Boston, MA · On-site
$79.17 - $86.72/hr
Non-patient Care (utilization Review) Registered Nurse job at Supplemental Health Care. Boston, MA ... Full medical, dental, vision, life, and even pet insurance! * Round the clock support. No matter ...
Boston, MA · On-site
$79.17 - $86.72/hr
Non-patient Care (utilization Review) Registered Nurse job at Supplemental Health Care. Boston, MA ... Full medical, dental, vision, life, and even pet insurance! * Round the clock support. No matter ...
Plymouth, MA · On-site
$37.14 - $82.22/hr
Reviews admission data to establish the appropriate level of care using Interqual criteria ... Knowledge of government and insurance company reimbursement policies in regards to admission ...
Plymouth, MA · On-site
$37.14 - $82.22/hr
Reviews admission data to establish the appropriate level of care using Interqual criteria ... Knowledge of government and insurance company reimbursement policies in regards to admission ...
Plymouth, MA · On-site
$37.14 - $82.22/hr
Reviews admission data to establish the appropriate level of care using Interqual criteria ... Knowledge of government and insurance company reimbursement policies in regards to admission ...
Plymouth, MA · On-site
$37.14 - $82.22/hr
Reviews admission data to establish the appropriate level of care using Interqual criteria ... Knowledge of government and insurance company reimbursement policies in regards to admission ...
Review the entire medical record for accuracy, and appropriate clinical treatment * Communicate ... Proven knowledge of healthcare insurance industry (Medicaid, Medicare, CMS) * Demonstrated ...
Review the entire medical record for accuracy, and appropriate clinical treatment * Communicate ... Proven knowledge of healthcare insurance industry (Medicaid, Medicare, CMS) * Demonstrated ...
Review the entire medical record for accuracy, and appropriate clinical treatment * Communicate ... Proven knowledge of healthcare insurance industry (Medicaid, Medicare, CMS) * Demonstrated ...
Review the entire medical record for accuracy, and appropriate clinical treatment * Communicate ... Proven knowledge of healthcare insurance industry (Medicaid, Medicare, CMS) * Demonstrated ...
Review the entire medical record for accuracy, and appropriate clinical treatment * Communicate ... Proven knowledge of healthcare insurance industry (Medicaid, Medicare, CMS) * Demonstrated ...
Review the entire medical record for accuracy, and appropriate clinical treatment * Communicate ... Proven knowledge of healthcare insurance industry (Medicaid, Medicare, CMS) * Demonstrated ...
Review the entire medical record for accuracy, and appropriate clinical treatment * Communicate ... Proven knowledge of healthcare insurance industry (Medicaid, Medicare, CMS) * Demonstrated ...
Review the entire medical record for accuracy, and appropriate clinical treatment * Communicate ... Proven knowledge of healthcare insurance industry (Medicaid, Medicare, CMS) * Demonstrated ...
This role is primarily responsible for conducting utilization management reviews for post-acute and extended care services, including Skilled Nursing Facility (SNF), Acute Rehabilitation, and ...
New
This role is primarily responsible for conducting utilization management reviews for post-acute and extended care services, including Skilled Nursing Facility (SNF), Acute Rehabilitation, and ...
New
Review the entire medical record for accuracy, and appropriate clinical treatment * Communicate ... Proven knowledge of healthcare insurance industry (Medicaid, Medicare, CMS) * Demonstrated ...
Review the entire medical record for accuracy, and appropriate clinical treatment * Communicate ... Proven knowledge of healthcare insurance industry (Medicaid, Medicare, CMS) * Demonstrated ...
Review the entire medical record for accuracy, and appropriate clinical treatment * Communicate ... Proven knowledge of healthcare insurance industry (Medicaid, Medicare, CMS) * Demonstrated ...
Review the entire medical record for accuracy, and appropriate clinical treatment * Communicate ... Proven knowledge of healthcare insurance industry (Medicaid, Medicare, CMS) * Demonstrated ...
Holyoke, MA · On-site
You will assist with insurance utilization review and provide liaison services to patients and their family/guardians, the hospital, and outside community agencies and programs as needed for care ...
Holyoke, MA · On-site
You will assist with insurance utilization review and provide liaison services to patients and their family/guardians, the hospital, and outside community agencies and programs as needed for care ...
Devens, MA · On-site
... * Assist with insurance utilization review and provide liaison services to patients and their family/guardians, the hospital, and outside community agencies and programs as needed for care ...
Devens, MA · On-site
... * Assist with insurance utilization review and provide liaison services to patients and their family/guardians, the hospital, and outside community agencies and programs as needed for care ...
