- Hartford HealthCare (Mansfield Center, CT)
- …and empowering individuals to participate in their own care and recovery. _*Job Summary*_ Utilization Review Care Manager coordinates the care of ... And this is* your moment.* **Job:** **Behavioral Health* **Organization:** **Natchaug Hospital* **Title:** * Utilization Review Care Manager - Behavioral… more
- Edward M. Kennedy Community Health Center, Inc. (Worcester, MA)
- …team is expanding across sites to support this growth. We are currently hiring a Clinical Care Manager based in Worcester, MA. The Clinical Care Manager ... , decreasing risk status, and minimizing hospital and ER utilization . + Identifies, manages, and coordinates patient care...patient care , ongoing evaluation, patient progress/risk status, care manager interventions, and a plan of… more
- Prime Healthcare (Woonsocket, RI)
- …unable to meet the patient's care needs. The ICM is responsible for the utilization review process as it relates to triage and admission to the Behavioral ... members to join its award-winning team! Landmark Medical Center is a 214-bed acute care hospital in Woonsocket, RI. The hospital has been "A"rated for patient safety… more
- South Middlesex Opportunity Council (Worcester, MA)
- …assigned properties as detailed below. Working closely with an assigned Case Manager to ensure that all property, municipal, regulatory and contractual requirements ... Illness, and Short-Term Disability. + Flexible Spending Accounts, Dependent Care Accounts, Employee Assistance Program, Tuition Reimbursement and more. Primary… more
- Milford Regional Medical Center (Milford, MA)
- …of current medical care technology and ancillary supports. Previous utilization review experience preferred Must be assertive with excellent interpersonal ... members of the healthcare team, the Point of Entry/Emergency Department Case Manager (POE/ED CM) is accountable for coordination and facilitation of the management… more
- Elevance Health (Smithfield, RI)
- …or regulation, must be in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US ... health medical services, to ensure the appropriate and most cost-effective medical care is received. May be responsible for developing and implementing programs to… more
- Elevance Health (Smithfield, RI)
- …necessity of requests using clinical criteria. + Performs physician-level case review of musculoskeletal utilization requests. + Conducts peer-to-peer ... for autism and depression, and insightful analytics to improve the delivery of care . The **Clinical Ops Associate Medical Director - Ortho** is responsible for… more
- Hartford HealthCare (Dayville, CT)
- …which may include staff scheduling, scheduling clinical activities, program development, utilization review , case load assignment, and attending meetings as ... and chemical dependency services. Through our multi-site network of care , we constantly strive to meet its mission in...oversight of daily operations in the absence of Program Manager . Key responsibilities of Lead Behavioral Health Clinician: *… more
- Hartford HealthCare (Mansfield Center, CT)
- …which may include staff scheduling, scheduling clinical activities, program development, utilization review , case load assignment, and attending meetings as ... and chemical dependency services. Through our multi-site network of care , we constantly strive to meet its mission in...oversight of daily operations in the absence of Program Manager . Key responsibilities of Lead Behavioral Health Clinician: *… more
- Fallon Health (Worcester, MA)
- …a company that cares. We prioritize our members-always-making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, Fallon ... Health delivers equitable, high-quality, coordinated care and is continually rated among the nation's top...and timely reports for internal and external customers on utilization trends, financial performance, quality management, and others. +… more