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Utilization Review Np Jobs in Springfield, MA (NOW HIRING)

Cherokee Federal

FNP Springfield MA

Springfield, MA · On-site

$120K - $126K/yr

Reviews medical records, conducts detailed histories and physical exams, interprets diagnostic ... Nurse Practitioner Responsibilities Include: Conduct medical histories and physical examinations ...

Cherokee Federal

FNP Springfield MA

Springfield, MA · On-site

$120K - $126K/yr

Reviews medical records, conducts detailed histories and physical exams, interprets diagnostic ... Nurse Practitioner Responsibilities Include: Conduct medical histories and physical examinations ...

Cherokee Federal

FNP Springfield MA

Springfield, MA · On-site

$120K - $126K/yr

Reviews medical records, conducts detailed histories and physical exams, interprets diagnostic ... Nurse Practitioner Responsibilities Include: Conduct medical histories and physical examinations ...

Matrix Medical Network

Nurse Practitioner

Holyoke, MA · On-site

Matrix Medical Network seeks a Nurse Practitioner to deliver high-quality in-home and community ... In this role, you will perform comprehensive exams, review medical histories, manage chronic ...

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Showing results 21-40

All JobsUtilization Review Np JobsUtilization Review Np Jobs in Springfield, MA

Utilization Review Np information

See Springfield, MA salary details

$21

$42

$68

How much do utilization review np jobs pay per hour?

As of Aug 7, 2026, the average hourly pay for utilization review np in Springfield, MA is $42.13, according to ZipRecruiter salary data. Most workers in this role earn between $33.32 and $48.37 per hour, depending on experience, location, and employer.

What are some common challenges utilization review nurse practitioners face when collaborating with healthcare providers and insurance companies?

Utilization Review Nurse Practitioners often navigate the challenge of balancing patient advocacy with payer requirements. They must effectively communicate clinical justifications to both healthcare providers and insurance representatives, sometimes mediating disagreements over the necessity of certain treatments or hospital stays. Staying up-to-date with ever-changing insurance guidelines and ensuring timely documentation can also be demanding, but strong organizational and interpersonal skills help facilitate smooth collaboration and successful patient outcomes.

What does a utilization review nurse practitioner do?

A Utilization Review Nurse Practitioner (NP) evaluates the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. They review patient records, treatment plans, and insurance coverage to ensure that care meets established guidelines and regulatory requirements. Utilization Review NPs help coordinate care, prevent unnecessary procedures, and support cost-effective healthcare delivery while ensuring patient safety and quality outcomes.

What are the key skills and qualifications needed to thrive as a utilization review nurse practitioner, and why are they important?

To thrive as a Utilization Review Nurse Practitioner (NP), you need expert clinical judgment, a strong understanding of healthcare regulations, and advanced assessment skills, typically supported by an active NP license and clinical experience. Familiarity with utilization management software, electronic health records (EHRs), and knowledge of insurance guidelines such as Medicare and Medicaid are commonly required. Excellent communication, attention to detail, and critical thinking are vital soft skills for effective case evaluations and collaboration with providers. These competencies ensure accurate, efficient reviews that support quality care, compliance, and cost-effective treatment decisions.

What is the difference between Utilization Review Np vs Utilization Review Nurse?

AspectUtilization Review NpUtilization Review Nurse
CredentialsMaster's degree in Nursing, Nurse Practitioner certification, state licensureRegistered Nurse (RN) license, possibly with certification in utilization review
Work EnvironmentHealthcare facilities, insurance companies, utilization review organizationsHospitals, insurance companies, outpatient clinics
Job ResponsibilitiesAssess medical necessity, authorize treatments, make clinical decisions, often with greater autonomyReview medical records, support authorization processes, follow established guidelines

Utilization Review NPs typically have advanced clinical training and greater decision-making authority compared to Utilization Review Nurses. Both roles focus on evaluating medical necessity, but NPs often perform more complex assessments and can make independent recommendations, whereas nurses support the review process under supervision or guidelines.

What are popular job titles related to Utilization Review Np jobs in Springfield, MA? For Utilization Review Np jobs in Springfield, MA, the most frequently searched job titles are:
What job categories do people searching Utilization Review Np jobs in Springfield, MA look for? The top searched job categories for Utilization Review Np jobs in Springfield, MA are:
What cities near Springfield, MA are hiring for Utilization Review Np jobs? Cities near Springfield, MA with the most Utilization Review Np job openings:
Utilization Review Np jobs near you
Infographic showing various Utilization Review Np job openings in Springfield, MA as of August 2026, with employment types broken down into 12% As Needed, 58% Full Time, 24% Part Time, and 6% Contract. Highlights an 94% In-person, and 6% Remote job distribution, with an average salary of $87,639 per year, or $42.1 per hour.

