical ...

Responsible for managing the Utilization Review department across multiple hospitals, ensuring high-quality patient care, operational efficiencies, and compliance with regulatory policies. Develops initiatives for Utilization Management, maintains partnerships with clinical and non-clinical departme...

Job Type: RegularTime Type: Full timeWork Shift: Day (United States of America)FLSA Status: Non-ExemptWhen you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.Joint role of Case Manager and Utilization Review NurseOnsite at Lahey Hospital and Me...

Responsible for managing Utilization Review departments and vendor management, ensuring compliance with CMS regulations. Oversees clinical admission reviews, supervises employees, sets goals, monitors vendor quality, and provides training. Focuses on improving care quality while minimizing costs and...

Nightingale Nurses is seeking a travel nurse RN Case Management for a travel nursing job in Milford, Massachusetts.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNStart Date: 05/10/2025Duration: 13 weeks40 hours per weekShift: 8 hours, daysEmployment Type: TravelAbout Night...

Core Medical Group is seeking a Social Work Case Management for a travel job in Melrose, Massachusetts.Job Description & RequirementsSpecialty: Case ManagementDiscipline: Social WorkStart Date: 04/19/2025Duration: 13 weeks40 hours per weekShift: 8 hoursEmployment Type: TravelClient In MA Seeking...

Coordinates utilization review, discharge planning, and monitors quality assurance for inpatient admissions. Performs utilization review and discharge planning, applies review criteria to determine appropriateness of care, leads healthcare team in selecting care options, collaborates with case manag...