- 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
- Children's Hospital Boston (Boston, MA)
- 80451BRJob Posting Title:Per Diem RN Case Manager , Utilization Management /ReviewDepartment:Patient Services-Patient Care ... + Experience as a Case Manager (Discharge Planning and or Utilization Management ) preferred. Licensure/ Certifications: + Current Massachusetts license as a… 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
- Children's Hospital Boston (Boston, MA)
- …+ Experience as a Case Manager (Discharge Planning and or Utilization Management ) preferred. Licensure/ Certifications: + Current Massachusetts license as a ... the concurrent review process for acute psychiatric care + Possessing experience in Utilization Management / Utilization Review + Demonstrating the ability to… more
- US Tech Solutions (Canton, MA)
- …all aspects of clinical decision making and support needed to perform utilization management , medical necessity determinations and benefit determinations using ... criteria through participation in the IMPAC. + Proactively identifies trends in Utilization Management applicable to the precertification and outpatient UM… more
- Performance Food Group (Whitinsville, MA)
- …Coordinates pick planning in conjunction with the Warehouse Manager . + Utilization of Company's warehouse management system and other technologies available ... candidate should possess:** + Strong knowledge of warehouse procedures, inventory management , and material handling equipment. + Experience with inventory … more
- Milford Regional Medical Center (Milford, MA)
- …Social Workers, Care Coordination Assistant, Post Hospital Transition Navigator, and Utilization Management functions. The MCM coordinates and facilitates the ... community with dignity, compassion and respect. Statement of Purpose: The Manager of Care Management (MCM) leads and directs all care management activities,… more
- Motion Recruitment Partners (Providence, RI)
- Sr. Mission Manager **Remote Only** Contract to Hire $70/hr - $100/hr **TG Federal is actively seeking a Sr. Mission Manager to join our remote team of ... Cybersecurity professionals.** **Summary:** The Sr. Mission Manager is a hybrid leadership role that combines the...operations team. + Track, manage, and report on labor utilization , forecasting, and burn rates to ensure alignment with… more
- Staples (Framingham, MA)
- …exceed P&L/budgets requirements + Optimize transportation spend through the strategic selection/ utilization of "best in class" carriers + Develop with support of ... of DOT mandated rules and regulations + Partner with Legal and Risk Management to address and mitigate business risk/ issues + Define project objectives, scope… more
- Molina Healthcare (Worcester, MA)
- …performing one or more of the following activities: care review/ utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.), ... of illness and the site of service. **KNOWLEDGE/SKILLS/ABILITIES** The Manager , Healthcare Services provides operational management and...years in one or more of the following areas: utilization management , case management , care… more
- Beth Israel Lahey Health (Boston, MA)
- …Center. Compile and evaluate requests and make recommendations on efficient space utilization in the Medical Center. Investigate and recommend the purchase and ... transition to a new space management / asset management software. Supervise and provide...system. Coordinate, analyze and report on space needs and utilization . Perform in-depth analysis, test fit scenarios, and develop… more
- Grifols Shared Services North America, Inc (Boston, MA)
- …specified "Account List" of Health Systems designed to increase the adoption and utilization of the Grifols Bleeding Management product portfolio. The KAM's ... role in the successful launch of a new Bleeding Management product within the Grifols Biopharma portfolio. The KAM...provide any necessary support to the responsible National Account Manager (NAM) in the execution of the contracting process… more
- Aveanna Healthcare (Worcester, MA)
- … + Driving EVV Utilization + Driving Electronic documentation (EMR) utilization + Compliance tracking + Unemployment claim management + Worker compensation ... Home Health Branch Manager ApplyRefer a FriendBack Job Details Requisition #:...Details Requisition #: 205607 Location: Worcester, MA 01606 Category: Management Salary: $60,000.00 per year Position Details FIND YOURSELF… more
- Charter Care Health Partners (North Providence, RI)
- …of a specific patient population. Performs functions related to Patient Advocacy; Utilization Review; Resource Management ; Continuum of Care Management ... (Discharge planning) and Clinical Documentation Management . Collects data via utilization with Care Port to enhance the quality and cost effectiveness of patient… more
- Savers | Value Village (Worcester, MA)
- **Job Title: Store Manager ** **Who we are:** As one of the largest for-profit thrift operators in the United States, Canada and Australia for value priced pre-owned ... peace of mind. + Programs to stop smoking, diabetes management coaching, and on demand care options. + A...a constant focus on growing the business through full utilization of every OK, followed by increasing OK volume… more
- ZOLL Medical Corporation (Providence, RI)
- …and sales support responsibilities. The ATM will work collaboratively with Territory Manager (s) to support sales activities and territory management tasks that ... and conferences, enabling prescribing entities to become self-sufficient through enrollment and utilization of ZOLL Patient Management (ZPM), with an added focus… more
- Highmark Health (Providence, RI)
- …Inc. **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health ... industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable...is part of the compact **Preferred** + Certification in Utilization Management or a related field **SKILLS**… more
- Brightstar Lottery (West Greenwich, RI)
- Software Engineering Manager (Dev) Location: West Greenwich, RI, US, 02817 Requisition ID: 17286 Brightstar is an innovative, forward-thinking global leader in ... in Rhode Island, United States, is looking for a manager with at least 5 years of experience on...reliable tactical decisions with minimal intervention from more senior management . Makes recommendations on strategic issues. Typically manages a… more
- Federal Home Loan Bank of Boston (Boston, MA)
- …Summary This is a newly created position at the Bank. The Project Portfolio Manager will lead our project management team and oversee the project managers ... on project risk. . Resource Management o Collaborate with Bank Technology management to optimize resource utilization across the project portfolio and the… more
- Colliers Engineering & Design (Boston, MA)
- … to lead our Civil/Site team in Boston, MA! The Senior Project Manager is responsible for the professional, technical, management , marketing, administrative and ... of work and the sharing of resources within the discipline, maximizing staff utilization . Reviews staff utilization regularly and promptly addresses staff not… more