Thank you for your interest in a career at NeighborHealth, formerly East Boston Neighborhood Health Center! As one of the largest community health centers in the country, NeighborHealth is proud to serve the greater Bost…
Skills: Utilization Management, Clinical Review, Medical Necessity Determination, CMS Compliance, Case Management
PT/OT Developmental Specialist, Per Diem, Memorial Campus
Worcester, Massachusetts, United States · On-site
$38/hr–$68/hr
Senior$5M raised
Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account. Exemption Status: Non-Exempt Hiring Range: $38.06 - $68.50 Please not…
Posting Date 07/24/2026 1493 Cambridge St, Cambridge, Massachusetts, 02139-1047, United States of America As a Hospital Services Administrator at DaVita, you’ll be a part of a Team that values work-life balance and where…
Springfield, Massachusetts, United States · On-site
$73k–$131k/yr
Mid level
Ambulatory Registered Nurse (RN) – Rheumatology DEPARTMENT: Rheumatology – Baystate Medical Center Baystate Medical Center Campus 759 Chestnut Street Baystate Health is seeking a compassionate Registered Nurse to join ou…
Registered Nurse Medical/Neuro Intensive Care Unit
Springfield, Massachusetts, United States · On-site
$41/hr–$66/hr
Entry level
Baystate Health, a nationally recognized leader in healthcare quality and safety, and home to (example) Baystate Medical Center (BMC), a Magnet Hospital for Nursing Excellence is looking for inpatient Registered Nurses t…
Skills: Critical Care Nursing, Hemodynamic Monitoring, Continuous Renal Replacement Therapy, Patient Care, Acute Care
Marlborough, Massachusetts, United States · On-site
$15/hr–$22/hr
Entry level$4.0B raised
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate…
Skills: Customer Service, Cash Handling, Inventory Management, Retail Sales, Communication
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate…
Skills: Prescription Fulfillment, Patient Care, Inventory Management, Immunization Support, Customer Service
Licensed Practical Nurse - Community Health Adult Medicine
Springfield, Massachusetts, United States · On-site
$27/hr–$36/hr
Entry level
Schedule: 9-5:30 M-Fri Location: 11 Wilbraham Rd Springfield Job Summary: The LPN functions under the supervision and guidance of the Nursing Supervisor, Physician, or advanced practitioner and participates in the multi-…
Springfield, Massachusetts, United States · On-site
$41/hr–$66/hr
Entry level
Registered Nurse (RN) – Neurosciences Unit 📍 Springfield, MA | 🕒 Day Shift (7A–7P) | Full-Time Join Baystate Health—Western Massachusetts’ only academic medical center and a 4-time Magnet-designated organization. Be pa…
Skills: Neurological Care, Neurosurgical Care, Stroke Care, Traumatic Brain Injury Care, Spine Care
Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account. Exemption Status: Non-Exempt Hiring Range: $15.00 - $25.82 Please not…
Skills: Patient Care, Vital Signs Monitoring, EKG, Phlebotomy, Point of Care Testing
Job Profile Summary This role focuses on providing administrative and business support to the organization in order to achieve operational goals. In addition, this role focuses on performing the following Clinical Admin…
Surgical Tech, 36 hours/week, day shift - Labor & Delivery
Winchester, Massachusetts, United States · On-site
$33/hr–$45/hr
Entry level
When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Job Description: Winchester Hospital is a 5x Magnet designated, Top 10 Massachusetts recognized 223-bed reg…
Fall River, Massachusetts, United States · On-site
$16/hr–$22/hr
Entry level
Overview Community Focused. Care Driven. Join Southcoast Health, where your future is as promising as the care we provide. Our commitment to each other, our patients, and our community is more than a mission - it’s our w…
Skills: Cleaning, Sanitization, Environmental Services, Safety Compliance, Area Maintenance
Winchester, Massachusetts, United States · On-site
$19/hr–$26/hr
Entry level
When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Job Description: Winchester Hospital is a 5x Magnet designated, Top 10 Massachusetts recognized 223-bed reg…
Skills: Patient Care, Vital Signs Monitoring, Patient Transport, Point Of Care Testing, Specimen Collection
Winchester, Massachusetts, United States · On-site
$17/hr–$22/hr
Entry level
When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Job Description: Winchester Hospital is a 5x Magnet designated, Top 10 Massachusetts recognized 223-bed reg…
Vascular Surgeon Position with National Wound Physician Group Clinical satisfaction, autonomy and flexibility, work-life balance No Nights, No Call, No Weekend Clinical Responsibilities Become an expert in wound manageme…
