- Trinity Health (Springfield, MA)
- …Profile **Mercy Medical Center** a is looking for a **Rehabilitation Outcomes Coordinator ** to join our Inpatient Rehab Team. The **Rehabilitation Outcomes ... Coordinator ** is responsible for coordination of the data collection...information to ensure the most appropriate level of resources utilization and reimbursement. **What will you do:** + Obtains… more
- Hartford HealthCare (Hartford, CT)
- …continuum; identify risk factors; facilitate involvement of support services; perform utilization management functions; develop and implement transition planning ... staff consist of Registered Nurses experienced in discharge planning and case management and embrace a universal concept of patient advocacy. They are well… more
- Bear Mountain Health Care (East Longmeadow, MA)
- …+ Experience with Medicare/Medicaid reimbursement, MDS completion, clinical resources utilization , and/or case management is highly desirable Responsibilities: ... East Longmeadow is looking for an experience RN MDS Coordinator to join our Amazing Team! If you have...MA, is currently seeking applicants for an experienced MDS Coordinator . Requirements: + Graduate of an accredited school… more
- Sunrun (Hartford, CT)
- …+ Own and develop partner or branch relationships including weekly/monthly reviews, utilization and workload management , process updates and identification and ... commitment to diversity, inclusion and belonging. **Overview** The Field Service Coordinator is responsible for coordinating effective execution of field service… more
- Highmark Health (Hartford, CT)
- …:** **JOB SUMMARY** This job captures all inbound phone inquires for utilization management review from providers and pharmacies. The incumbent assesses ... verifying benefit coverage, creation of a prior authorization case in Highmark's Utilization Management system for Prior Authorization clinical review, status… more
- Baystate Health (Palmer, MA)
- …Team and documents findings of the Interdisciplinary Care Plan. Collaborates with the Utilization Management Coordinator and other members of the healthcare ... DIVERSE LOCATIONS. **Education:** Bachelor of Science (Required) **Certifications:** Case Management Certification - Other, Registered Nurse - State of Massachusetts… more
- Sunrun (Hartford, CT)
- …and dispatch customer appointments in conjunction with Tech routes, schedules and utilization + Initiate and create tasks to complete further work required for ... within or across projects or cross functional teams with minimal direction from management + Meets all identified team and client performance metrics, goals and… more
- Trinity Health (Springfield, MA)
- …RN in Connecticut. + **Certification** : BLS (AHA/ARC). Certification in Case Management (ACM, CCM) required within one year of employment after meeting minimum ... an in-depth understanding of and skill in using many nationally recognized medical utilization criteria sets (ie MCG, InterQual, and others as needed). + Requires a… more
- University of Massachusetts Amherst (Amherst, MA)
- …direct supervision of all departmental administrative support staff and the facilities coordinator for the Isenberg School of Management . The Director reports ... - Isenberg School Union:PSU Categories: Facilities/Grounds, Isenberg School of Management , PSU A About UMass Amherst UMass Amherst, the Commonwealth's… more
- Fallon Health (Springfield, MA)
- …and SE policies and procedures. Oversees Acts as PACE site Transportation Coordinator and oversees the provision of transportation services for all site ... participants. Responsible for all site facilities management , working closely with Director of Facilities to ensure all systems are working properly and all… more
- Trinity Health (Hartford, CT)
- …Knowledge and experience with SAMSHA regulations, DPH, Joint Commission, Utilization management Detoxification requirements, Core measures, and psychiatric ... Diagnosis services. **What you will do** + The Clinical Coordinator assists in the management of unit personnel, the nursing unit environment, and collaborates… more
- University of Massachusetts Amherst (Amherst, MA)
- … management solutions. Administrative + Acts as the IT Equipment Coordinator /Purchaser for Enrollment Management . + Collaborates within EMIT on budgetary ... 526034 Work type: Staff Full Time Location: UMass Amherst Department:Enrollment Management Ops Union:PSU Categories: Computer & Information Technology, PSU A About… more
- University of Massachusetts Amherst (Amherst, MA)
- …and Safety (EH&S). Responds to emergencies and serve as primary contact and coordinator for crisis management . Consults with University personnel and determines ... Natural Sciences (CNS) is responsible for daily functions related to project management and facility operations for various facilities within the College of Natural… more
- Baystate Health (Springfield, MA)
- …to beginning any actual work on research protocols. Knowledge of data utilization , complex problem solving, critical thinking, resource management , and writing ... HIPAA, and regulatory requirements. 9) Under the direction of the study coordinator or principal investigator, assist in enrolling patients in research studies.… more
- The Cigna Group (Bloomfield, CT)
- …brokers and other key stakeholders. + As Clinical Advisor, supports client utilization review and strategy meetings, providing medical cost trend, large claim and ... Coordinates with Sales and Operations to facilitate TOC, including claims-based care management jumpstart process and resolution of escalated case TOC issues. +… more