- Covenant Health (Nashua, NH)
- …policies and procedures. + Maintains/enhances professional development/skills required to function as a Utilization Review Case Manager + Completes all ... health care team. + Annual goals are achieved. + Attends pertinent case management/ utilization review programs to maintain current knowledge of UR practices.… more
- Spaulding Rehabilitation (Cambridge, MA)
- Case Manager - ( 3307312 )...**Experience** Preferred * 3-5 years of related experience. * Case management, utilization review , or ... nursing or outpatient setting is required. * Health plan experience in utilization review and case management will be considered. **Licensure** Required *… more
- Spaulding Rehabilitation (Charlestown, MA)
- Case Manager - ( 3308348 )...**Experience** Preferred * 3-5 years of related experience. * Case management, utilization review , or ... nursing or outpatient setting is required. * Health plan experience in utilization review and case management will be considered. **Licensure** Required *… more
- Beth Israel Lahey Health (Beverly, MA)
- …team, you're not just taking a job, you're making a difference in people's lives.** Case Manager RN **Job Description:** ** Case Manager RN** **Position ... care givers, and families. Their functions include concurrent and retrospective review to assure appropriate utilization , assessment, prevention of denials… 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 ... risk stratification, high-risk members will be identified, and a case opened for members who meet the criteria for...goals, and outcomes. + The Care Coordinator will measure case performance based on program goals, objectives, quality indicators,… more
- Sunrun (Boston, MA)
- …in through our commitment to diversity, inclusion and belonging. **Overview** The O&M Case Manager is responsible for coordinating effective execution of field ... and develop partner or branch relationships including weekly/monthly reviews, utilization and workload management, process updates and identification and resolution… more
- Sevita (Malden, MA)
- …receipt from accounting staff; identify any discrepancies to accounting staff + Coordinate utilization with the Case Manager relative to program ... to provide individual assistance to each person we serve. **Program Services Case Coordinator- Adult Day Health** Location: North Shore Adult Day Health Center… more
- Wolters Kluwer (Waltham, MA)
- …set utilization goals and benchmark success, leveraging tools (reports, case studies, client references, etc.) to win and maintain customer support. ... quality and effective care. **ESSENTIAL DUTIES & RESPONSIBILITIES** The **Customer Success Manager - National Accounts** plays a lead role in managing and driving… more
- State of Massachusetts (Acton, MA)
- …policies and procedures, use of electronic health records, Medicaid billing system, utilization management, utilization review , risk management, and service ... skills including supervision, program planning/development, communication skills budgetary experience, utilization management and review , risk management and… 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 ... disability. The Care Manager , RN upholds the current standards of professional case management practice, and reports to the Manager of Care Management. **Job… more
- Molina Healthcare (Waltham, MA)
- …experience. **Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare Management ... performing one or more of the following activities: care review / utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.),… more
- Amergis (Lawrence, MA)
- …$0.67 per mile Paul Antkowiak Amergis Healthcare Staffing ###@AMERGIS.COM ### The RN Case Manager is responsible for coordinating continuum of care activities ... and referrals for psychosocial needs + Participates in Quality Assurance and Utilization Review activities, as directed + Empowers patients in decision-making… more
- State of Massachusetts (Boston, MA)
- *Executive Office of Housing and Livable Communities (EOHLC*)*is seeking a** Manager of State Individual Homelessness Resource**s in the Division of Housing ... Massachusetts communities. *_OVERVIEW OF ROLE:_* This position functions as the manager for individual shelter operations team, which oversees unaccompanied adult… more
- Deloitte (Boston, MA)
- …the C-Suite. Our services extend beyond HR to include the CEO, CFO, Risk Manager , and Business Unit leaders, delivering value and creating impact for our clients. ... client expectations and working with leading global businesses? Your RoleAs a Manager in Employer Health, you will provide strategic and technical employee benefit… more
- Sysco (Boston, MA)
- **JOB SUMMARY** The District Sales Manager (DSM) role requires exceptional management of sale performance among Sales Consultants (SCs). This position is responsible ... developing the talent of their sales consultants to achieve profitable planned case and GP growth **RESPONSIBILITIES** + Manages the performance and development of… 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 ... recurrence are effectively implemented while also ensuring an effective injury case management process is fully implemented, well understood, and functioning as… more
- State of Massachusetts (Boston, MA)
- …as needed to ensure compliance with program rules and regulations. . Conducts review of client files, incident reports, utilization and other program ... of HomeBASE and Rapid Rehousing, the Affordable Housing and Subsidy Resource Manager and collaborates closely with the Regional Teams and Housing Search Specialists… more
- Beth Israel Lahey Health (Charlestown, MA)
- …5 years acute care hospital level nursing experience (eg, medical-surgical, ICU) or equivalent case management, quality, or utilization review in a hospital ... medical record. The CDS works under direction of the Manager of CDI and collaborates with coding, clinicians, medical...of mortality, and severity of illness; and (b) track review details in 3M software. 2. Conducts follow-up reviews… more
- Beth Israel Lahey Health (Milton, MA)
- …least 5 years acute care hospital level nursing experience (eg, ER, ICU) or equivalent case management, quality, or utilization review in a hospital setting ... of mortality, and severity of illness; and (b) track review details in 3M software. 2. Conducts follow-up reviews...in the medical record. 5. Collaborates with the CDI Manager & Physician Advisor and other ancillary staff regarding… 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 unit ... appointment were followed and results are available for physician review o Confirms that lab and other ancillary tests...Serves as a liaison with patients, families to physicians, case managers, 3rd party payers, et al. o Reviews,… more