- Children's Hospital Boston (Boston, MA)
- 76071BRJob Posting Title:RN Case Manager , Utilization Review , Case Management UM/UR (24 hrs)Department:Patient Services-Patient Care ... OperationsAutoReqId:76071BRStatus:Part-TimeStandard Hours per Week:24 Job Posting Category:NursingJob Posting Description:The Utilization Review Nurse will be responsible for:… more
- Beth Israel Lahey Health (Milton, MA)
- …years prior experience in Case Management, preferred (Discharge Planning and Utilization Review + Current knowledge of federal, state, and regulatory ... respect. **Beth Israel Deaconess Milton** is seeking a full-time ** Case Manager ** . The Case ...clinical expertise in the development of discharge plans, applies utilization review criteria to determine medical necessity… more
- Brockton Hospital (Brockton, MA)
- …criteria and guidelines to conduct review of inpatient admissions. + The Case Manager at Brockton Hospital serves as the primary liaison between ... in an acute care facility required. Prior experience in case management, utilization review or discharge planning required.a€ + Certification/Licensure:… more
- Sevita (Lawrence, MA)
- …receipt from accounting staff; identify any discrepancies to accounting staff + Coordinate utilization with the Case Manager relative to program ... to provide individual assistance to each person we serve. **Program Services Case Coordinator- Spanish Speaking** Do you enjoy working in a medical/rehab setting… more
- Beth Israel Lahey Health (Beverly, MA)
- …team, you're not just taking a job, you're making a difference in people's lives.** Case Manager RN **Job Description:** ** Case Manager RN** **Position ... care givers, and families. Their functions include concurrent and retrospective review to assure appropriate utilization , assessment, prevention of denials… more
- The Home for Little Wanderers (Cambridge, MA)
- …documentation and billing in a timely manner. Ensure that documentation meets utilization review and quality assurance standards. . Continuously communicate with ... here:_ _https://www.youtube.com/watch?v=DXedSArtYbg_ **Position Description** Oversee individual and family based Case Workers; provide therapeutic services, crisis intervention and … more
- South Middlesex Opportunity Council (Lowell, MA)
- …for all assigned properties as detailed below. Working closely with an assigned Case Manager to ensure that all property, municipal, regulatory and contractual ... inspections as required. + Attend regularly scheduled property performance review and status meetings. Develop and implement strategies to...in Hosing Court as needed. + Assist the assigned Case Manager as needed, to qualify potential… more
- Sedgwick (Boston, MA)
- …**PRIMARY PURPOSE** : To ensure efficient, cost effective, and high quality delivery of case management and utilization review services to clients by ... to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Clinical Manager **This manager will have to be...at client locations; to provide expertise in client specific case management and utilization review … more
- Highmark Health (Boston, MA)
- …Inc. **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health ... care services, application of criteria to ensure appropriate resource utilization , identification of opportunities for referral to a Health Coach/ case … more
- The Home for Little Wanderers (Somerville, MA)
- …documentation, and billing in a timely manner. Ensure that documentation meets utilization review and quality assurance standards. + Continuously communicate ... This may include extensive telephone contact and scheduling and attending case conference meetings. Facilitate communication between various providers. + Plan,… more
- ThermoFisher Scientific (Waltham, MA)
- …teams, identifying security gaps, and tracking implementation of mitigating actions. + Utilization of security case management system to supervise and maintain ... Conditions** Office **Job Description** **Protective Services Investigator and Risk Management Senior Manager ** **Based in Waltham, MA** When you are part of the… more
- Nestle (Sudbury, MA)
- …+ Risk Assessment and Elimination - Leads the effective implementation and utilization of risk assessment and risk prediction processes across sites to ensure ... recurrence are effectively implemented while also ensuring an effective injury case management process is fully implemented, well understood, and functioning as… more
- Highmark Health (Boston, MA)
- …Inc. **Job Description :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. ... industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create care plans… more
- State of Massachusetts (Boston, MA)
- …promoting coordination on various mental health topics and navigating systems. * Support utilization review processes: Support utilization review ... of this position will be Regionally\Area Based. The Regional Mental Health Specialist Manager will provide direct supervision for this position with the Director of… more
- State of Massachusetts (Boston, MA)
- …staff and families experiencing homelessness. The incumbent supports the Rapid Re-Housing Manager and the Affordable Housing and Subsidy Resource Manager to ... best practices for shelter staff. *_6) Coordinating:_* . Supports the Rapid Re-Housing Manager and Affordable Housing and Subsidy Resource Manager with the… more
- J&J Family of Companies (Boston, MA)
- …account development activities creating competent, confident clinical champions to drive the utilization of Monarch systems and scopes. + In- case procedural ... Core Job Responsibilities: + The Clinical Specialist reports to the Regional Sales Manager (RSM) and is responsible for providing a high level of clinical and… more
- WTW (Boston, MA)
- …of response and report any issues or impact to timeline proactively to Project Manager + Complete initial review of carrier responses for parity projects + ... Health analytics experience preferred + Understanding of health plan utilization / case management processes, network management, credentialing, quality… more
- The Home for Little Wanderers (Boston, MA)
- …reports, documentation and billing in a timely manner. Ensure that documentation meets utilization review and quality assurance standards. + May be required to ... are referred for the program, overseen by a contract manager at DCF Central Office. The YPC Clinician at...and within family member's homes and community. + Provide case management services; act as a liaison with collateral… more
- Humana (Boston, MA)
- …partners. + Case level management of product builds and platform utilization + Case level management of national account enrollments Success **reporting ... include: **Drive Growth** in existing accounts through open enrollment strategy. + Review existing book of business to look for growth opportunities. + Drive… more
- Beth Israel Lahey Health (Cambridge, MA)
- …policies and procedures of scheduling; eg, blocked time and length of procedures, including case setup and turnaround time. 4. Consults with the nurse manager ... surgery departments under the guidance of the director, nurse manager , and Information Systems. Maintains accuracy of data elements...with surgeons' office staff to assist with maximum software utilization . 17. Backs up data from computer to disc… more