- SEAMAN PAPER (Orange, MA)
- …with vendors and contractors, minimizing hazards, working with the plant manager on preparing maintenance budgets and monitoring expenditures. The ideal candidate ... CMMS system. Responsibilities: Plan, schedule, and manage Mechanical Technicians. Through the utilization of the CMMS system, maintain proper records on all major… more
- Commonwealth Care Alliance (Boston, MA)
- …services, procedures, and facilities under the provisions of CCA's benefits plan. The Manager , Utilization Management is responsible for overseeing and ... of service decisions and organizational determinations. Essential Duties & Responsibilities: The Manager , Utilization Management reports to the Director of… more
- Beth Israel Lahey Health (Plymouth, MA)
- …a job, you're making a difference in people's lives.** Full Time **Job Description:** ** Utilization Review & Denials management manager - Full Time** **Who ... of Experts and Serve Your Community!** **In your role as a Utilization Review & Denials Management Manager , you will:** + Directs staff performance regarding… more
- Commonwealth Care Alliance (Boston, MA)
- 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management , the Nurse Utilization Management (UM) ... authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role...accurate documentation of clinical decisions and works with UM Manager to ensure consistency in applying policy + Works… more
- Beth Israel Lahey Health (Plymouth, MA)
- …its **Care Transitions Department** and seeking an experienced ** Manager of Utilization Review & Denials Management ** and ** Utilization Review** ... CCM, ACM, or other case management certification preferred or in progress ** Manager - Utilization Review & Denials Management ** This role is ideal for a … more
- Elevance Health (Woburn, MA)
- ** Utilization Management Medical Director- NC Medicaid** Location: This role enables associates to work virtually full-time, with the exception of required ... be considered. The **Medical Director** will be responsible for utilization review case management for North Carolina...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Beth Israel Lahey Health (Plymouth, MA)
- …years recent, broad clinical experience in the hospital setting + Experience with utilization management within the last 3 years required + An understanding ... + Collaborates with the multidisciplinary team to assess and improve the denial management , documentation, and appeals process. + Collaborates with UR Manager … more
- Beth Israel Lahey Health (Plymouth, MA)
- …years recent, broad clinical experience in the hospital setting + Experience with utilization management within the last 3 years required + An understanding ... + Collaborates with the multidisciplinary team to assess and improve the denial management , documentation, and appeals process. + Collaborates with UR Manager … more
- Point32Health (MA)
- …Care. The Clinical Manager will also work closely with the SCO management team to monitor Utilization metrics specifically related to Acute/SNF admission and ... Under the administrative direction of the Director of Care Management / Senior Manager , the SCO Clinical ...Manager will also work closely with the SCO management team to monitor Utilization metrics specifically… more
- Cambridge Health Alliance (Somerville, MA)
- RN Case Manager - Inpatient Case Management SH **Requisition Number:** 10421 **Location:** CHA Somerville Campus **Work Days:** Mon-Fri; 8:00-4:30, rotating ... insurance as needed. Summary: Under the general supervision of the Director of Care Management , the RN Case Manager provides clinically-based case management … more
- Beth Israel Lahey Health (Plymouth, MA)
- …patient care status. This role is structured around four major functions + Utilization Management + Care Coordination + Discharge Planning + Preventing ... 3) Decreasing unit cost, 4) reducing readmissions. **Duties/Responsibilities:** **A. Utilization Management ** Performs review of anticipated admissions utilizing… more
- ServiceNow, Inc. (Waltham, MA)
- …with GenAI & CRM leaders, PEx leaders, STEP and CEG resource management leaders to assess resource needs, develop strategic plans, and allocate resources ... resource needs for pipeline and upcoming projects **Resource Allocation, Scheduling, Management ** + Allocate and schedule resources based on project requirements and… more
- Iron Mountain (Boston, MA)
- …welcome your unique contributions? If so, let's start the conversation. **Senior Manager , Application Governance & Asset Management ** This role is responsible ... utilization , software license optimization, and efficient procurement. **Risk Management :** Working with Information Security and EIT Risk in identifying and… more
- Massachusetts Port Authority (East Boston, MA)
- Senior Manager , Asset Management Print (https://www.governmentjobs.com/careers/massport/jobs/newprint/5070438) Apply Senior Manager , Asset Management ... industry with innovative practices. ABOUT YOU As a Senior Manager Asset Management , you lead with a...dynamic, organization-wide training and audit program to maximize the utilization and effectiveness of the asset management … more
- Cambridge Health Alliance (Somerville, MA)
- RN Case Manager - Inpatient Case Management SH **Requisition Number:** 10379 **Location:** CHA Somerville Campus **Work Days:** Mon-Fri; 8:00-4:30, rotating ... Under the general supervision of the Director of Care Management , the RN Case Manager provides clinically-based...members of the health care team to identify appropriate utilization of resources and to ensure reimbursement. Utilize criteria… more
- Cambridge Health Alliance (Everett, MA)
- RN Case Manager - Inpatient Case Management Everett **Requisition Number:** 8001 **Location:** CHA Everett Hospital **Work Days:** 8-4:30pm including weekend ... Under the general supervision of the Director of Care Management , the RN Case Manager provides clinically-based...members of the health care team to identify appropriate utilization of resources and to ensure reimbursement. Utilize criteria… more
- Beth Israel Lahey Health (Cambridge, MA)
- …Inpatient criteria approved by the MACIPA (risk) and MAH (non-risk) Utilization Management Committees to accurately determine appropriateness for inpatient ... 2. Three years of medical/surgical nursing care experience. Two years of case management or utilization management experience required. 3. Basic computer… more
- Baystate Health (Springfield, MA)
- …management as outlined in the evidence based practice guidelines + Uses Utilization Analysis / Management principles, insures that patient's site of care ... **RN, Patient Placement Bed Manager - Per Diem** **Evenings and Nights 8 or...system based on clinical relevance, with integration of care management skills to support organizational fiscal goals. Supports the… more
- Humana (Boston, MA)
- …our caring community and help us put health first** The Print Project Manager is responsible for overseeing the efficient operation and continuous improvement of the ... issues to ensure optimal performance of print services. The Print Project Manager collaborates with stakeholders across the organization to drive process efficacy… more
- State of Massachusetts (Boston, MA)
- …appropriate to inform the Division's various audiences. The Director of Pharmacy Benefit Manager Oversight is a senior management level position that reports to ... Division of Insurance values inclusiveness and diversity within their employee and management teams. Within our community we strive to create and maintain working… more
