- Beth Israel Lahey Health (Burlington, MA)
- …a job, you're making a difference in people's lives.** Joint role of Case Manager and Utilization Review Nurse Onsite at Lahey Hospital and Medical ... 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
- Beth Israel Lahey Health (Plymouth, MA)
- …to department needs **Job Description:** **Position Summary:** The Emergency Department Case Manager is responsible and accountable for patient trajectory ... identify the most appropriate level of care while facilitating throughput. The ED Case Manager will assist in identifying patients appropriate for Admission,… more
- Spaulding Rehabilitation (Charlestown, MA)
- Case Manager - ( 3308348 )...**Experience** Preferred * 3-5 years of related experience. * Case management, utilization review , or ... nursing or outpatient setting is required. * Health plan experience in utilization review and case management will be considered. **Licensure** Required *… more
- Spaulding Rehabilitation (East Sandwich, MA)
- Case Manager / Per Diem - East Sandwich...**Experience** Required + 5 years of related experience. + Case management, utilization review , or discharge ... or outpatient setting is required. Preferred + Health plan experience in utilization review and case management will be considered. **Licensure** Required +… more
- Baystate Health (Springfield, MA)
- The Hospital Case Manager is a registered nurse responsible for the coordination of clinical care, quality, and financial outcomes of a designated population of ... patients. The Hospital Case Manager is responsible for overseeing an...+ Requires a working knowledge of community resources and Utilization /Quality Review standards and activities conducted by… more
- Brockton Hospital (Brockton, MA)
- …accepted criteria and guidelines to conduct review of inpatient admissions. The Case Manager at Brockton Hospital serves as the primary liaison between ... of five years clinical experience in an acute care facility required. Prior experience in case management, utilization review or discharge planning required. more
- State of Massachusetts (Brockton, MA)
- …Health's Brockton Multi Service Center (BMSC) is seeking an experienced Adult Case Manager to provide assessment, outreach, support, service coordination and ... Social Services* **Organization:** **Department of Mental Health* **Title:** *Adult Case Manager * **Location:** *Massachusetts-Brockton-165 Quincy Street* **Requisition… more
- Erickson Living (Hingham, MA)
- …of medical practice; insurance benefit structures and related legal/medical issues; and utilization review and quality assurance procedures. Please note that ... risk stratification, high-risk members will be identified, and a case opened for members who meet the criteria for...goals, and outcomes. + The Care Coordinator will measure case performance based on program goals, objectives, quality indicators,… more
- Milford Regional Medical Center (Milford, MA)
- …with other members of the healthcare team, the Point of Entry/Emergency Department Case Manager (POE/ED CM) is accountable for coordination and facilitation of ... with knowledge of current medical care technology and ancillary supports. Previous utilization review experience preferred Must be assertive with excellent… more
- Sunrun (Boston, MA)
- …in through our commitment to diversity, inclusion and belonging. **Overview** The O&M Case Manager is responsible for coordinating effective execution of field ... and develop partner or branch relationships including weekly/monthly reviews, utilization and workload management, process updates and identification and resolution… more
- Beth Israel Lahey Health (Beverly, MA)
- …care givers, and families. Their functions include concurrent and retrospective review to assure appropriate utilization , assessment, prevention of denials ... team, you're not just taking a job, you're making a difference in people's lives.** **Job Description:** Case managers serve as the care coordinators for patients,… more
- United Therapeutics (Boston, MA)
- …to meet the needs of the intended audience and contributors + End-to-end case processing, including data entry, QC, medical review , and regulatory submissions ... with superior financial performance and our communities with earth-sensitive energy utilization . Our company was founded by an entrepreneur whose daughter was… more
- State of Massachusetts (Brockton, MA)
- …* Conduct utilization management reviews as well as audit and approve monthly case management billing. * Review case management documentation for quality ... (ISPs), incident reports, screenings, referrals, discharge/transition plans, and clinical review summaries. * Assigns and reviews case ... case supervision and consultation to each assigned case manager and maintains documentation of the… 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
- CenterWell (Pittsfield, MA)
- …action through the utilization of Performance Improvement principles. + Responsible for review of the appropriate number of Case Managers and clinical staff ... care to all patients served by the location. Receives case referrals. Reviews available patient information related to the...clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the… more
- Beth Israel Lahey Health (Wakefield, 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. **Job… more
- Highmark Health (Boston, MA)
- …Remote - Part Time - Weekends Required.** This job implements the effective utilization management strategies including: review of appropriateness of health care ... services, application of criteria to assure appropriate resource utilization , identification of opportunities for referral to a Health Coach/ case management, and… more
- South Middlesex Opportunity Council (Worcester, MA)
- …for all assigned properties as detailed below. Working closely with an assigned Case Manager to ensure that all property, municipal, regulatory and contractual ... focusing on maintenance, upkeep of the building, and general house issues. Involve the Case Manager (s) as needed. + Ensure operational readiness for all newly… more
- Deloitte (Boston, MA)
- …the C-Suite. Our services extend beyond HR to include the CEO, CFO, Risk Manager , and Business Unit leaders, delivering value and creating impact for our clients. ... client expectations and working with leading global businesses? Your RoleAs a Manager in Employer Health, you will provide strategic and technical employee benefit… more
- Lawrence General Hospital (Lawrence, MA)
- …acute care setting with discharge planning, continuing care, care management, and utilization review preferred. + Strong verbal and written communications skills ... The RN Care Manager collaborates with physicians, nurses, and other clinical staff/directors to coordinate, facilitate and expedite patient care services across the… more