- UMass Memorial Health (Worcester, MA)
- …criteria. 2. Performs admission and concurrent reviews as assigned. Performs inpatient reviews in accordance with payer requirements utilizing clinical criteria ... sets. Meets with 3rd party case managers to discuss cases and assures timely communication of relevant clinical information to third party payers as required. Educates practitioners on the level of care and documentation requirements. 3. Collaboratively… more
- Veterans Affairs, Veterans Health Administration (Bedford, MA)
- Summary Registered Nurse- Inpatient CLC positions at the Bedford Healthcare System. This position is full-time 40 hours per week. This is an open continuous ... culture. The CLC RN collaborates with the Minimum Date Set (MDS) coordinator to ensure documentation is accurate and reflective of the Resource Utilization… more
- Fallon Health (Worcester, MA)
- …PACE- in the region. **Brief summary of purpose** The Transitions of Care Coordinator uses a multidisciplinary approach to ensure that SE participant transitions of ... care to and from inpatient facilities are appropriate, timely, and successful. In collaboration...facilities * Conduct concurrent and retrospective utilization review for inpatient , observation or SNF services * Recognizes, identifies, and… more
- State of Massachusetts (Worcester, MA)
- …standards. * Supervises social work graduate students as assigned by the Coordinator of the Internship program/Director of Social Work. * Attends and participates ... and culturally competent mental health services. It provides intermediate and long-term inpatient care for individuals with serious and persistent mental illness who… more
- Fallon Health (Leominster, MA)
- …of participants in the most appropriate setting including the PACE clinic, inpatient facilites or participants' homes. + Participate in committees and work teams ... the Medical Director. + Work in partnership with the PACE transitional care coordinator to support achievement of quality and utilization goals. + Develop effective… more
