- Lawrence General Hospital (Lawrence, MA)
- The Utilization Review Specialist , under supervision and in collaboration with the Utilization Review Coordinator, Utilization Review Nurses, ... well as the integrated care team and supports the case management/ utilization review team on system-wide quality improvement/performance improvement initiatives.… more
- Beth Israel Lahey Health (Wakefield, MA)
- …in people's lives.** * Hybrid / Remote schedule * The Clinical Pharmacy Specialist - Population Health works collaboratively with other health care providers and ... patients, and guideline development and implementation. Additionally, the Clinical Pharmacy Specialist supports the safe, effective and efficient use of medications… more
- Beth Israel Lahey Health (Burlington, MA)
- …manager. . Assists Utilization Managers with all aspects of utilization review /discharge planning/performance improvement processes. . Functions as liaison ... line with payer expectations, contributing to favorable revenue cycle. The Operational Specialist position will have an impact on provider, patient, and staff… more
- Beth Israel Lahey Health (Burlington, MA)
- …in people's lives.** **Job Description:** **Position Summary:** The Clinical Pharmacy Specialist - Population Health works collaboratively with other health care ... patients, and guideline development and implementation. Additionally, the Clinical Pharmacy Specialist supports the safe, effective and efficient use of medication… more
- Lawrence General Hospital (Lawrence, MA)
- …Office product suite. Preferred: * Bachelor's degree * Case Management, Utilization Review or Prior Authorization experience * Bilingual English/Spanish ... Manager and Director of Integrated Care, the Infusion Clinical Authorization Specialist is responsible for ensuring all information for proper financial… more
- Lawrence General Hospital (Lawrence, MA)
- … Works collaboratively with the Complex Care Nurse Managers, Social Workers, and Utilization Review Nurses, in coordinating and providing care that is safe, ... timely, effective, efficient, equitable and client-centered. Assuming all administrative responsibilities within the admission and discharge planning, Perform other duties as needed and assigned by your supervisor. JOB RESPONSIBILITIES: + Perform the full… more
- Novo Nordisk (Lowell, MA)
- …obesity to maximize sales within an assigned territory. The Obesity Care Specialist (OCS) must achieve sales goals by implementing marketing and sales strategies ... sales and marketing resources to expand the breadth and depth of appropriate utilization Novo Nordisks products, consistent with label and company policy + Analyze… more
- Beth Israel Lahey Health (Burlington, MA)
- …required forms per procedure and department protocol Follows up with patient or specialist to ensure patient care plans since last appointment were followed and ... results are available for physician review Confirms that lab and other ancillary tests are...data for identified patient populations Monitors patient progress by utilization of disease specific registries to proactively reach out… more
- Ensono (Concord, NH)
- …complexity assignments - owner (1 or >) Low complexity assignments - provide oversight/ review Regularly lead self and others and/or established as Product SME and/or ... established as specialist Understands how whole picture aligns to overall Ensono...and unscheduled Database refreshes Improve processes and procedures Log-file review Complex trouble-shooting and repairs Reporting on state of… more
- State of Massachusetts (Tewksbury, MA)
- …divisions. * Assess and evaluate departmental performance, resource allocation and utilization to establish and prioritize departmental goals and activities. * ... critical to this effort. * Assume hospital-wide responsibility for compliance with external review bodies including but not limited to, CMS, DPH and TJC. * Partner… more
- NTT America Solutions, Inc. (Concord, NH)
- …their area of responsibility and /or stakeholder group. These individuals have specialist knowledge and answer queries related to their area of responsibility and/or ... Understand and solicit employee opinions and anticipate their needs and concerns. + Review and benchmark the internal and external environment to improve HR policies… more
- Beth Israel Lahey Health (Burlington, MA)
- …forms per procedure and department protocol. + Follows up with patient or specialist to ensure patient care plans since last appointment were followed and results ... are available for physician review . + Confirms that lab and other ancillary tests...for identified patient populations. + Monitors patient progress by utilization of disease specific registries to proactively reach out… more
- Beth Israel Lahey Health (Burlington, MA)
- …required forms per procedure and department protocol Follows up with patient or specialist to ensure patient care plans since last appointment were followed and ... results are available for physician review o Confirms that lab and other ancillary tests...for identified patient populations o Monitors patient progress by utilization of disease specific registries to proactively reach out… more
- Beth Israel Lahey Health (Burlington, MA)
- …forms per procedure and department protocol + Follows up with patient or specialist to ensure patient care plans since last appointment were followed and results ... are available for physician review + Confirms that lab and other ancillary tests...for identified patient populations + Monitors patient progress by utilization of disease specific registries to proactively reach out… more