Case Manager - Nursing - Travel
$2.8K - $3.0K/wk
BSN current Massachusetts RN license 3 years of prior hospital Case Management experience Utilization Review experience If you are a qualified Case Manager and looking for an exciting contract ...
Case Manager - Nursing - Travel
$2.8K - $3.0K/wk
BSN current Massachusetts RN license 3 years of prior hospital Case Management experience Utilization Review experience If you are a qualified Case Manager and looking for an exciting contract ...
Medical Director (43921)
Smithfield, RI · On-site
... utilization review. These activities include... * Serve as Chair/ oversight of the Pharmacy and ... applicable contracts, laws, rules and regulations, policies and procedures as it applies to ...
Medical Director (43921)
Smithfield, RI · On-site
... utilization review. These activities include... * Serve as Chair/ oversight of the Pharmacy and ... applicable contracts, laws, rules and regulations, policies and procedures as it applies to ...
... utilization review. These activities include... * Serve as Chair/ oversight of the Pharmacy and ... applicable contracts, laws, rules and regulations, policies and procedures as it applies to ...
... utilization review. These activities include... * Serve as Chair/ oversight of the Pharmacy and ... applicable contracts, laws, rules and regulations, policies and procedures as it applies to ...
Contract: 13 Weeks * Location: Webster, MA * Hourly Pay: $ 23.00 * Non-taxed Stipend: $728.00 ... utilization review meetings, rehabilitation meetings, etc. * Participate in facility and company ...
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Contract: 13 Weeks * Location: Webster, MA * Hourly Pay: $ 23.00 * Non-taxed Stipend: $728.00 ... utilization review meetings, rehabilitation meetings, etc. * Participate in facility and company ...
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Travel Physical Therapist
Worcester, MA · On-site
$1.9K - $2.2K/wk
... utilization review meetings, rehabilitation meetings, etc.Participate in facility and company ... Contract Weeks:91 The Good Life MedStaff Job ID #37834225. Pay package is based on 8 hour shifts ...
Travel Physical Therapist
Worcester, MA · On-site
$1.9K - $2.2K/wk
... utilization review meetings, rehabilitation meetings, etc.Participate in facility and company ... Contract Weeks:91 The Good Life MedStaff Job ID #37834225. Pay package is based on 8 hour shifts ...
Support completion of utilization review and preparation for audits, monitoring reviews, and site ... Support programs in maintaining compliance with licensure, accreditation, and contract requirements ...
Support completion of utilization review and preparation for audits, monitoring reviews, and site ... Support programs in maintaining compliance with licensure, accreditation, and contract requirements ...
Training, Quality, and Operations Manager
Needham, MA · On-site
$72K - $90K/yr
Support completion of utilization review and preparation for audits, monitoring reviews, and site ... Support programs in maintaining compliance with licensure, accreditation, and contract requirements ...
Training, Quality, and Operations Manager
Needham, MA · On-site
$72K - $90K/yr
Support completion of utilization review and preparation for audits, monitoring reviews, and site ... Support programs in maintaining compliance with licensure, accreditation, and contract requirements ...
Clinical Supervisor
Milford, MA · On-site
$75K - $85K/yr
This is a clinical position and due to contract obligations requires an independent license (LICSW ... Participate in Program Quality Management and Utilization Review * Review and approve clinical ...
Clinical Supervisor
Milford, MA · On-site
$75K - $85K/yr
This is a clinical position and due to contract obligations requires an independent license (LICSW ... Participate in Program Quality Management and Utilization Review * Review and approve clinical ...
Clinical Supervisor
Milford, MA · On-site
$75K - $85K/yr
This is a clinical position and due to contract obligations requires an independent license (LICSW ... Participate in Program Quality Management and Utilization Review * Review and approve clinical ...
Clinical Supervisor
Milford, MA · On-site
$75K - $85K/yr
This is a clinical position and due to contract obligations requires an independent license (LICSW ... Participate in Program Quality Management and Utilization Review * Review and approve clinical ...
Clinical Supervisor
Milford, MA · On-site
$75K - $85K/yr
This is a clinical position and due to contract obligations requires an independent license (LICSW ... Participate in Program Quality Management and Utilization Review * Review and approve clinical ...
Clinical Supervisor
Milford, MA · On-site
$75K - $85K/yr
This is a clinical position and due to contract obligations requires an independent license (LICSW ... Participate in Program Quality Management and Utilization Review * Review and approve clinical ...
Program Director- CSS
Worcester, MA · On-site
$70K - $100K/yr
... documentation, utilization review, discharge planning, and transitions to continuing care ... contract billing requirements, and quality-assurance activities. * Partner with senior leadership ...
Program Director- CSS
Worcester, MA · On-site
$70K - $100K/yr
... documentation, utilization review, discharge planning, and transitions to continuing care ... contract billing requirements, and quality-assurance activities. * Partner with senior leadership ...
