- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …adjudicate these requests. At the request of the Associate Medical Director of the Physician Psychologist Review Unit, the Reviewer also provides clinical ... Bring your true colors to blue. The Role The Physician Reviewer is responsible for evaluating clinical..., in partnership with case managers + Participate in Physician Psychologist Review Units' appeal process of… more
- Fallon Health (Worcester, MA)
- …on an interdisciplinary care team that may include the member's primary care physician , medical providers, behavioral health providers, state agencies and/or ... **Brief Summary of Purpose:** The Accountable Care Organization (ACO) Behavioral Health Case Manager (BHCM) is an...Health Pharmacist, referring members in need of medication review based upon Program process + Develops and fosters… more
- Monte Nido (Dedham, MA)
- …passionate about delivering high-quality, patient-centered care in a collaborative behavioral health setting. **Pay:** $225,000.00-$275,000.00 depending on ... in the state of Massachusetts (or ability to obtain). + Experience in behavioral health , eating disorder treatment, or hospital-based medicine is preferred but… more
- CenterWell (Boston, MA)
- …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... part of our caring community and help us put health first** We are excited to offer the role...a collaborating physician for nurse practitioners or physician assistants, including completing regular chart review … more
- OptiMindHealth (Concord, MA)
- …Part-Time FLSA Status: Non-Exempt Location: Concord, MA Join a leading clinician-led behavioral health company today! OptiMindHealth (OMH) is expanding and ... seeking compassionate professionals to join our team. Today, OMH provides superior behavioral health services to patients in Massachusetts, Colorado, and… more
- Highmark Health (Boston, MA)
- …as first line reviewer in monitoring and ensuring adherence to the health plan's state and federal multiple drug benefit design offerings. The incumbent responds ... to physician and pharmacy network provider inquiries concerning oral, injectable...+ Prioritize requests for drug authorizations or denials. + Review of prior authorization criteria for drug products. +… more
- Beth Israel Lahey Health (Burlington, MA)
- …chairs on physician financial incentive programs. Address productivity, performance, or behavioral issues and respond to physician concerns as needed. 4. ... and co-pay collection to optimize financial performance. 2. Regularly review and analyze operational and financial performance data, providing leadership… more
- Fallon Health (Milford, MA)
- …care including but not limited to working with providers to arrange medical and behavioral health appointments and following up with members afterwards to ensure ... + If working on the NaviCare Member Population: Facilitates transportation to medical, behavioral health , and social appointments by educating the member about… more
- Beth Israel Lahey Health (Burlington, MA)
- …for the purpose of identifying and documenting segment abnormalities under direct physician instruction. + Assists in laser (including YAG, argon, CO2) and minor ... measuring the length of the eye and appropriate intraocular lens for physician selection. + Performs basic optician skills, including minor frame adjustments, IPD,… more
- Beth Israel Lahey Health (Burlington, MA)
- …-Ability to impart specialized clinical and medical information to members of the health care team; physician , nurses Experience: Experience as a Staff ... Board of Respiratory Care. The Respiratory Therapist - Registered works under physician orders, follows departmental and Lahey Hospital & Medical Center policies.… more
- Beth Israel Lahey Health (Burlington, MA)
- …Ability to impart specialized clinical and medical information to members of the health care team; physician , nurses Experience: Experience as a Staff ... Board of Respiratory Care. The Respiratory Care Practitioner works under physician orders, follows departmental and Lahey Hospital & Medical Center policies.… more
- Highmark Health (Boston, MA)
- …URAC, CMS, DOH, and DOL regulations at all times. In addition to utilization review , the incumbent participates as the physician member of the multidisciplinary ... **Job Description :** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with… more
- Beth Israel Lahey Health (Burlington, MA)
- …out, telephone triage and other telephone calls, correspondence (patient, department, physician and pharmacy). 2) Monitors and maintains physicians' patient flow and ... out proper lab forms and gathers specimens for laboratory review . 5) Performs patient pre and postop surgical instruction,...Reviews all consent forms with patients prior to seeing physician and scribes as needed. 8) Incorporates Lahey Hospital… more
- Highmark Health (Boston, MA)
- …Registered Health Information Associate (RHIA) + Certified Coding Specialist Physician (CCS-P) + Certified Professional Coder (CPC) + Certified Outpatient Coder ... **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** This...:** **GENERAL OVERVIEW:** This job performs thorough medical record review to abstract medical and demographic data, interpret and… more
- Beth Israel Lahey Health (Burlington, MA)
- …patient care plans since last appointment were followed and results are available for physician review o Confirms that lab and other ancillary tests are ... overall patient satisfaction. The Medical Assistant works in collaboration with the physician (s), other health care provider(s), and other ambulatory support… more
- Beth Israel Lahey Health (Burlington, MA)
- …patient care plans since last appointment were followed and results are available for physician review + Confirms that lab and other ancillary tests are ... overall patient satisfaction. The Medical Assistant works in collaboration with the physician (s), other health care provider(s), and other ambulatory support… more
- Beth Israel Lahey Health (Burlington, MA)
- …out, telephone triage and other telephone calls, correspondence (patient, department, physician and pharmacy). Monitors and maintains physicians patient flow and ... prevention. Fills out proper lab forms and gathers specimens for laboratory review . Performs patient pre and postop surgical instruction, including witnessing signed… more
- Highmark Health (Boston, MA)
- …units that may assist in the resolution of issues or problems. + Access, review , utilize, contribute content to and participate in the maintenance of the shared ... Informatics Intellectual Capital Repository to include but not limited to, review /editing of content submissions and best practices, audit reports, etc. The… more
- Beth Israel Lahey Health (Winchester, MA)
- …centers and teaching hospitals, community and specialty hospitals, primary and specialty care, behavioral health and home care services, and more than 5,900 ... regional hospital that is the leading provider of comprehensive health care services in the northwest suburban Boston area._...standards and guidelines, the Surgical Technologist: + Retrieves and review case cart to ensure all physician … more
- Highmark Health (Boston, MA)
- **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** This job performs thorough medical record review to abstract medical and ... days. **ESSENTIAL RESPONSIBILITIES** + Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD… more