• Boston Children's Hospital (Boston, MA)
    …or MA PA license with PNP or FNP certification * Willingness to pursue certification as a Transplant Coordinator .* BLS and PALS certification required ... Team caring for patients with cardiomyopathy, heart failure, and pre -and post-transplant.Key Responsibilities* Partner with Physicians, Nurse Practitioners, staff… more
    Talent (10/10/25)
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  • Pre - Certification

    Tufts Medicine (Stoneham, MA)
    …review and resolution. 8. Collaborates with Financial Coordination and Pre -Registration colleagues regarding patients with identified financial risk concerns for ... resolution prior to services being rendered. 9. Obtains all applicable clinical documentation when required by insurance payers for elective services and submits information to payers within a timely and secured manner. 10. Closely follows case statuses and… more
    Tufts Medicine (09/30/25)
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  • Waiver Program Coordinator - Metro

    State of Massachusetts (Boston, MA)
    …is seeking a dynamic individual to fill the role of Waiver Program Coordinator . The selected candidate is responsible for needs assessment, service plan development, ... service authorization activities, and implementation and monitoring of individualized service...as well as for MFP Demonstration participants. Waiver Program Coordinator engage in outreach as assigned to ensure that… more
    State of Massachusetts (10/03/25)
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  • Intake Coordinator

    BrightSpring Health Services (Hudson, MA)
    …Medicaid and commercial insurance companies + Knowledge of insurance verification and pre - certification procedures + Understands the scope of services that ... home Infusion therapy. We are looking for an Intake Coordinator to join our Intake team as we grow...complete + Enters patient demographic, clinical, and insurance and authorization information into the computer system + Coordinates with… more
    BrightSpring Health Services (09/09/25)
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  • Complaint Unit Intake Coordinator

    State of Massachusetts (Marlborough, MA)
    …regarding regulatory inspection and investigation activities. The Complaint Unit Intake Coordinator will also process and maintain database updates relative to ... Liaison with Centers for Medicare and Medicaid Services- Boston to obtain authorization to conduct onsite investigations for all deemed providers. *_Duties and… more
    State of Massachusetts (10/08/25)
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  • DMH Child Youth and Family Case Manager - Human…

    State of Massachusetts (Quincy, MA)
    …to eligible individuals and families who meet the clinical criteria for service authorization . In addition, we serve as the Mental Health Authority in the Southeast ... accordance with the Human Resources Division's Hiring Guidelines. Education and license/ certification information provided by the selected candidate(s) is subject to… more
    State of Massachusetts (09/20/25)
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  • Managed Care Coordinator

    Beth Israel Lahey Health (Westwood, MA)
    …appropriate, coordinates referrals with hospital's discharge planner and registration and pre - certification admitting department as required by the insurance ... record, and attach primary and/or specialty care managed care referral and authorization requests for multiple managed care insurance payers for a high volume… more
    Beth Israel Lahey Health (09/28/25)
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  • Case Manager Supervisor with DMH Children, Youth,…

    State of Massachusetts (Boston, MA)
    …is seeking an organized and dynamic individual for the position of Human Services Coordinator II (CYF Case Manager Supervisor) to join our Metro Boston Child, Youth, ... in the community. * Facilitates transition of new cases from service authorization to DMH services by completing referrals, and other necessary documentation and… more
    State of Massachusetts (10/10/25)
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  • Nurse Practitioner or PA, Advanced Cardiac…

    Children's Hospital Boston (Boston, MA)
    …or MA PA license with PNP or FNP certification * Willingness to pursue certification as a Transplant Coordinator . * BLS and PALS certification required ... (ACT) Team caring for patients with cardiomyopathy, heart failure, and pre -and post-transplant. Key Responsibilities * Partner with Physicians, Nurse Practitioners,… more
    Children's Hospital Boston (09/17/25)
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