Pharmacist in Leominster, MA
Leominster, MA · On-site +1
$55 - $65/hr
Contract to Hire Key Responsibilities: * Review Part B drug and biologic prior authorization requests and appeals with clinical accuracy. * Apply clinical policies, utilization management criteria ...
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Pharmacist in Leominster, MA
Leominster, MA · On-site +1
$55 - $65/hr
Contract to Hire Key Responsibilities: * Review Part B drug and biologic prior authorization requests and appeals with clinical accuracy. * Apply clinical policies, utilization management criteria ...
New
Case Manager
Ludlow, MA · On-site
$21 - $27/hr
Understand commercial contract levels, exclusions, payor requirements, and recertification needs ... Participate in utilization review process: data collection, trend review, and resolution actions.
Case Manager
Ludlow, MA · On-site
$21 - $27/hr
Understand commercial contract levels, exclusions, payor requirements, and recertification needs ... Participate in utilization review process: data collection, trend review, and resolution actions.
Case Manager
Waltham, MA · On-site
$40 - $53.66/hr
Understand commercial contract levels, exclusions, payor requirements, and recertification needs ... Participate in utilization review process: data collection, trend review, and resolution actions.
Case Manager
Waltham, MA · On-site
$40 - $53.66/hr
Understand commercial contract levels, exclusions, payor requirements, and recertification needs ... Participate in utilization review process: data collection, trend review, and resolution actions.
Case Manager
Worcester, MA · On-site
$20 - $25.75/hr
Understand commercial contract levels, exclusions, payor requirements, and recertification needs ... Participate in utilization review process: data collection, trend review, and resolution actions.
Case Manager
Worcester, MA · On-site
$20 - $25.75/hr
Understand commercial contract levels, exclusions, payor requirements, and recertification needs ... Participate in utilization review process: data collection, trend review, and resolution actions.
Case Manager
Waltham, MA · On-site
$45 - $53/hr
Understand commercial contract levels, exclusions, payor requirements, and recertification needs ... Participate in utilization review process: data collection, trend review, and resolution actions.
Case Manager
Waltham, MA · On-site
$45 - $53/hr
Understand commercial contract levels, exclusions, payor requirements, and recertification needs ... Participate in utilization review process: data collection, trend review, and resolution actions.
Case Manager
Newton, MA · On-site
$45 - $53/hr
Understand commercial contract levels, exclusions, payor requirements, and recertification needs ... Participate in utilization review process: data collection, trend review, and resolution actions.
Case Manager
Newton, MA · On-site
$45 - $53/hr
Understand commercial contract levels, exclusions, payor requirements, and recertification needs ... Participate in utilization review process: data collection, trend review, and resolution actions.
Case Manager
Newton, MA · On-site
$40 - $53.66/hr
Understand commercial contract levels, exclusions, payor requirements, and recertification needs ... Participate in utilization review process: data collection, trend review, and resolution actions.
Case Manager
Newton, MA · On-site
$40 - $53.66/hr
Understand commercial contract levels, exclusions, payor requirements, and recertification needs ... Participate in utilization review process: data collection, trend review, and resolution actions.
Case Manager
Framingham, MA · On-site
$40 - $53.66/hr
Understand commercial contract levels, exclusions, payor requirements, and recertification needs ... Participate in utilization review process: data collection, trend review, and resolution actions.
Case Manager
Framingham, MA · On-site
$40 - $53.66/hr
Understand commercial contract levels, exclusions, payor requirements, and recertification needs ... Participate in utilization review process: data collection, trend review, and resolution actions.
Pharmacist | Marlborough, Massachusetts
Marlborough, MA · On-site +1
$55 - $65/hr
... Contract Duration: October 1, 2026 - March 31, 2027 (6 months) Responsibilities: * Review Part B ... Apply utilization management criteria to authorization decisions, ensuring consistency and accuracy
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Pharmacist | Marlborough, Massachusetts
Marlborough, MA · On-site +1
$55 - $65/hr
... Contract Duration: October 1, 2026 - March 31, 2027 (6 months) Responsibilities: * Review Part B ... Apply utilization management criteria to authorization decisions, ensuring consistency and accuracy
New
Contract Utilization Review information
See Worcester, MA salary details
$21.35 - $25.67
2% of jobs
$25.67 - $29.98
9% of jobs
$32.94 is the 25th percentile. Wages below this are outliers.
$29.98 - $34.30
21% of jobs
The median wage is $37.80 / hr.
$34.30 - $38.62
23% of jobs
$38.62 - $42.94
13% of jobs
$46.29 is the 75th percentile. Wages above this are outliers.
$42.94 - $47.25
10% of jobs
$47.25 - $51.57
8% of jobs
$51.57 - $55.89
5% of jobs
$55.89 - $60.20
5% of jobs
$60.20 - $64.52
2% of jobs
$64.52 - $68.84
2% of jobs
$21
$42
$68
How much do contract utilization review jobs pay per hour?
