- 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 ... Manager for Hospital at Home Care Transitions coordinates utilization review , discharge planning and monitors quality...Case Manager experience as well as Utilization Review experience ( review medical… more
- Tufts Medicine (Burlington, MA)
- …**Job Overview** The position provides day to day support and oversight to Utilization Review departments and UM vendor management. The UM Operations ... is responsible for compliance with CMS Conditions of Participation regarding Utilization Review and Discharge Planning including implementation and annual … more
- Beth Israel Lahey Health (Burlington, MA)
- …collaboration with the Physician Advisors, Collaborates and helps facilitate the Utilization Review Committee. Continuously monitors processes for opportunities ... Duties & Responsibilities** _including but not limited to:_ + Ensures that Utilization Review nurses are consistently recommending the appropriate admission… 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 ... with knowledge of current medical care technology and ancillary supports. Previous utilization review experience preferred Must be assertive with excellent… more
- Molina Healthcare (Worcester, 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
- Bright Horizons (Newton, MA)
- The Talent Acquisition Optimization Manager is responsible for driving the efficiency and effectiveness of the talent acquisition process through the implementation ... Managing the execution of system enhancements, including planning, development, and review of required training and communication materials. + Training and Change… 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
- Fallon Health (Worcester, MA)
- …of work to meet department needs and involvement of navigator and behavioral health case manager resources as appropriate * Ensures department team members work ... NCQA, HEDIS, CMS, State, Medicare Five Star, External Quality Review projects, etc. * Participating in the preparation of...and providers fostering collaborative working relationships * Works with Manager to recommend changes to the case … more
- Beth Israel Lahey Health (Burlington, MA)
- …Maintains inventory spreadsheet for ordering purposes of non-Pyxis product 12) Audits daily case equipment and supply utilization sheets to ensure accuracy of ... provide a detailed monthly report on any overage. 3) Review /modify min/max inventory levels. 4) Audits inventory levels not...Reviews inventory cost to budget and works with clinical manager on variances. 7) Acts as contact person for… more
- US Foods (Worcester, MA)
- …through the following: consultative services to aid customers through improved utilization of the fresh categories; SOUS training; conducting product demonstrations ... and menu ideas prioritized for top penetration opportunities to achieve Market/Area case growth objectives for category, as well as, realize Exclusive Brand (EB)… 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 ... appointment were followed and results are available for physician review + Confirms that lab and other ancillary tests...Serves as a liaison with patients, families to physicians, case managers, 3rd party payers, et al. + Reviews,… more