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Entry Level Rn Utilization Review Nurse Jobs in Massachusetts

Critical Connections

RN - Case Management

Allston, MA · On-site

About the Opportunity We are seeking an experienced Case Management RN to coordinate patient care, discharge planning, and utilization review in a hospital setting. This role is ideal for nurses who ...

New

GQR

RN - Case Manager

Everett, MA · On-site

$2.9K - $3.0K/wk

Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Everett, Massachusetts Start Date: January 27, 2026 Profession: Registered Nurse (RN) Facility: Estimated Pay ...

GQR

RN - Case Manager

Milford, MA · On-site

$2.1K - $2.2K/wk

Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Milford, Massachusetts Start Date: August 24, 2026 Profession: Registered Nurse (RN) Facility: Estimated Pay ...

Activate Care

Registered Nurse, MDS (FT & PT)

Boston, MA · On-site

... review and audit. * Complete required training and ongoing training to nd maintain system access ... Active Registered Nurse (RN) or higher licensure (e.g., Nurse Practitioner) in good standing with ...

American Traveler

Travel RN Case Manager

Brighton, MA · On-site

Responsible for initial patient assessments and utilization review * Leads and documents ... Travel RN - Case Management/Utilization Review - Case Management About American Traveler With over ...

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Infographic showing various Entry Level Rn Utilization Review Nurse job openings in Massachusetts as of July 2026, with employment types broken down into 84% Full Time, 12% Part Time, 1% Temporary, and 3% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution.

Utilization Review Clinician

TaraVista Behavioral Health Center

Devens, MA • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 22 days ago

Job description

Utilization Review Clinician

Join us as a Utilization Review Clinician!

Schedule: Monday - Friday, 40 hours onsite.

As a Utilization Review Clinician for MiraVista in Holyoke, Massachusetts, you'll bring your experience and knowledge where your voice matters. A Utilization Review Clinician is an integral part of our multidisciplinary team.

As a Utilization Review Clinician:

  • You will be an active participant in the health care team.
  • You are responsible for pre-certification, concurrent and discharge reviews, appeals and denials, and the compliance of contracted quality measures identified by managed care organizations.
  • You will serve as liaison between the hospital and outside payor sources in accordance with the mission and core principals of MiraVista Behavioral Health Center.

The Utilization Review Clinician will have the following:

  • Master's level clinician or RN.
  • Previous utilization management, preferably in an inpatient psychiatric setting
  • License eligible (LMHC or LICSW preferred) or RN
  • Possess sufficient knowledge regarding clinical treatment of psychiatric patients, the mental health care delivery system, and the managed care environment
  • Display excellent communication skills and an ability to integrate clinical and financial information in the context of an overall utilization management program
  • Requires the ability to work in a multidisciplinary, fast paced environment with a demonstrated sense of autonomy and professionalism.

When you join the growing MiraVista team as a Utilization Review Clinician, you'll receive:

  • Medical, Dental, and Vision
  • 401(k) match
  • Employer paid long term disability (LTD)
  • Short term disability (STD)
  • Employer paid life and AD&D Insurance
  • Generous Paid Time Off
  • Flexible Spending Account
  • Tuition Reimbursement

Pay Range:

Compensation will be determined based on the candidate's relevant experience.

$80,000 - $90,000

TaraVista is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

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