- Humana (Boston, MA)
- …of our caring community and help us put health first** The Staff Utilization Management Pharmacist is a clinical expert responsible for conducting ... holiday per calendar year** **Job Description:** The Staff Utilization Management Pharmacist is a clinical professional responsible for conducting… more
- Commonwealth Care Alliance (Boston, MA)
- 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management , the Nurse Utilization Management (UM) ... and service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role in ensuring CCA meets… more
- Beth Israel Lahey Health (Burlington, MA)
- … documentation improvement results in a clear and concise manner to the medical, clinical , and management staff . 12. Applies diplomacy and professionalism ... necessity of the hospital care. Using the concepts of utilization review, clinical documentation improvement and revenue...when interacting with physicians and clinical staff ; especially when addressing missing or… more
- Beth Israel Lahey Health (Westwood, MA)
- …systems to enter and access patient care information. 7. Participates in quality management and utilization review programs. 8. May coordinate the work of ... you're making a difference in people's lives.** Job Summary: The Pharmacy Direct Staff Pharmacist is responsible for the quality assurance of the provided pharmacy… more
- Tufts Medicine (Boston, MA)
- …and to help foster a positive work environment 19. May coordinate on-boarding for all new clinical and non- clinical staff 20. Monitor and track trends in OR ... duties and responsibilities may be assigned. 1. Provides direct supervision of assigned clinical , support, and/or bulling staff . 2. Participates in and provides… more
- Cardinal Health (Tewksbury, MA)
- …ET goals + Utilizes DCOA as an objective tool to work with specific Medical Staff Departments or Utilization Management Teams to improve medication ... Health System Director of Pharmacy (HSD), Director of Pharmacy Operations and Account Management , and Cardinal Health Clinical Director, the Health System … more
- Evolent (Boston, MA)
- …a Clinical Reviewer, Nurse, you will routinely interact with leadership and management staff , other CR's ( Clinical Reviewers), providers, office staff ... Nurse, you will be a key member of the utilization management team. We can offer you...standards in the participating provider network and for other clinical staff . + Converses with medical office… more
- Brockton Hospital (Brockton, MA)
- …include the development and supervision of staff (RNs, LPN's,SWs and non- clinical support), evaluation and maintenance of case management skills and ... supervision of staff (RNs, LPN's, SWs and non- clinical support), evaluation and maintenance of case management...while optimizing resource utilization . Provides training to staff on case management methods and techniques.… more
- Edwards Lifesciences (Boston, MA)
- …post-case management , 3 Mensio management , Therapy Awareness program management and clinical education programs. + Implementing sales and educational ... and implementing growth strategies within focused accounts in partnership with Sales Management . + Developing clinical champions among current and potential… more
- Beth Israel Lahey Health (Boston, MA)
- …. + Provides clinical consultation, support, education and mentoring to clinical staff . Assists with the communication and interpretation of changes in ... day/night rotating position with weekend and holiday rotation. The Administrative Clinical Supervisor (ACS) is the on-site senior administrative/ clinical person… more
- Deloitte (Boston, MA)
- …plans for both formal and informal education of physicians, CDI team, health information management and other clinical staff + Develop in-service education ... clinical registered nurse, physician, physician assistant, case manager, clinical documentation specialist, utilization review, informatics RN, Quality, DRG… more
- Fresenius Medical Center (Peabody, MA)
- …courses and that licensures/certifications are current. + Provides support for all clinical staff members at regular intervals and encourages professional ... eligibility for treatment. + Reports changes in patient status regarding any clinical , insurance, or travel and transportation issues. STAFF : + Participates… more
- Beth Israel Lahey Health (Burlington, MA)
- …. -Works cooperatively with all levels of personnel in the department. -Consults with other clinical staff on case management issues. 6) Conduct thorough and ... Ethics and Standards (on file in the department). 2) Provides sound clinical interventions (individual, couple, family and group therapies) as indicated. -Conducts… more
- Tufts Medicine (Melrose, MA)
- …in departmental policies and procedures. 15. Provides continuing education for the clinical staff (eg, pharmacists, physicians, nurses), serves as preceptor for ... **Inpatient Clinical Pharmacist-Med/Surg** **Job Profile Summary** This role focuses...training or prior job experience. 3. Experience in drug utilization review and analysis. **Duties and Responsibilities:** The duties… more
- Tufts Medicine (Boston, MA)
- … quality outcomes, evidence-based practices, and professional development of nursing staff . The Clinical Nursing Director works collaboratively with other ... research. **Job Overview** Tufts Medical Center is seeking a Clinical Nursing Director reporting to our Executive Director of...of RN Experience with at least 5 years of management experience. 3. Current Basic Life Support (BLS) Certification.… more
- Boston University (Boston, MA)
- …personal interaction). + Must be able to effectively communicate with patients, providers, staff and management + Comfortable working with patient and show care ... **FLOATING CLINICAL CARE SUPERVISOR, School of Dental Medicine, ...Care Supervisor must be able to effectively mentor the staff , provide training and support a team-centered environment, as… more
- Tufts Medicine (Melrose, MA)
- …professionals, resolving difficult and sometimes complex problems. J **ob Overview** Clinical Pharmacy Specialists work closely with other health practitioners to ... Doctor of Pharmacy (PharmD) **AND** Two (2) years of clinical pharmacy experience in a hospital OR Bachelor's Degree...a related area of practice. 6. Experience in drug utilization review and analysis. **Duties and Responsibilities** **:** The… more
- Humana (Boston, MA)
- …corporate communications to be shared with senior leadership. + Supports trend management by conducting analysis of drug spend, utilization , and/or approval ... communicating with staff in different positions and all levels of management positions + Manages the Humana Michigan FIDE-SNP health plan relationship with our… more
- Tufts Medicine (Melrose, MA)
- We are seeking a ** Clinical Social Worker, Inpatient Medical/Surgical** to join our team at MelroseWakefield Hospital! **Job Overview** This position provides a ... range of clinical social work services to patients/clients and families in...Assists patients/families to understand psychosocial factors impeding their maximal utilization of hospital and community resources. 6. Collaborates with… more
- Riverside Community Care (Lynnfield, MA)
- …assigned clinicians, including case consultation/review, ongoing clinical supervision, utilization review/ clinical documentation, and staff productivity. ... medication management to help achieve personal recovery goals. The Clinical Team Manager (CTM) supervises the outpatient treatment provided by clinicians within… more