- Beth Israel Lahey Health (Boston, MA)
- …a difference in people's lives.** The Clinical Documentation Improvement (CDI) Specialist Registered Nurse ( RN ) assists with the appropriate ... Risk of Morality (ROM), during an inpatient hospitalization. CDI Specialist RN initiates concurrent queries to providers...of acute care clinical experience. + Certified Clinical Documentation Specialist (CCDS) or… more
- Brockton Hospital (Brockton, MA)
- …from Commonwealth of Massachusetts to practice as a Registered Nurse Experience: Minimum of five years clinical experience required. Software/Hardware: ... electronic health record required + Ability to evaluate the quality of clinical documentation to spot incomplete or inconsistent documentation for in-patient… more
- Cognizant (Boston, MA)
- …to be considered** . Educational background - Registered Nurse ( RN ) . 2-3 years combined clinical and/or utilization management experience with managed ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...the Health Plan/Medical Director based on the review of clinical documentation in accordance with Medicare, Medicaid,… more
- State of Massachusetts (Boston, MA)
- …Executive Office of Aging and Independence (AGE) is seeking a highly motivated* Registered Nurse *to join our Assisted Living Residence (ALR) Certification Unit. ... This role offers a unique opportunity to apply clinical expertise in support of older adults who wish...the day-to-day operation of an Assisted Living Residence. The Registered Nurse will play a vital role… more
- Molina Healthcare (Plymouth, MA)
- … quality investigations, preferably in a managed care setting, or equivalent experience * Registered Nurse . License must be active and unrestricted in state of ... JOB DESCRIPTION Job Summary Provides senior level clinical support to quality team - contributing to...care and critical incident cases; review of medical record documentation for credentialing and model of care oversight; and… more
- Dana-Farber Cancer Institute (Boston, MA)
- …network with other nursing informatics professionals. + Other duties as assigned. + Registered nurse with 3 years of experience in healthcare required, oncology ... The Nursing Informatics Specialist is a member of the Nursing and...and Epic Operations teams and is responsible to ensure clinical information system implementations are consistent with Dana-Farber Cancer… more
- Molina Healthcare (Plymouth, MA)
- **Job Description** **Job Summary** The Specialist , Member & Community Interventions implements new and existing clinical quality member intervention initiatives ... of department interventions + Creates, manages, and/or compiles the required documentation to maintain critical program milestones, deadlines, and/or deliverables +… more
- Commonwealth Care Alliance (Boston, MA)
- …Analyst will be responsible for developing prospective claims auditing and clinical coding and reimbursement edits and necessary coding configuration requirements ... Responsibilities:** + Develop enhanced, customized prospective claims auditing and clinical coding and reimbursement policies and necessary coding configuration… more
- Dana-Farber Cancer Institute (Boston, MA)
- …multiple clinical platforms using diverse computer systems following proscribed documentation and checklists. Requiring an ability to learn and work within ... and pediatric patient and resource scheduling for high complexity, high risk clinical services supporting hematopoietic stem cell transplant patients and donors, and… more
- Commonwealth Care Alliance (Boston, MA)
- …needs, goals, and preferences. The Community Health Worker is knowledgeable of clinical care, health systems, and social drivers of health, and ensures that ... and social needs. + CHWs ensure appropriate, comprehensive, and timely documentation of all contacts, outreaches, assessments, and interventions in the Centralized… more