- Evolent Health (Providence, RI)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The ** Coordinator , Intake Utilization Management** at Evolent will serve as a point of ... requirements, and client contractual agreements. **Collaboration Opportunities** : The Coordinator , Intake Utilization Management reports directly to the… more
- Highmark Health (Providence, RI)
- …:** **JOB SUMMARY** This job captures all inbound phone inquires for utilization management review from providers and pharmacies. The incumbent assesses the verbal ... request, critically thinks through the inquirer's concerns which may require research to fulfill the call, such as verifying benefit coverage, creation of a prior authorization case in Highmark's Utilization Management system for Prior Authorization clinical… more
- Highmark Health (Providence, RI)
- …:** **JOB SUMMARY** This job captures all inbound requests for utilization review from providers and pharmacies. The incumbent assesses the request, conducts all ... necessary research such as verifying benefit coverage for the patient, and then creates the case (data entry) in Highmark's utilization management system for clinical review. Ensures all accurate information is entered at the onset of the process to ensure… more
- GovCIO (Providence, RI)
- **Overview** GovCIO seeks a Program Coordinator for the Health Services Portfolio Intake Team at the Department of Veterans Affairs (VA). The Program ... Coordinator will support the HSP Intake Program Manager and team. This role involves identifying and streamlining improvements, supporting change management… more
- Family Service Association - Fall River (Fall River, MA)
- …Monday through Friday, 8:00 am - 5:00 pm This is an Outreach Care Coordinator position in our Long Term Services and Supports (LTSS) Community Partners (CP) program. ... The Long Term Services and Supports (LTSS) Community Partners (CP) Outreach Care Coordinator is responsible for making initial contact with hard to reach members and… more
- State of Massachusetts (Taunton, MA)
- …and licensed Psychologist to fill the role of the Regional Clinical Coordinator - Southeast Region. The selected candidate will develop and oversee the psychological ... team, and provide interagency consultation and planning. The Regional Clinical Coordinator receives clinical supervision from the Agency's Director of Clinical… more
- Advocates (Whitinsville, MA)
- …to community resources as identified. 3. Work collaboratively with Program Coordinator or other designated clinical staff to interpret assessment findings, develop ... in accordance with program. Review efforts on a weekly basis with Program Coordinator or other designated clinical staff. 8. Complete all documentation, file notes,… more
- Veterans Affairs, Veterans Health Administration (Providence, RI)
- …history and physical examinations to include mental status examinations, intake assessments, substance use disorders assessments, and suicide risk evaluations. ... ineligible to apply for incentive. Contact ###@va.gov, the EDRP Coordinator for questions/assistance Pay: Competitive salary, annual performance bonus, regular… more
- BrightSpring Health Services (East Providence, RI)
- …our growing network of branches and healthcare professionals. The Nursing Coordinator /scheduler has primary responsibility for scheduling new nursing and ongoing ... Understands which insurance companies have active contracts with Amerita. + Collaborates with Intake and Pharmacy team to schedule visits on new and ongoing nurse… more
- The Home for Little Wanderers (Walpole, MA)
- …a Difference** + Assist the Director of Clinical Services in overseeing the intake and discharge process and ensure all appropriate paperwork and all data entry ... to key team members such as Clinicians, Clinical Coordinators and Permanency Coordinator . Ensure regular feedback and guidance is provided for employee development… more