- 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
- Milford Regional Medical Center (Milford, MA)
- …of 1 year Nurse Case Management experience Minimum of 1 year Utilization Review Nurse Experience including solid working knowledge with InterQual criteria ... to our community with dignity, compassion, and respect. Statement of Purpose: The Utilization Review Nurse is responsible for utilization management at… more
- Intermountain Health (Boston, MA)
- …and ad hoc education in conjunction with System Physician Advisor. + Work with System Utilization Review Manager and others to adjust UR workflow to reflect ... as assigned. Physician shall work in partnership with the utilization review committee to ensure procedures are...serve as an expert and local resource to hospital Case Management Department and Medical Staff on issues relating… more
- Commonwealth Care Alliance (Boston, MA)
- …UM team. + Participates in Team meetings for case review , workflow review and other relevant business related to utilization review process. + Works ... Important to Us:** Supervisor & The Team Leader reports to the UM Manager . The Team Leader provides management,oversight and mentorship to team members and ensures… more
- Amergis (South Weymouth, MA)
- **PLEASE ONLY APPLY IF YOU ARE A REGISTERED NURSE** CASE MANAGER RN Location: Weymouth, MA Duration: 13 weeks Start Date: 7/22 Hours: 40 hours/week Shifts: Day ... M-F, every other weekend rotation Requirements: + 2+ years Case Manager RN experience + Must have...for psychosocial needs + Participates in Quality Assurance and Utilization Review activities, as directed + Empowers… 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
- 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
- Brockton Hospital (Brockton, MA)
- …readmissions, improve HCAHPS, drive positive discharge outcomes and reduce LOS, and review ER utilization using proactive approaches to any barriers. The ... with the Manager of Care Coordination (or other designee) to review caseload and discuss barriers/challenges and review performance compared to current… more
- Sedgwick (Boston, MA)
- …**PRIMARY PURPOSE** : To ensure efficient, cost effective, and high quality delivery of case management and utilization review services to clients by ... to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Clinical Manager **This manager will have to be...at client locations; to provide expertise in client specific case management and utilization review … 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
- Tufts Medicine (Burlington, MA)
- …issues and other assigned subjects. 4.Provides timely and effective consultation to case management/ utilization review team members, including assessment of ... on quality, ethical, regulatory, and/or financial topics related to patient care, utilization management/ review , case management, and revenue cycle… more
- Sedgwick (Boston, MA)
- …claims requiring extensive skills/experience; and to interact with expense bill reviewers, utilization review nurses, and claims staff to resolve problems and/or ... work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Bill Review Team Lead **PRIMARY PURPOSE** : To supervise expense bill reviewers in… more
- J&J Family of Companies (Boston, MA)
- Regional Sales Manager - Northeast, MONARCH - 2406195279W **Description** MONARCH, within the Johnson & Johnson Family of Companies, is recruiting for a **Regional ... Sales Manager ** for the Northeast territory. This is a field...clinical success. This includes procedure sales support, and driving utilization for all Monarch Surgical Technologies. The RSM will… more
- Beth Israel Lahey Health (Cambridge, MA)
- …a job, you're making a difference in people's lives.** The Supply Chain Manager for Perioperative Services and Procedural Areas reports to the Director of Supply ... contract management, standardization and consolidation processes, inventory flow and management and utilization analysis of the OR, GI and Cath Lab supply inventory.… more
- DuPont (Marlborough, MA)
- …- Provide marketing support to product stewardship team for periodic product risk review . **Interaction:** Product Manager will interact on a frequent basis with ... the DuPont Electronics & Industrial Business has a Product Manager opening in Marlborough, MA. As Product manager...- Establish costing models for new product introductions. - Review / approve sample requests in appropriate database. Follow… more
- The Home for Little Wanderers (Somerville, MA)
- …documentation, and billing in a timely manner. Ensure that documentation meets utilization review and quality assurance standards. + Continuously communicate ... This may include extensive telephone contact and scheduling and attending case conference meetings. Facilitate communication between various providers. + Plan,… more
- Deloitte (Boston, MA)
- …phrases like "global effective tax rate reduction" and "efficient global cash utilization " peak your interest? Do you enjoy providing international compliance and ... a career in Deloitte's International Tax Services practice. What You'll Do As a Manager , you will work within an engagement team and draw on experience in accounting… 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 ... Conditions** Office **Job Description** **Protective Services Investigator and Risk Management Senior Manager ** **Based in Waltham, MA** When you are part of the… 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