- 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
- East Boston Neighborhood Health Center (East Boston, MA)
- …Position Summary: NeighborHealth is seeking a dynamic and experienced Administrative Director of Behavioral Health to lead the integration of behavioral ... our patients and communities. Whether you're a nurse or physician providing direct care, a manager leading dedicated teams,...for our diverse patient population. The Administrative Director of Behavioral Health leads the integration of … more
- Veterans Affairs, Veterans Health Administration (Jamaica Plain, MA)
- …associate, scheduler and also has access to extended team members including behavioral health , clinical pharmacists, dieticians, social workers and peer ... determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.… more
- Veterans Affairs, Veterans Health Administration (Jamaica Plain, MA)
- …associate, scheduler and also has access to extended team members including behavioral health , pharmacists, dieticians, social workers and peer partners. ... teams. Panel sizes are approximately 1250 patients per full-time physician and appointment lengths are 60 minutes for new...VABHS is leading the VHA's initiative in the Whole Health System of care which includes conventional treatment but… 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 (Boston, MA)
- …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
- Highmark Health (Boston, MA)
- …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
- East Boston Neighborhood Health Center (East Boston, MA)
- …visit out our Careers Page (http://careers.ebnhc.org) . Time Type: Full time Department: Behavioral Health Urgent Care All Locations: 10 Gove Street - Taylor ... our patients and communities. Whether you're a nurse or physician providing direct care, a manager leading dedicated teams,...Position Summary: The Psychiatrist as a member of the Behavioral Health care team provides direct care… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …within which the BH clinician is integrated. These include: Primary Care Integrated Behavioral Health + Tracks caseload to ensure capacity to deliver the ... to the Administrative Director. + Presents clinical cases for review at weekly clinical meetings according to departmental standard....isolation as the HS Specialist may be the only behavioral health professional on site. + Ability… 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 (Boston, MA)
- …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 (Boston, MA)
- …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
- Veterans Affairs, Veterans Health Administration (Jamaica Plain, 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 ... 401K with up to 5% in contributions by VA Insurance: Federal health /vision/dental/term life/long-term care (many federal insurance programs can be carried into… more
- Highmark Health (Boston, MA)
- …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 (Boston, MA)
- **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 (Boston, MA)
- …**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
- Sevita (Easton, MA)
- …treatment to individuals served + Complete health assessments and provide input of health diagnosis to RN or physician for the development of nursing care ... and personal care services under the direction of a registered nurse or physician to address the medical or psychiatric needs of individuals with developmental… more