Devens, MA · On-site
... * Assist with insurance utilization review and provide liaison services to patients and their family/guardians, the hospital, and outside community agencies and programs as needed for care ...
Devens, MA · On-site
... * Assist with insurance utilization review and provide liaison services to patients and their family/guardians, the hospital, and outside community agencies and programs as needed for care ...
Devens, MA · On-site
... * Assist with insurance utilization review and provide liaison services to patients and their family/guardians, the hospital, and outside community agencies and programs as needed for care ...
Devens, MA · On-site
... * Assist with insurance utilization review and provide liaison services to patients and their family/guardians, the hospital, and outside community agencies and programs as needed for care ...
Devens, MA · On-site
... * Assist with insurance utilization review and provide liaison services to patients and their family/guardians, the hospital, and outside community agencies and programs as needed for care ...
Devens, MA · On-site
... * Assist with insurance utilization review and provide liaison services to patients and their family/guardians, the hospital, and outside community agencies and programs as needed for care ...
... * Assist with insurance utilization review and provide liaison services to patients and their family/guardians, the hospital, and outside community agencies and programs as needed for care ...
... * Assist with insurance utilization review and provide liaison services to patients and their family/guardians, the hospital, and outside community agencies and programs as needed for care ...
... * Assist with insurance utilization review and provide liaison services to patients and their family/guardians, the hospital, and outside community agencies and programs as needed for care ...
... * Assist with insurance utilization review and provide liaison services to patients and their family/guardians, the hospital, and outside community agencies and programs as needed for care ...
Devens, MA · On-site
... * Assist with insurance utilization review and provide liaison services to patients and their family/guardians, the hospital, and outside community agencies and programs as needed for care ...
Devens, MA · On-site
... * Assist with insurance utilization review and provide liaison services to patients and their family/guardians, the hospital, and outside community agencies and programs as needed for care ...
Holyoke, MA · On-site
... * Assist with insurance utilization review and provide liaison services to patients and their family/guardians, the hospital, and outside community agencies and programs as needed for care ...
Holyoke, MA · On-site
... * Assist with insurance utilization review and provide liaison services to patients and their family/guardians, the hospital, and outside community agencies and programs as needed for care ...
Everett, MA · On-site
$2.9K - $3.0K/wk
Case Management/Utilization Review Shift: Day Benefits: * Day 1 Insurance * Cigna medical, MetLife dental and vision insurance * License reimbursement for new licenses needed for each assignment
Everett, MA · On-site
$2.9K - $3.0K/wk
Case Management/Utilization Review Shift: Day Benefits: * Day 1 Insurance * Cigna medical, MetLife dental and vision insurance * License reimbursement for new licenses needed for each assignment
| Aspect | Weekday Insurance Utilization Review | Weekday Claims Processor |
|---|---|---|
| Primary Role | Assessing medical necessity and appropriateness of services | Processing and reviewing insurance claims for payment |
| Credentials | Often requires healthcare or insurance certifications | Typically requires insurance or administrative experience |
| Work Environment | Healthcare settings, insurance companies | Insurance companies, healthcare offices |
| Focus | Medical review and authorization | Claims data entry and verification |
Weekday Insurance Utilization Review focuses on evaluating medical necessity, while Weekday Claims Processors handle the administrative processing of insurance claims. Both roles are essential in the insurance industry but serve different functions related to claims management and healthcare authorization.
The most popular types of Insurance Utilization Review jobs in Massachusetts are:
Cities in Massachusetts with the most Weekday Insurance Utilization Review job openings:
Boston, MA • On-site
$79.17 - $86.72/hr
Other
Medical, Dental, Vision, Life, Retirement
Posted 4 days ago
Non-patient Care (utilization Review) Registered Nurse job at Supplemental Health Care. Boston, MA.
Non-patient Care (utilization Review) RN OpportunityTake your career to the next level with an assignment at one of New England's top healthcare destinations. Supplemental Health Care is hiring experienced Non-patient Care (utilization Review) RNs for contract roles at a leading Level 1 trauma center in Boston, Massachusetts. This Magnet-recognized teaching hospital is known for innovation, advanced care, and nursing excellence - an ideal place to grow your skills in a dynamic, high-acuity environment.
With 40+ years of experience connecting healthcare professionals to career-advancing opportunities, SHC is here to support you every step of the way.
Qualifications:*Estimated weekly payment may include both taxable wages and tax-free reimbursements for meals, housing, and incidentals. Please speak with a recruiter for details.
What We Offer:Supplemental Health Care is an Equal Opportunity Employer. All candidates, including veterans and those with disabilities, are encouraged to apply. SHC will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable local, state, or federal law. To learn more, visit
Supplemental Health Care
