- Universal Health Services, Inc. (Brookline, MA)
- Responsibilities Utilization Review Coordinator Opportunity - HRI Hospital is seeking a Full-time Utilization Review Coordinator to join our ... and we encourage qualified individuals to apply. Website: As the Utilization Review Coordinator , you will: Complete initial precertification and concurrent… more
- South Middlesex Opportunity Council (Framingham, MA)
- …individuals, children and families. This position will coordinate billing and monitor utilization review for the Clinic and Residential Recovery Programs. ... fashion, for the RRS and outpatient clinic programs. + Review denials and partially paid claims and resolve discrepancies....As part of the responsibilities of this position, the Utilization Management Coordinator will have direct or… more
- HCA Healthcare (Manchester, NH)
- …+ Focused or ongoing professional practice evaluations (FPPE/OPPE), performance improvement, utilization patterns, peer review , or other performance information. ... personal growth, we encourage you to apply for our Medical Staff Services Coordinator opening. We promptly review all applications. Highly qualified candidates… more
- Northeast Family Services (North Andover, MA)
- …with interactions of staff + Participate in development of training plans for data utilization + Acts as project coordinator for all Clinical Quality related ... join our growing team as Clinical Data and Quality Coordinator . As an important member of the operations and...role, as well as establishing KPIs, QA Plans, data utilization , monitoring, and reporting on compliance. If you're looking… more
- OptiMindHealth (Cambridge, MA)
- Physician Liaison / Outreach Coordinator Position Requirement: Part-Time FLSA Status: Non-Exempt Location: Cambridge, MA Join a leading clinician-led behavioral ... and efficiency. This position is an entry level Physician Liaison / Outreach Coordinator role. Preferred candidates will possess a B2B Sales background with a strong… more
- Beth Israel Lahey Health (Burlington, MA)
- …department and must provide a detailed monthly report on any overage. 3) Review /modify min/max inventory levels. 4) Audits inventory levels not associated with Pyxis ... no expired products. Makes adjustments if needed. 9) In conjunction with Pyxis Coordinator and Purchasing, removes expired product and works with the vendors to… more
- Boston University (Boston, MA)
- …opportunities including emergencies and backfill patients into student provider open slots, review phone call and utilization reports to aid in optimal ... **PATIENT COORDINATOR , GROUP PRACTICE,SDM Clinical Affairs** **Job Description** **PATIENT COORDINATOR , GROUP PRACTICE,SDM Clinical Affairs** **Category**… more
- Massachusetts Institute of Technology (Cambridge, MA)
- …patients, families, providers, and community agencies. PREFERRED: two years of case management, utilization review , and discharge planning experience. 11/18/2025 ... Registered Nurse, Care Coordinator + Job Number: 25320 + Functional Area:...Save Save Apply Now Posting Description REGISTERED NURSE, CARE COORDINATOR , MIT Health, will serve as a core member… more
- US Tech Solutions (Boston, MA)
- …be directly associated with incoming referrals and authorizations for the utilization component of medical management. **Key Responsibilities/Duties - what you will ... an event or transaction by lines of business for the UM teams to review and decision requests + Contacts provider offices for further details on clinical… more
- Brockton Hospital (Brockton, MA)
- …delays through problem resolution and follow-up. Monitors on-site case managers and utilization review staff to ensure compliance with Signature Healthcare ... management experience Proven experience in coordinating discharge planning and utilization review experience required. Prior management experience required.… more
- Beth Israel Lahey Health (Burlington, MA)
- …**Essential Duties & Responsibilities including but not limited to:** 1) Performs utilization review and discharge planning to inpatient admissions. 2) Applies ... of Ethics, the Case Manager performs duties relative to utilization and discharge planning. The Complex Case Manager acts...Interqual, AEP and or other review criteria approved by the Clinic to accurately determine… more
- State of Massachusetts (Haverhill, MA)
- *PLEASE NOTE, WE DO NOT REVIEW APPLICATIONS SUBMITTED THROUGH MASSCAREERS. PLEASE APPLY VIA THE LINK BELOW:* ... * Assist in reporting and analytics related to space utilization _OTHER DUTIES_ * Participate in IT projects and...Other duties as assigned *PLEASE NOTE, WE DO NOT REVIEW APPLICATIONS SUBMITTED THROUGH MASSCAREERS. PLEASE APPLY VIA THE… more
- State of Massachusetts (Haverhill, MA)
- *PLEASE NOTE, WE DO NOT REVIEW APPLICATIONS SUBMITTED THROUGH MASSCAREERS. PLEASE APPLY VIA THE LINK BELOW:* ... Develops and implements initiatives to drive increased student engagement and utilization of athletic facilities. * Cultivates and leverages strategic partnerships… more
- State of Massachusetts (Haverhill, MA)
- *PLEASE NOTE, WE DO NOT REVIEW APPLICATIONS SUBMITTED THROUGH MASSCAREERS. PLEASE APPLY VIA THE LINK BELOW:* ... to grant-funded programs and initiatives. * Monitor and analyze student utilization of support services to identify trends impacting persistence and retention;… more
- Boston College (Chestnut Hill, MA)
- …guidance to ensure optimal placement outcomes. Individual Support Plan (ISP): Regularly review client records and follow the guidelines outlined in each client's ... networks (residential staff, legal guardians, DDS Service Coordinators, etc.). Encourage Utilization of Resources: Promote and encourage clients to engage with… more
- SHI (Boston, MA)
- …position will schedule resources, manage escalations, track hours and budget, review deliverables, and maintain clear communication with stakeholders on project ... closure which includes project acceptance,andfinal invoicing, andconduct a thorough review toidentifylessons learned and best practices for future projects +… more
- HCA Healthcare (Manchester, NH)
- …expertise! **Job Summary and Qualifications** The House Supervisor/Bed Management Coordinator provides clinical supervision, leadership and support to staff. He/she ... bed management meetings with hospital staff to identify and communicate bed utilization issues . With inpatient coordinators and clinical staff ensures timely and… more
