- US Tech Solutions (Canton, MA)
- …responsible for managing a clinically complex caseload of varied requests for services . The Clinical Reviewer is responsible for making the determination of medical ... lines of business; such as state specific Medicaid and Senior Products (Medicare Advantage and SCO). The Clinical Reviewer...Reviewer functions as a member of the Precert / Outpatient UM team and works under the general direction… more
- Veterans Inc. (Worcester, MA)
- …Veterans and their families in New England, is seeking to fill the Senior Clinician for Outpatient Services position and become a valued member of ... Veterans Inc. team! Veterans Inc. is seeking a Senior Clinician to assist in our expanding...Clinician to assist in our expanding continuum of outpatient recovery services in Worcester County. Be… more
- US Tech Solutions (Canton, MA)
- …responsible for managing a clinically complex caseload of varied requests for services . The Clinical Reviewer is responsible for making the determination of medical ... lines of business; such as state specific Medicaid and Senior Products (Medicare Advantage and SCO).** The Clinical Reviewer...Reviewer functions as a member of the Precert / Outpatient UM team and works under the general direction… more
- OptiMindHealth (Boston, MA)
- …Work/life balance! Leadership and advancement opportunities! Join a leading clinician -led behavioral health company today! OptiMindHealth (OMH) is expanding and ... psychotherapists to join our team. Today, OMH provides superior behavioral health services patients in Massachusetts and Colorado. Since 2016, we've specialized in… 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 ... professionals to join our team. Today, OMH provides superior behavioral health services to patients in Massachusetts, Colorado, and Montana. Since 2016, we have… more
- CenterWell (Providence, RI)
- …with market operational leaders to identify operational issues that impact clinician and coder performance. + Facilitate meetings with key partners, including ... + MS-DRG auditing or APR auditing experience + Acute in-patient and/or outpatient coding experience + Must be passionate about contributing to an organization… more
- Humana (Providence, RI)
- …this position, you will need to be well versed in CMS knowledge of outpatient , inpatient and appeal criteria including regulation and policies. You much also be ... management processes and be the liaison for the Medicare Market Provider Experience Clinician . This position can be located anywhere within the lower 48 states.… more
- Tufts Medicine (Boston, MA)
- …Profile Summary** This role focuses on providing medical and clinical support services to patients. In addition, this role focuses performing the following duties: ... be most commonly applied to patient care and/or scientific/laboratory jobs. A senior level role requiring broad knowledge of operational procedures and tools… more
