- Highmark Health (Boston, MA)
- …:** **JOB SUMMARY** This job captures all inbound phone inquires for utilization management review from providers and pharmacies. The incumbent assesses ... verifying benefit coverage, creation of a prior authorization case in Highmark's Utilization Management system for Prior Authorization clinical review, status… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …functional, medication management , and home safety evaluations as part of intake or initial, status change, scheduled (biannual) assessment, or as required; As ... + Assists Home Care Manager/Residential Nurse manager to monitor utilization and processes for stocking Nursing and health aide...of service. + Assumes the role of Home Care Coordinator as assigned by Home Care Director including: Conducts… more