Emergency Medicine Physician Position with National Wound Physician Group Clinical satisfaction, autonomy and flexibility, work-life balance No Nights, No Call, No Weekend Clinical Responsibilities Become an expert in wo…
Skills: Wound Management, Bedside Care, Clinical Documentation, Patient Treatment, Post-Acute Care
Pharmaceutical Technician I Position Summary: Work Schedule: 2/2/3 Work Schedule - 6:00pm to 6:00am 100% on-site The Chelsea facility is Catalent’s global Center of Excellence for spray dry dispersion and Dry Powder Inha…
Skills: GMP manufacturing, Equipment operation, Cleaning and sanitization, Batch documentation, Material handling
Clinician-Boston Emergency Services Team (Per Diem)
Boston, Massachusetts, United States · On-site
$30/hr–$38/hr
Mid level
Boston Medical Center (BMC) is more than a hospital. It´s a network of support and care that touches the lives of hundreds of thousands of people in need each year. It is the largest and busiest provider of trauma and em…
Are you seeking a Case Management position? Come work for Springwell and help older adults age-in-place and adults with disabilities receive care in the community. The compensation for this role is $28.21/hr for a 37.5 h…
Skills: Case Management, Comprehensive Assessments, Person-Centered Care Planning, Interdisciplinary Collaboration, Data Entry
Sign up with Clera and we'll reach out the moment a role actually fits you — no more spraying applications into the void.
$44/hr–$64/hr
Full-time
bachelor degree
Posted 17d ago
~40 hrs/week
Remote in East Boston, Massachusetts, United States
Responsibilities
The RN UM Reviewer is responsible for conducting timely clinical and service authorization reviews to determine medical necessity. The role ensures compliance with CMS standards and collaborates with clinical teams and case managers to facilitate service planning.
Requirements
Requires a minimum of 5 years of healthcare experience and a Bachelor's degree in Nursing (preferred). Candidates must possess strong clinical expertise in prior authorizations and the ability to work in a fast-paced environment.
Full job description
Thank you for your interest in a career at NeighborHealth, formerly East Boston Neighborhood Health Center!
As one of the largest community health centers in the country, NeighborHealth is proud to serve the greater Boston area with a strong commitment to the health and well-being of our patients and communities.
Whether you're a nurse or physician providing direct care, a manager leading dedicated teams, or part of the essential support staff who keep our operations running smoothly — every role at NeighborHealth is vital. Together, we’re advancing medicine and delivering the best care experience for our patients and community!
Interested in this position? Apply online and create a personal candidate account!
Current Employees of NeighborHealth- Please use our internal careers portal to apply for positions.
To learn more about working at NeighborHealth and our benefits, please visit out our Careers Page.
Time Type:
Full time
Department:
Senior Care Options (SCO)
All Locations:
10 Gove Street – Taylor Building
Position Summary:
What You'll Do
The Utilization Management (UM) Reviewer RN is responsible for day-to-day timely clinical and service authorization review for medical necessity and decision-making. The Utilization Management Review Nurse has a key role in ensuring CCA meets CMS compliance standards in the area of service decisions and organizational determinations.
This position requires universal skills and proficiencies which include demonstrating a comprehensive understanding of the Health Center’s mission and core values--compassion, diversity, innovation, respect. In addition, the SCO RN UM Reviewer initiative, critical thinking, problem solving, leadership qualities, and effectively engages with the clinical team.
What You'll Do
The Utilization Management (UM) Reviewer RN is responsible for day-to-day timely clinical and service authorization review for medical necessity and decision-making. The Utilization Management Review Nurse has a key role in ensuring CCA meets CMS compliance standards in the area of service decisions and organizational determinations.
This position requires universal skills and proficiencies which include demonstrating a comprehensive understanding of the Health Center’s mission and core values--compassion, diversity, innovation, respect. In addition, the SCO RN UM Reviewer initiative, critical thinking, problem solving, leadership qualities, and effectively engages with the clinical team.
