- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …adjudicate these requests. At the request of the Associate Medical Director of the Physician Psychologist Review Unit, the Reviewer also provides clinical ... Bring your true colors to blue. The Role The Physician Reviewer is responsible for evaluating clinical..., in partnership with case managers + Participate in Physician Psychologist Review Units' appeal process of… more
- Fallon Health (Worcester, MA)
- …on an interdisciplinary care team that may include the member's primary care physician , medical providers, behavioral health providers, state agencies and/or ... **Brief Summary of Purpose:** The Accountable Care Organization (ACO) Behavioral Health Case Manager (BHCM) is an...Health Pharmacist, referring members in need of medication review based upon Program process + Develops and fosters… more
- Veterans Affairs, Veterans Health Administration (Providence, RI)
- … Health Professional Trainees. Participate in performance improvement activities, physician peer review , and committees as assigned. Recruitment/Relocation ... and General Outpatient. The Staff Psychiatrist positions are located in the Mental Health & Behavioral Sciences Service (MHBSS) of the VA Providence Healthcare… more
- Monte Nido (Dedham, MA)
- …passionate about delivering high-quality, patient-centered care in a collaborative behavioral health setting. **Pay:** $225,000.00-$275,000.00 depending on ... in the state of Massachusetts (or ability to obtain). + Experience in behavioral health , eating disorder treatment, or hospital-based medicine is preferred but… more
- CenterWell (Providence, RI)
- …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... part of our caring community and help us put health first** We are excited to offer the role...a collaborating physician for nurse practitioners or physician assistants, including completing regular chart review … more
- OptiMindHealth (Needham, MA)
- …Part-Time FLSA Status: Non-Exempt Location: Needham, MA Join a leading clinician-led behavioral health company today! OptiMindHealth (OMH) is expanding and ... seeking compassionate professionals to join our team. Today, OMH provides superior behavioral health services to patients in Massachusetts, Colorado, and… more
- Hartford HealthCare (Norwich, CT)
- …providing unparalleled access to specialty services and resources * Easy access to* Behavioral Health *, High Risk Nurse Care Managers & Social Workers ... *Primary Care Position Details:* ** * *Role*: Primary Care Physician (18 ) * *Location*: Norwich, CT * *Setting*:...HealthCare Honors:** * "A" rating, 1 of only 3 health care systems in the US to achieve across… more
- Hartford HealthCare (Putnam, CT)
- …providing unparalleled access to specialty services and resources o Easy access to* Behavioral Health *, High Risk Nurse Care Managers & Social Workers ... Care Position Details:* ** * o *Role*: Primary Care Physician (18 ) o *Location*: Putnam, CT o *Setting*:...Hospitals to Work for in Connecticut" - Becker's Hospital Review o "America's Most Innovative Companies 2023" - Fortune… more
- Hartford HealthCare (Norwich, CT)
- …of a tertiary care academic medical center, five acute care hospitals, a behavioral health network, physician organizations, Home and Hospice services, ... the appropriate staff member or Supervisor. * Work is subject to general review only and requires considerable accuracy and responsibility. * Ability to maintain… more
- Highmark Health (Providence, RI)
- …as first line reviewer in monitoring and ensuring adherence to the health plan's state and federal multiple drug benefit design offerings. The incumbent responds ... to physician and pharmacy network provider inquiries concerning oral, injectable...+ Prioritize requests for drug authorizations or denials. + Review of prior authorization criteria for drug products. +… more
- Hartford HealthCare (Mansfield Center, CT)
- …of a tertiary care academic medical center, five acute care hospitals, a behavioral health network, physician organizations, Home and Hospice services, ... part of Connecticut's most comprehensive healthcare network as a Health Information Analyst. The creation of the HHC System...member or Supervisor. * Work is subject to general review only and requires considerable accuracy and responsibility. *… more
- Fallon Health (Milford, MA)
- …care including but not limited to working with providers to arrange medical and behavioral health appointments and following up with members afterwards to ensure ... + If working on the NaviCare Member Population: Facilitates transportation to medical, behavioral health , and social appointments by educating the member about… more
- CenterWell (Taunton, MA)
- … in evaluating the patient's level of function. + Confer with the patient's physician and other health care team members and participate in development/revision ... **Become a part of our caring community and help us put health first** $5K Sign on Bonus Available As a therapist at CenterWell Home Health , you'll play a vital… more
- Highmark Health (Providence, RI)
- …URAC, CMS, DOH, and DOL regulations at all times. In addition to utilization review , the incumbent participates as the physician member of the multidisciplinary ... **Job Description :** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with… more
- Highmark Health (Providence, RI)
- …Registered Health Information Associate (RHIA) + Certified Coding Specialist Physician (CCS-P) + Certified Professional Coder (CPC) + Certified Outpatient Coder ... **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** This...:** **GENERAL OVERVIEW:** This job performs thorough medical record review to abstract medical and demographic data, interpret and… more
- University Medicine (East Providence, RI)
- …and Primary Care is seeking a Clinical Psychologist with an interest in Integrated Behavioral Health to join our dynamic academic, multi-specialty group based in ... the State of Rhode Island. One of the largest physician groups in Rhode Island, Brown Medicine is affiliated...Clinical Psychologist + Seeking a psychologist to provide outpatient behavioral health services within innovative medical practices… more
- Veterans Affairs, Veterans Health Administration (Brockton, MA)
- …and record relevant patient information. Completed work should need only a general review by a registered nurse (RN) or physician (MD/DO) for appropriateness ... VA Careers - Licensed Practical Nurse: https://youtube.com/embed/Ae85IP1Oiz4Total-Rewards-of-an-Allied- Health -VA-Career-Brochure.pdf Licensed Practical Nurse - vacareers.va.gov/wp-content/uploads/sites/5/Total-Rewards-of-a-LPN-Career-Flyer.pdf… more
- Highmark Health (Providence, RI)
- …units that may assist in the resolution of issues or problems. + Access, review , utilize, contribute content to and participate in the maintenance of the shared ... Informatics Intellectual Capital Repository to include but not limited to, review /editing of content submissions and best practices, audit reports, etc. The… more
- Highmark Health (Providence, RI)
- **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** This job performs thorough medical record review to abstract medical and ... days. **ESSENTIAL RESPONSIBILITIES** + Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD… more
- Highmark Health (Providence, RI)
- …**Job Description :** **JOB SUMMARY** This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as ... projects to comply with all CMS requirements by analyzing physician documentation and interpreting into ICD10 diagnoses and HCC...+ Assists with Regulatory Audits by performing first coding review and ranking of charts. Build partnerships and work… more