- Evolent Health (Boston, MA)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The ** Coordinator , Intake Utilization Management** at Evolent will serve as a point of ... requirements, and client contractual agreements. **Collaboration Opportunities** : The Coordinator , Intake Utilization Management reports directly to the… more
- OptiMindHealth (Quincy, MA)
- Physician Liaison / Outreach Coordinator Position Requirement: Part-Time FLSA Status: Non-Exempt Location: Quincy, MA Join a leading clinician-led behavioral health ... and efficiency. This position is an entry level Physician Liaison / Outreach Coordinator role. Preferred candidates will possess a B2B Sales background with a strong… more
- Riverside Community Care (Burlington, MA)
- …and managers and outside collaterals + Chair intervention planning meetings and utilization review meetings involving families, DCF workers, DCF managers, and ... Riverside Community Care Love what you do! Service Coordinator - Family Networks Would you like to...represent Riverside Community Care as a Family Networks Service Coordinator on a multi-disciplinary team within the Department of… more
- Dana-Farber Cancer Institute (Boston, MA)
- …and/or donors + Adheres to guidelines and instructions as laid out in the coordinator guide that is applicable to the position (patient, donor, pedi or adult) + ... the assigned patient population to achieve patient safety, flow and the resource utilization goals of the organization + Responsible for ensuring filing or reporting… more
- Sevita (Stoughton, MA)
- …to each person we serve. **Boom Dia Adult Day is looking for a Case Coordinator . This is a M-F dayshift opportunity. Applicants are required to be fluent in Cape ... where you can actively make a difference in people's lives? As Case Coordinator , you will be responsible for providing organizational assistance and program support,… more
- The Home for Little Wanderers (Dorchester, MA)
- …documentation and billing in a timely manner. Ensure that documentation meets utilization review and quality assurance standards. + Attend staff meetings. ... Street located in Dorchester, seeks a Full-Time Mental Health Intensive Care Coordinator to facilitate the development and implementation of an Individual Care Plan… more
- Sunrun (Boston, MA)
- …commitment to diversity, inclusion and belonging. **Overview** The Field Service Coordinator is responsible for coordinating effective execution of field service ... and develop partner or branch relationships including weekly/monthly reviews, utilization and workload management, process updates and identification and resolution… more
- The Home for Little Wanderers (Roslindale, MA)
- …documentation and billing in a timely manner. Ensure that documentation meets utilization review and quality assurance standards. + Attend staff meetings. ... The Hyde Park CSA, located in Roslindale, seeks a Full-Time Intensive Care Coordinator to facilitate the development and implementation of an Individual Care Plan… more
- Spaulding Rehabilitation (Charlestown, MA)
- …Masters degree from an accredited school **Experience** Required * Case management, utilization review , or discharge planning experience in an acute, ... Care Coordinator (LCSW) - ( 3300378 ) **Description** **Summary** Work directly with pediatric patients (and their families) in the outpatient setting who are… more
- The Home for Little Wanderers (Somerville, MA)
- …+ Assign cases to staff and monitor the caseload level. + Maintain the utilization review process. + Ensure quality assurance standards are met with regard ... program, based out of our Somerville offices is looking to secure a Clinical Coordinator to plan and work collaboratively with the Program Director for all program… more
- Triangle Inc. (Malden, MA)
- Position: Human Services Program Coordinator Reports to: Human Services Site Manager Hours: Full-time/Salaried , M-F, 8am-4:30pm Location: Broadway Tria ngle's ... with supported employment sites + Stays abreast on current utilization of employment contracts and adjusts weekly schedules as...+ Assists or prepares documentation for Human Rights Committee review as needed + Knows and adheres to all… more
- Kelly Services (Waltham, MA)
- **Registry Manager / Principle Clinical Research Coordinator ** + Terms: 3-month w-2 contract + Location: US - Remote + Pay Rate: $42.96 - $47.73 Hourly As a Registry ... + Conduct SIV and Remote Site Management and Metric Review visits. + Maintain registry Master File documentation and...in a clinical research setting. + Requires knowledge and utilization of MS Office, Salesforce, REDCap Cloud platforms. +… more
- Highmark Health (Boston, MA)
- …:** **JOB SUMMARY** This job captures all inbound phone inquires for utilization management review from providers and pharmacies. The incumbent assesses ... verifying benefit coverage, creation of a prior authorization case in Highmark's Utilization Management system for Prior Authorization clinical review , status… more
- Highmark Health (Boston, MA)
- …**Job Description :** **JOB SUMMARY** This job captures all inbound requests for utilization review from providers and pharmacies. The incumbent assesses the ... and then creates the case (data entry) in Highmark's utilization management system for clinical review . Ensures all accurate information is entered at the onset… more
- Beth Israel Lahey Health (Beverly, MA)
- …for ICCs include: training in trauma informed care models and training and utilization of the evidence based Wraparound model. The ideal candidate is a team ... community location such as the family's home, school, etc. + Monitor and review progress towards Individual Care Plans (ICPs). + Complete documentation to reflect… more
- Brockton Hospital (Brockton, MA)
- …delays through problem resolution and follow-up. Monitors on-site case managers and utilization review staff to ensure compliance with Signature Healthcare ... management experience Proven experience in coordinating discharge planning and utilization review experience required. Prior management experience required.… more
- Veterans Affairs, Veterans Health Administration (Bedford, MA)
- …by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities VA offers a comprehensive total rewards ... education, orientation, competencies and providing quality improvement and outcomes utilization consultation. Demonstrates leadership in delivering and improving holistic… more
- State of Massachusetts (Boston, MA)
- …as needed to ensure compliance with program rules and regulations. . Conducts review of client files, incident reports, utilization and other program ... other support to Massachusetts communities. *_OVERVIEW OF ROLE:_* The Program Coordinator II, functions as the HomeBASE Specialist assisting family shelter providers… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …through QAPI or other avenues as required. + Participants in the annual competency review and training program, ensuring that the training and performance review ... + Assists Home Care Manager/Residential Nurse manager to monitor utilization and processes for stocking Nursing and health aide...of service. + Assumes the role of Home Care Coordinator as assigned by Home Care Director including: Conducts… more
- The Home for Little Wanderers (Walpole, MA)
- …monitor the caseload level and maintain a small caseload. + Maintain the utilization review process. Ensure quality assurance standards are met regarding ... and training to clinical and milieu staff. Collaborate internally with referral review teams to support the screening and interviewing processes at the above… more