- Beth Israel Lahey Health (Burlington, MA)
- …you're making a difference in people's lives.** Joint role of Case Manager and Utilization Review Nurse **Job Description:** The Inpatient Registered ... more
- State of Massachusetts (Boston, MA)
- …in a timely, efficient way. *Position Summary* The HRD/WC Telephonic Nurse Case Manager provides early intervention to injured Commonwealth employees via ... more
- Cambridge Health Alliance (Cambridge, MA)
- …and provides them with a business card. * Integrates the discharge planning/coordination and utilization review functions in the case management role. * ... more
- Brockton Hospital (Brockton, MA)
- …accepted criteria and guidelines to conduct review of inpatient admissions. The Case Manager at Brockton Hospital serves as the primary liaison between ... more
- Prime Healthcare (Woonsocket, RI)
- …Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Responsibilities The Intake Case Manager (ICM) has ... more
- Erickson Living (Hingham, MA)
- …of medical practice; insurance benefit structures and related legal/medical issues; and utilization review and quality assurance procedures. Please note that ... more
- Milford Regional Medical Center (Milford, MA)
- …with other members of the healthcare team, the Point of Entry/Emergency Department Case Manager (POE/ED CM) is accountable for coordination and facilitation of ... more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …help us transform healthcare? Bring your true colors to blue. The Clinical Care Manager is responsible for facilitating care for members and families of members who ... more
- State of Massachusetts (Taunton, MA)
- …necessary: case management and administrative supervision to assigned CYF Case Manager (s); Coordinating referrals from Service Authorization to providers and ... more
- United Therapeutics (Boston, MA)
- …to meet the needs of the intended audience and contributors + End-to-end case processing, including data entry, QC, medical review , and regulatory submissions ... more
- Beth Israel Lahey Health (Winchester, MA)
- …manager . + Assists Case Managers with all aspects of utilization review /discharge planning/performance improvement processes. + Functions as liaison for ... more
- Sevita (Marlborough, MA)
- …receipt from accounting staff; identify any discrepancies to accounting staff + Coordinate utilization with the Case Manager relative to program ... more
- Beth Israel Lahey Health (Wakefield, MA)
- …engagement in healthy behavior. Working with the healthcare team, the Care Manager , RN monitors appropriate utilization of healthcare resources, promotes quality ... more
- Highmark Health (Boston, MA)
- …Health **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health ... more
- Deloitte (Boston, MA)
- …for Next-Gen SIEM and security operations functions (eg, detection use case testing, analyst runbooks, incident response plans). + Perform Next-Gen SIEM ... more
- Deloitte (Boston, MA)
- Consulting Manager - Health and Benefits Human CapitalThe Human Capital Offering Portfolio is dedicated to helping organizations enhance their performance through ... more
- Nestle (Sudbury, MA)
- …+ Risk Assessment and Elimination - Leads the effective implementation and utilization of risk assessment and risk prediction processes across sites to ensure ... more
- Beth Israel Lahey Health (Burlington, MA)
- …Improvement and CQI issues as well as to unsafe working conditions. Notifies manager of concerns. Participates in unit based QI activities and is familiar with ... more
- Elevance Health (Woburn, MA)
- …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 ... more
- CDM Smith (Boston, MA)
- …global corporate teams with accounting- and tax-related matters. * Monitor and review deliverables from local finance teams to ensure timeliness, accuracy, and ... more