• Manager - Utilization Review

    Beth Israel Lahey Health (Plymouth, MA)
    …you're making a difference in people's lives.** Full Time **Job Description:** ** Utilization Review & Denials management manager - Full Time** **Who We ... and Serve Your Community!** **In your role as a Utilization Review & Denials Management Manager , you will:** + Directs staff performance regarding UR… more
    Beth Israel Lahey Health (04/29/25)
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  • Registered Nurse - Utilization

    Beth Israel Lahey Health (Plymouth, MA)
    …care using Interqual criteria. + Integrates clinical knowledge with billing knowledge to review , evaluate, and appeal clinical denials related to the care ... the denial management, documentation, and appeals process. + Collaborates with UR Manager and/or physician advisor regarding cases that do not meet established… more
    Beth Israel Lahey Health (05/17/25)
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  • Utilization Nurse

    Beth Israel Lahey Health (Plymouth, MA)
    …care using Interqual criteria. + Integrates clinical knowledge with billing knowledge to review , evaluate, and appeal clinical denials related to the care ... the denial management, documentation, and appeals process. + Collaborates with UR Manager and/or physician advisor regarding cases that do not meet established… more
    Beth Israel Lahey Health (06/07/25)
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