- Veterans Affairs, Veterans Health Administration (Bedford, MA)
- …by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities VA offers a comprehensive total rewards ... package: VA Nurse Total Rewards This is an open continuous announcement...education, orientation, competencies and providing quality improvement and outcomes utilization consultation. Demonstrates leadership in delivering and improving holistic… more
- Fallon Health (Lowell, MA)
- …of all services provided according to professional standards + Identifies utilization and service delivery problems and participates in identifying a resolution ... activities including but not limited to record reviews, outcome measurement and review /revision of policies and procedures + Provides education and training to… more
- Bear Mountain Health Care (Lowell, MA)
- …+ Meetings: Attending various meetings, including Morning Clinical Meeting, Utilization Review , At-Risk/Behavior Meeting, and QAPI (Quality Assurance ... and Performance Improvement). Qualifications: + Prior experience as an Assessment Coordinator or similar role in a long-term care facility. + Strong knowledge of UDA and MDS assessments. + Proficient in medical documentation and record-keeping. + Excellent… more
- Covenant Health (Nashua, NH)
- …attended /documented. + Annual goals are achieved. + Attends pertinent case management/ utilization review programs to maintain current knowledge of UR practices. ... communication. + Supports the role of the clinical primary nurse and utilizes their clinical expertise and input in...medical necessity (whether based on initial or continuing stay review ) to determine whether a level of care change… more
- Elevance Health (Manchester, NH)
- …responsible for identifying, monitoring, and analyzing aberrant patterns of utilization and/or fraudulent activities by health care providers through prepayment ... claims review , post payment auditing, and provider record review...goals, policies and procedures. + Investigates potential fraud and over- utilization by performing the most complex medical reviews via… more
- Tufts Medicine (Burlington, MA)
- …(ICU, ED, Critical Care, strong Med/Surg Specialty) or equivalent case management, utilization review , denials management, or progressive leadership in an ... other Quality indicators where indicated. 10. Collaborates with case management and utilization review team to ensure that documentation is clearly substantiated… more
- Tufts Medicine (North Chelmsford, MA)
- …providers who are absent, etc.) by making continual adjustments in room utilization and assignment. 2. Prepares medical record for patient visit, confirming accuracy ... arranging for diagnostic testing, surgery and in-patient admissions under direction of the nurse or physician. 14. Assists with patient billing by ensuring CPT code,… more
- Tufts Medicine (Tewksbury, MA)
- …providers who are absent, etc.) by making continual adjustments in room utilization and assignment. 2. Prepares medical record for patient visit, confirming accuracy ... arranging for diagnostic testing, surgery and in-patient admissions under direction of the nurse or physician. 14. Assists with patient billing by ensuring CPT code,… more