- Harbor Health Services, Inc. (Mattapan, MA)
- …aspects of managed care medical management including UM/CM, Grievance and Appeals, inpatient and outpatient services , medical policy, and clinical claims ... to live in their homes and communities. Our Elder Service Plan has two medical and day...EOHHS, CMS and other regulatory entities. Collaborates with Senior Medical Director to resolve complex medical… more
- Dana-Farber Cancer Institute (Boston, MA)
- …and coordination of nursing services within the Institute's oncology inpatient hospital. The Nursing Director (ND) at Dana-Farber Cancer Institute ... The Director of Nursing, Inpatient Hospital is.... This position carries 24-hour accountability operational leadership of inpatient nursing services , ensuring the delivery of… more
- Beth Israel Lahey Health (Needham, MA)
- …and leadership in quality improvement activities to enhance patient care and improve service . Additionally, the Nurse Director participates in the development of ... of programs and processes to provide necessary patient care services using appropriate resources. Inherent in the role is...contributes to ongoing changes within the organization. The Nurse Director is a role model for service … more
- Beth Israel Lahey Health (Burlington, MA)
- …with Medical Leadership, and reports directly to the Executive Director . **Job Description:** **Essential Duties & Responsibilities** including but not limited ... a difference in people's lives.** Under the oversight of the Executive Director (with additional direction from the Division Chairs), the Administrative Director… more
- Humana (Boston, MA)
- …reports to a Lead Medical Director . The Medical Director conducts post- service , inpatient care reviews for accurate billing of clinically ... , requested level of care, and/or requested site of service should be authorized at the Inpatient ...**Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided… more
- Cambridge Health Alliance (Somerville, MA)
- …reconciliation of controlled substances according to policy and regulations. Notifies Manager, Inpatient Pharmacy Services , Director , Inpatient Pharmacy ... and technology. It includes three inpatient pharmacies, inpatient and ambulatory clinical pharmacy services , four...Attends and participates in daily Multidisciplinary Rounds (MDR) on inpatient units. Participates in medical rounds. *… more
- Cambridge Health Alliance (Cambridge, MA)
- …reconciliation of controlled substances according to policy and regulations. Notifies Manager, Inpatient Pharmacy Services , Director , Inpatient Pharmacy ... for dispensing and have bedside barcoding implemented in all inpatient areas. All of the services we...Attends and participates in daily Multidisciplinary Rounds (MDR) on inpatient units. Participates in medical rounds. *… more
- Tufts Medicine (Melrose, MA)
- …Responsible for making recommendations to the Director of Social Work Services regarding service delivery gaps, systemic issues and program development. 20. ... We are seeking a **Clinical Social Worker, Inpatient Medical /Surgical** to join our team...This position provides a range of clinical social work services to patients/clients and families in inpatient ,… more
- Datavant (Boston, MA)
- …SMART software experience strongly encouraged to apply **You Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and ... to realize our bold vision for healthcare. As an ** Inpatient Auditing Specialist** you will be instrumental in addressing...results for review by the facility or CCS HIM director . + Review disagreements on APC/DRG changes with the… more
- Beth Israel Lahey Health (Boston, MA)
- …Evening Clinical Pharmacy Specialist to join our team and support the expanding inpatient hematology/oncology and cellular therapy services . This role is an ... in people's lives.** The Cancer Center at Beth Israel Deaconess Medical Center provides state-of-the-art cancer care through personalized treatment plans, clinical… more
- Beth Israel Lahey Health (Boston, MA)
- …Evening Clinical Pharmacy Specialist to join our team and support the expanding inpatient hematology/oncology and cellular therapy services . This role is an ... Evenings, No Weekends) The Cancer Center at Beth Israel Deaconess Medical Center provides state-of-the-art cancer care through personalized treatment plans, clinical… more
- CenterWell (Boston, MA)
- …processes, and outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, ... an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided by other healthcare… more
- Humana (Boston, MA)
- …scenarios arise from outpatient, inpatient or post-acute care environments. The Medical Director will have discussions with external physicians by phone to ... an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided by other healthcare… more
- Humana (Boston, MA)
- …processes, and outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, ... an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided by other healthcare… more
- Dana-Farber Cancer Institute (Boston, MA)
- …to influence nursing practices and improve care outcomes within a specific unit or service and/or across Nursing and Patient Care Services (NPCS). Education + ... and we work with amazing partners, including other Harvard Medical School-affiliated hospitals. Clinical Expertise + Demonstrates expertise in areas… more
- Humana (Boston, MA)
- …processes, and outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, ... an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided by other healthcare… more
- Humana (Boston, MA)
- …all activities. **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided by other ... caring community and help us put health first The Medical Director actively uses their medical...meets compliance timelines. + Conduct comprehensive, timely, and compliant medical necessity reviews for inpatient services… more
- Lawrence General Hospital (Methuen, MA)
- …operational efficiency, including patient flow, bed availability, and coordination with inpatient services . + Provide input to the Medical Director and ... the range to support future salary growth. The Associate Medical Director , Holy Family Hospital, shall be...for Haverhill ED staff, including organizing training sessions and in- service programs. + Serve as a mentor to physicians,… more
- Humana (Boston, MA)
- …and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by other healthcare ... caring community and help us put health first** The Medical Director relies on fundamentals of CMS...medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with… more
- Humana (Boston, MA)
- …and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by other healthcare ... caring community and help us put health first** The Medical Director relies on fundamentals of CMS...medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with… more
