- Covenant Health (Nashua, NH)
- …policies and procedures. + Maintains/enhances professional development/skills required to function as a Utilization Review Case Manager + Completes all ... health care team. + Annual goals are achieved. + Attends pertinent case management/ utilization review programs to maintain current knowledge of UR practices.… 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- Adult Day Health** Location: Oasis Adult Day Health Center Address:… more
- State of Massachusetts (Acton, MA)
- …policies and procedures, use of electronic health records, Medicaid billing system, utilization management, utilization review , risk management, and service ... skills including supervision, program planning/development, communication skills budgetary experience, utilization management and review , risk management and… more
- Elevance Health (Manchester, NH)
- …appropriate area to refer or assign case ( utilization management, case management, QI, Med Review ). + Provides information regarding network providers or ... clinical information regarding case and determines...and documents all actions. + Responsibilities exclude conducting any utilization management review activities which require interpretation… more
- Army National Guard Units (Ayer, MA)
- …inventory control, storage, distribution, cataloging, supply identification systems, property utilization and other related supply activities using standard Army ... Management Information Systems (STAMIS). --Serves as manager for assigned materials. Maintains accounting and reporting systems for federal property and performs… more
- Beth Israel Lahey Health (Burlington, MA)
- …Improvement and CQI issues as well as to unsafe working conditions. Notifies manager of concerns. Participates in unit-based QI activities and is familiar with unit ... appointment were followed and results are available for physician review o Confirms that lab and other ancillary tests...Serves as a liaison with patients, families to physicians, case managers, 3rd party payers, et al. o Reviews,… more