- Beth Israel Lahey Health (Burlington, MA)
- …Hours:** 40 **Work Shift:** Day (United States of America) Joint role of Case Manager and Utilization Review Nurse Hospital at Home Full Time Days ... 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
- Commonwealth Care Alliance (Boston, MA)
- …member needs are consistently met + Manage panel-wide and member-specific utilization trends. + Liaise with CCA and community-based PCPs/specialists + Collaborate ... / MI only: Reviews approved authorizations to assess appropriate utilization , based on members' needs + Actively participate in...including telephonic based setting, home health or acute care case management. + BH: LCSW/ /LMFT with 3-5 years… more
- Sevita (Lawrence, MA)
- …receipt from accounting staff; identify any discrepancies to accounting staff + Coordinate utilization with the Case Manager relative to program ... trained to provide individual assistance to each person we serve. Program Services Case Coordinator- Spanish Speaking Do you enjoy working in a medical/rehab setting… more
- South Middlesex Opportunity Council (Lowell, MA)
- …for all assigned properties as detailed below. Working closely with an assigned Case Manager to ensure that all property, municipal, regulatory and contractual ... inspections as required. + Attend regularly scheduled property performance review and status meetings. Develop and implement strategies to...in Hosing Court as needed. + Assist the assigned Case Manager as needed, to qualify potential… 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.… more
- Marriott (Boston, MA)
- …with Claims department regarding case management. + Collaborate with UNM on utilization review issues. + Refer catastrophic cases in coordination with claims ... from case management to meet jurisdictional needs. ** Utilization Review ** + Provide initial clinical ...nurse + Certification as an occupational health nurse and/or case manager (or, progress toward same) required… more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** The instED Marketing Specialist Manager will be responsible for building and growing our brand with customers and prospects as ... well as maximizing the utilization of instED's in-home urgent care services by our...members, and providers). To achieve this the Marketing Specialist Manager will be responsible for all external communication and… more
- BAE Systems (Nashua, NH)
- …team, within the Electronic Combat Solutions (ECS) Business Area as a Project Finance Manager I. This role is responsible for the Paragon and Khan program families ... continuous improvement mindset amongst the team + Ensure adequate staffing levels and utilization to support program needs + Ensure the delivery of the financial… more
- ThermoFisher Scientific (Waltham, MA)
- …teams, identifying security gaps, and tracking implementation of mitigating actions. + Utilization of security case management system to supervise and maintain ... **Job Description** **Protective Services Investigator and Risk Management Senior Manager ** **Based in Waltham, MA** When you are part of the team at Thermo Fisher… more
- Beth Israel Lahey Health (Burlington, MA)
- …Maintains inventory spreadsheet for ordering purposes of non-Pyxis product 13) Audits daily case equipment and supply utilization sheets to ensure accuracy of ... Supply Chain Coordinator Under general supervision of the Perioperative Logistics Manager , and in conjunction with the appropriate clinical personnel, (ie department… more
- Triangle Inc. (Malden, MA)
- …+ Manages caseload of DDS, MRC, and private pay clients + Consults with Site Manager and staff to ensure consistent case management practices are followed. + ... Position: Human Services Program Coordinator Reports to: Human Services Site Manager Hours: Full-time/Salaried , M-F, 8am-4:30pm Location: Broadway Tria ngle's… more
- Tufts Medicine (Boston, MA)
- …etc.) 9. Monitors active hospital holds working collaboratively with respective liaison and case manager to ensure best transition of care. 10. Partners with ... 3. Promotes decreased lengths of hospital stays when appropriate with hospital case management transitions of care planning individualized to the patient. 4. Assures… more
- State of Massachusetts (Boston, MA)
- …staff and families experiencing homelessness. The incumbent supports the Rapid Re-Housing Manager and the Affordable Housing and Subsidy Resource Manager to ... best practices for shelter staff. *_6) Coordinating:_* . Supports the Rapid Re-Housing Manager and Affordable Housing and Subsidy Resource Manager with the… more
- J&J Family of Companies (Boston, MA)
- …account development activities creating competent, confident clinical champions to drive the utilization of Monarch systems and scopes. + In- case procedural ... Core Job Responsibilities: + The Clinical Specialist reports to the Regional Sales Manager (RSM) and is responsible for providing a high level of clinical and… 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
- WTW (Boston, MA)
- …of response and report any issues or impact to timeline proactively to Project Manager + Complete initial review of carrier responses for parity projects + ... Health analytics experience preferred + Understanding of health plan utilization / case management processes, network management, credentialing, quality… more
- CenterWell (Boston, MA)
- …+ Monitor the following key functions: + Program evaluation + Risk Management + Utilization Review + Patient Care Evaluation + Policies and procedures + Human ... and keep records of criteria for admission to service, case assignments, and case management. + Represent...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
- Beth Israel Lahey Health (Cambridge, MA)
- …policies and procedures of scheduling; eg, blocked time and length of procedures, including case setup and turnaround time. 4. Consults with the nurse manager ... surgery departments under the guidance of the director, nurse manager , and Information Systems. Maintains accuracy of data elements...with surgeons' office staff to assist with maximum software utilization . 17. Backs up data from computer to disc… 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 . + 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
- 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