- 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 (Burlington, MA)
- …Hours:** 40 **Work Shift:** Day (United States of America) Joint role of Case Manager and Utilization Review Nurse Hospital at Home Full Time Days ... Manager for Hospital at Home Care Transitions coordinates utilization review , discharge planning and monitors quality...Case Manager experience as well as Utilization Review experience ( review medical… more
- Covenant Health (Nashua, NH)
- …are attended /documented. + Annual goals are achieved. + Attends pertinent case management/ utilization review programs to maintain current knowledge ... care and enhancing quality, cost-effective clinical outcomes. The RN Case Manager works closely with, and delegates...Minimum of five years broad clinical experience preferred + Case management and/or Utilization Management experience is… more
- Sevita (Lawrence, MA)
- …receipt from accounting staff; identify any discrepancies to accounting staff + Coordinate utilization with the Case Manager relative to program ... trained 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
- 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
- Beth Israel Lahey Health (Charlestown, MA)
- …engagement in healthy behavior. Working with the healthcare team, the Care Manager , RN monitors appropriate utilization of healthcare resources, promotes quality ... disability. The Care Manager , RN upholds the current standards of professional case management practice, and reports to the Manager of Care Management.… more
- Marriott (Boston, MA)
- …with Claims department regarding case management. + Collaborate with UNM on utilization review issues. + Refer catastrophic cases in coordination with claims ... from case management to meet jurisdictional needs. ** Utilization Review ** + Provide initial clinical ...nurse + Certification as an occupational health nurse and/or case manager (or, progress toward same) required… more
- Tufts Medicine (Burlington, MA)
- …issues and other assigned subjects. 4.Provides timely and effective consultation to case management/ utilization review team members, including assessment of ... on quality, ethical, regulatory, and/or financial topics related to patient care, utilization management/ review , case management, and revenue cycle… more
- Humana (Boston, MA)
- …and integrated care needs for those with autism + Prior experience with Utilization Review , Utilization Management, Peer Reviews and/or Quality Management ... appropriate treatment, care, or services for ACD participants. + Review ABA TPs for policy compliance + Review...Business to improve policy which may relate to better case management outcomes, improved utilization management, prevention… more
- Highmark Health (Boston, MA)
- …per week position that includes weekend coverage. 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
- Sedgwick (Boston, MA)
- …claims requiring extensive skills/experience; and to interact with expense bill reviewers, utilization review nurses, and claims staff to resolve problems and/or ... work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Bill Review Team Lead **PRIMARY PURPOSE** : To supervise expense bill reviewers in… more
- Beth Israel Lahey Health (Cambridge, MA)
- …a job, you're making a difference in people's lives.** The Supply Chain Manager for Perioperative Services and Procedural Areas reports to the Director of Supply ... contract management, standardization and consolidation processes, inventory flow and management and utilization analysis of the OR, GI and Cath Lab supply inventory.… more
- DuPont (Marlborough, MA)
- …- Provide marketing support to product stewardship team for periodic product risk review . **Interaction:** Product Manager will interact on a frequent basis with ... the DuPont Electronics & Industrial Business has a Product Manager opening in Marlborough, MA. As Product manager...- Establish costing models for new product introductions. - Review / approve sample requests in appropriate database. Follow… 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
- Deloitte (Boston, MA)
- …phrases like "global effective tax rate reduction" and "efficient global cash utilization " peak your interest? Do you enjoy providing international compliance and ... a career in Deloitte's International Tax Services practice. What You'll Do As a Manager , you will work within an engagement team and draw on experience in accounting… 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