The successful candidate will be able to perform the following responsibilities:
Communicates results of reviews verbally, in the medical record, and through official written notification to the primary care team, specialty providers, vendors and members in adherence with regulatory and contractual requirements
Meet or exceeds Timely authorizations
Provides decision-making guidance to clinical teams on service planning as needed.
Works closely with RN Case managers & Medical Director to facilitate escalated reviews in accordance with Standard Operating Procedures.
Maintains consistent communication and collaboration with CCA UM team and SCO team relating to updates and program issues; ensures that Directors/Managers and peers are also informed of these matters.
Functions as a team member, including active participation in staff meetings as appropriate to provide support, assistance, feedback.
Promotes a sense of teamwork; maintains a positive and flexible/adaptable attitude. Open to new ideas and embraces change. Promotes a culture of acceptance, support and collegiality.
Other Duties:
Please note, this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
What You’ll Bring
Bachelor’s degree in Science in Nursing degree preferred
3-5 years of progressive experience working in a health plan preferred
Minimum of 5 years’ experience in healthcare or multi-site clinics required.
Strong interpersonal and communication skills, with the ability to build rapport across diverse teams.
Solid knowledge of prior authorizations and clinical expertise to interpret clinical criteria to determine medical necessity of services.
Exceptional problem-solving and conflict-resolution abilities.
Ability to handle sensitive and confidential matters with professionalism and discretion.
Proficiency in Microsoft Office Suite.
The ability to work in a fast-paced environment.
Work Environment & Physical Requirements
Regularly required to sit, stand, walk, and use hands to operate a computer and other office equipment.
Must be able to remain in a stationary position for extended periods while performing administrative and computer-based tasks.
Occasionally required to lift or move items weighing up to 20 pounds (such as files, office supplies, or small equipment).
Must have adequate visual acuity, hearing, and manual dexterity to perform essential job functions.
Expected to follow all NeighborHealth and OSHA safety policies and procedures, including maintaining a safe and ergonomic work environment.
Salary: Starting at $44/hr up to $64/hr based on experience
EEO & Accommodation Statement:
NeighborHealth is an equal employment/affirmative action employer. We ensure equal employment opportunities for all, without regard to race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity and/or expression or any other non-job-related characteristic. If you need accommodation for any part of the application process because of a medical condition or disability, please send an e-mail toHRrecruit@NeighborHealth.com or call 617-568-4480 to let us know the nature of your request
Federal Trade Commission Statement: According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website. We do not ask or require downloads of any applications, or “apps.” Job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.
E-Verify Program Participation Statement:
NeighborHealth participates in the Electronic Employment Verification Program, E-Verify. As an E-Verify employer, all prospective employees must complete a background check before beginning employment.
Related keywords
Utilization ManagementRNCMS ComplianceMedical NecessityPrior AuthorizationHealthcareClinical ReviewCase ManagementSenior Care OptionsSCOHealth PlanNursing
East Boston Neighborhood Health Center has become NeighborHealth — and we have a new LinkedIn page! Please follow us @neighborhealthofficial to stay up to date on our news and information.
We may have a new name, but we are still the largest community-based primary care health system in Massachusetts, committed to Accessible, Compassionate, High-Quality healthcare.
NeighborHealth – Community. Wellness. Together.
Offices: 20 Maverick Square, East Boston, MA 02128, US · 10 Gove Street, East Boston, MA 02128, US
Based on 6529 listings with disclosed salaries, most healthcare jobs in Massachusetts pay between $75k–$215k per year. Individual offers vary with seniority, company size, and specialization.
How many Healthcare jobs are open in Massachusetts right now?
There are currently 22,048 open healthcare positions in Massachusetts listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Healthcare roles in Massachusetts?
Companies currently hiring include Mass General Brigham, CVS Health, UMass Memorial Health, Anna Jaques Hospital, BOSTON MEDICAL CENTER, BOSTON, among others. Browse the listings above to see every active employer.
Are there remote or hybrid Healthcare jobs in Massachusetts?
Yes — 3806 of the 22048 open healthcare positions offer remote or hybrid work (983 remote, 2823 hybrid).
How do I apply for Healthcare jobs in Massachusetts?
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.