As of Aug 28, 2026, the average hourly pay for contract utilization review in Worcester, MA is $42.19, according to ZipRecruiter salary data. Most workers in this role earn between $33.32 and $48.46 per hour, depending on experience, location, and employer.
What is a contract utilization review?
A Contract Utilization Review job involves analyzing and evaluating the usage of contracts to ensure compliance, cost-effectiveness, and efficiency. Professionals in this role review contract terms, monitor vendor performance, and assess utilization data to optimize contract value. They may work in industries such as healthcare, government, or procurement, ensuring that agreements are being properly executed. The goal is to identify areas for improvement, reduce waste, and enhance operational efficiency.
What does a contract utilization review do?
A typical day in Contract Utilization Review involves reviewing patient medical records, ensuring adherence to payer contracts and regulatory standards, and communicating with healthcare providers to validate medical necessity of services. Professionals in this role often collaborate with clinical staff, case managers, and insurance representatives to resolve discrepancies or authorization issues. The work is detail-oriented and deadline-driven, making organizational skills vital. This dynamic position offers significant opportunities to learn more about healthcare regulations and may serve as a stepping stone toward more advanced roles in healthcare administration or compliance.
What are the key skills and qualifications needed to thrive in contract utilization review?
To thrive in Contract Utilization Review, you need a solid understanding of medical terminology, insurance policies, and contract compliance, often supported by a healthcare-related degree or certification in utilization management. Familiarity with utilization review software, electronic medical records (EMR), and knowledge of regulatory standards such as CMS guidelines is essential. Strong analytical thinking, attention to detail, and effective communication skills are crucial for collaborating with care teams and insurers. These abilities ensure reviews are accurate, contracts are properly administered, and patient care meets organizational and payer requirements.
What are the most commonly searched types of Utilization Review jobs in Worcester, MA?
The most popular types of Utilization Review jobs in Worcester, MA are:
What are popular job titles related to Contract Utilization Review jobs in Worcester, MA?
For Contract Utilization Review jobs in Worcester, MA, the most frequently searched job titles are:
What job categories do people searching Contract Utilization Review jobs in Worcester, MA look for?
The top searched job categories for Contract Utilization Review jobs in Worcester, MA are:
What cities near Worcester, MA are hiring for Contract Utilization Review jobs?
Cities near Worcester, MA with the most Contract Utilization Review job openings:
$2.8K - $3.0K/wk
Contractor
Re-posted 17 days ago
Job description
Job Description Case Manager - Nursing - Travel Location: Milford, MA Job Description: Join a dynamic nursing team as a Case Manager, where your expertise will be essential in providing top-notch care to patients. In this collaborative role, you'll facilitate comprehensive management for an assigned group of individuals, ensuring a seamless and individualized experience that prioritizes their discharge needs and overall well-being. This position offers the opportunity to work with a dedicated healthcare team while utilizing your skills in utilization review, making a real impact in the lives of patients.
If you're a motivated RN with a BSN and a passion for case management, we'd love to hear from you. Requirements: BSN current Massachusetts RN license 3 years of prior hospital Case Management experience Utilization Review experience If you are a qualified Case Manager and looking for an exciting contract position with competitive compensation and benefits packages, apply today. Job ID: 870-516 Profession: Case Manager Specialty: Nursing City: Milford State: MA Employment Type: Travel Contract Duration: 13 weeks Shift: Days 5x8 Total Weekly Comp: $2,859 - $3,045.
About Lighthouse Medical Staffing
Sourced by ZipRecruiter
Lighthouse Medical Staffing was established in 2017 with the purpose of revolutionizing the healthcare industry, making it more efficient and responsive. We offer a full range of recruitment services to assist healthcare organizations in achieving their employment objectives and selecting the most suitable applicants at all levels, from interns to executives. We collaborate closely with your internal departments to quickly expand capacity, allowing you to hire additional, dedicated employees who can make an immediate impact. A large number of well-educated, healthcare professionals are part of our worldwide network and are looking for their next opportunity. Our mission is to utilize our cutting edge technologies, personalized service and industry partners to connect talented healthcare clinicians with incredible opportunities the healthcare industry. At Lighthouse Medical Staffing, we foster a positive environment and develop close relationships with our clients that keeps them coming back to us when outsourcing their HR responsibilities. Being experienced recruiters, we understand the challenges most individuals face during job hunting and strive to make their vocation searching process easier and quick. Our team of talent healthcare specialists has filled thousands of roles in a variety of healthcare facilities, ranging from entry-level employment to senior executive positions. We’ve helped hospitals and clinics find excellent candidates while also delivering beneficial career solutions to in-demand job applicants along the way.
Industry
Recruiting and staffing services
Company size
11 - 50 Employees
Headquarters location
Carmel, IN, US