Metro Travel Nurse Practitioner

Milan Laser Hair Removal

Hartford, CT • On-site

$149K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 22 days ago

Milan Laser Hair Removal rating

7.5

Company rating: 7.5 out of 10

Based on 15 frontline employees who took The Breakroom Quiz

3rd of 41 rated hair and beauty

Job description

Based out of: Hartford, CT
Candidates must reside within close proximity to a Milan Laser clinic.
Compensation: $149,760 Annually
Delivering confidence through precision, empathy, and excellence
This is a full-time, salaried role designed for nurses who enjoy local travel and variety while benefiting from the stability, support, and career growth of a national organization.
Traveling Metro Providers support Milan's clinic locations across the region, ensuring clients receive treatment when coverage is needed while supporting local teams.
Position Summary:
The Provider is the face of Milan's promise. Each treatment blends medical precision with empathy and professionalism so every client feels safe, informed, and confident in their results.
As a Traveling Metro Nurse Practitioner (NP) Provider, you will deliver laser hair removal treatments according to established medical protocols within a 60-mile radius of your home clinic. In this role, you ensure continuity of care while helping clients understand their treatment progress and achieve their desired results.
Your Ability to Make a Difference:
  • Clinical Care: Perform laser hair removal treatments according to medical protocols and safety standards. Complete pre-treatment setup, operate laser equipment, and perform daily equipment checks.
  • Client Education & Influence: Educate and guide clients on treatment plans, expected results, and pre/post-care. Reinforce progress and recommend additional treatment areas based on client goals and outcomes.
  • Client Experience: Deliver a professional, welcoming experience where clients feel informed and confident. Personalize treatments, anticipate client needs, and encourage rebooking and reviews.
  • Clinic Operations: Prepare treatment rooms, flip rooms between clients, and maintain clinic cleanliness. Follow operational standards including opening/closing tasks, inventory, and equipment readiness.
  • Team Collaboration: Partner with clinic teams to support daily operations and clinic sales goals. Communicate scheduling updates and model Milan's standards of professionalism.

Position Responsibilities:
  • Perform laser hair removal treatments following Milan's established medical protocols
  • Educate clients on pre and post-treatment care to ensure safe and effective results
  • Document treatments accurately and maintain compliant medical records
  • Prepare treatment rooms and equipment to ensure safe and efficient client flow
  • Maintain a clean, professional clinical environment between treatments
  • Discuss treatment progress with clients and recommend additional treatment areas when appropriate
  • Encourage client reviews and referrals through excellent service
  • Support daily clinic operations including scheduling, confirming appointments, and maintaining client records
  • Assist with opening and closing duties and treatment room preparation
  • Perform minor maintenance and cleaning of laser equipment to ensure optimal performance
  • Collaborate with clinic leadership and team members to support clinic goals and client satisfaction

Requirements:
  • Current applicable Nurse Practitioner (NP) license in good standing, along with active national certification as a Certified Family Nurse Practitioner (FNP-C or FNP-BC) is required
  • For Connecticut, Idaho, Louisiana, Oregon, South Dakota, South Carolina, and Washington: Current applicable Nurse Practitioner (NP) license in good standing, along with either active national certification as a Certified Family Nurse Practitioner (FNP-C or FNP-BC) or a Certified Adult-Gerontology Primary Care Nurse Practitioner (AGPCNP-BC or AGNP-C), is required
  • Ability to travel within a 60-mile radius
  • Strong customer service skills and a passion for patient care
  • Excellent communication skills, both verbal and written
  • Ability to maintain highly confidential information
  • Interest in the aesthetics or cosmetic medical industry
  • Ability to travel extensively and adapt to new clinic environments
  • A valid driver's license required
  • Residence within close proximity to a Milan Laser clinic
  • Following successful completion of provider training, Metro Traveling Providers must demonstrate the ability to help train new providers.

Supporting Details
Travel Expectations:
Assignments are coordinated by Milan's Scheduling Team, with mileage related travel expenses covered. Travel by vehicle is required. Assignment locations vary depending on business demand and may include support across any of Milan's locations within the surrounding metro area, with flexibility needed for business needs including same-day assignments.
Benefits Include:
  • Medical, dental, vision, disability, and life insurance within 30 days
  • 401k retirement plan with vested employer match
  • 6 recognized holidays
  • Paid time off starting immediately
  • Employee and spouse or legal partner receive free laser hair removal services
  • Professional liability insurance provided
  • CEU reimbursement
  • Annual allowance for scrubs
  • Career advancement opportunities

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Other duties may be assigned.
We are deeply committed to attracting talented team members in the US from all backgrounds regardless of race, age, gender, ethnicity, religion, sexual orientation, disability status, or nationality. However, at this time, we are not sponsoring any Visas.
Equal Opportunity Employer

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