- Beth Israel Lahey Health (Burlington, MA)
- …Hours:** 40 **Work Shift:** Day (United States of America) Joint role of Case Manager and Utilization Review Nurse Hospital at Home Full Time Days ... Manager for Hospital at Home Care Transitions coordinates utilization review , discharge planning and monitors quality...Case Manager experience as well as Utilization Review experience ( review medical… more
- Milford Regional Medical Center (Milford, MA)
- …of 1 year Nurse Case Management experience Minimum of 1 year Utilization Review Nurse Experience including solid working knowledge with InterQual criteria ... to our community with dignity, compassion, and respect. Statement of Purpose: The Utilization Review Nurse is responsible for utilization management at… more
- Amergis (South Weymouth, MA)
- …Paul Antkowiak Amergis Healthcare Staffing ###@AMERGIS.COM ### - text preferred The RN Case Manager is responsible for coordinating continuum of care activities ... and referrals for psychosocial needs + Participates in Quality Assurance and Utilization Review activities, as directed + Empowers patients in decision-making… more
- Brockton Hospital (Brockton, MA)
- …accepted criteria and guidelines to conduct review of inpatient admissions. The Case Manager at Brockton Hospital serves as the primary liaison between ... of five years clinical experience in an acute care facility required. Prior experience in case management, utilization review or discharge planning required. more
- Commonwealth Care Alliance (Boston, MA)
- …member needs are consistently met + Manage panel-wide and member-specific utilization trends. + Liaise with CCA and community-based PCPs/specialists + Collaborate ... / MI only: Reviews approved authorizations to assess appropriate utilization , based on members' needs + Actively participate in...including telephonic based setting, home health or acute care case management. + BH: LCSW/ /LMFT with 3-5 years… more
- Brockton Hospital (Brockton, MA)
- …outcome. RN with current Mass License. Previous experience in Utilization Management/Quality Assurance/ Case Management. Recent Medical Surgical experience ... Provides case management to managed care members across the...and rehabilitation). Performs on site/telephonic pre-admission, concurrent and retrospective review of all inpatient admissions. Collaborates with the primary… more
- Milford Regional Medical Center (Milford, MA)
- …with other members of the healthcare team, the Point of Entry/Emergency Department Case Manager (POE/ED CM) is accountable for coordination and facilitation of ... with knowledge of current medical care technology and ancillary supports. Previous utilization review experience preferred Must be assertive with excellent… more
- Sevita (Lawrence, MA)
- …receipt from accounting staff; identify any discrepancies to accounting staff + Coordinate utilization with the Case Manager relative to program ... trained to provide individual assistance to each person we serve. Program Services Case Coordinator- Spanish Speaking Do you enjoy working in a medical/rehab setting… more
- South Middlesex Opportunity Council (Lowell, MA)
- …for all assigned properties as detailed below. Working closely with an assigned Case Manager to ensure that all property, municipal, regulatory and contractual ... inspections as required. + Attend regularly scheduled property performance review and status meetings. Develop and implement strategies to...in Hosing Court as needed. + Assist the assigned Case Manager as needed, to qualify potential… more
- Brockton Hospital (Brockton, MA)
- …readmissions, improve HCAHPS, drive positive discharge outcomes and reduce LOS, and review ER utilization using proactive approaches to any barriers. The ... with the Manager of Care Coordination (or other designee) to review caseload and discuss barriers/challenges and review performance compared to current… more
- Beth Israel Lahey Health (Wakefield, MA)
- …engagement in healthy behavior. Working with the healthcare team, the Care Manager , RN monitors appropriate utilization of healthcare resources, promotes quality ... disability. The Care Manager , RN upholds the current standards of professional case management practice, and reports to the Manager of Care Management.… more
- Marriott (Boston, MA)
- …with Claims department regarding case management. + Collaborate with UNM on utilization review issues. + Refer catastrophic cases in coordination with claims ... from case management to meet jurisdictional needs. ** Utilization Review ** + Provide initial clinical ...nurse + Certification as an occupational health nurse and/or case manager (or, progress toward same) required… more
- The Home for Little Wanderers (Somerville, MA)
- …documentation, and billing in a timely manner. Ensure that documentation meets utilization review and quality assurance standards. + Continuously communicate ... Program located in Somerville, MA is seeking a House Manager to join their team to manage a 24/7...individual and family based therapeutic services, crisis intervention and case management as well as cleaning, maintenance, and daily… more
- ThermoFisher Scientific (Waltham, MA)
- …teams, identifying security gaps, and tracking implementation of mitigating actions. + Utilization of security case management system to supervise and maintain ... **Job Description** **Protective Services Investigator and Risk Management Senior Manager ** **Based in Waltham, MA** When you are part of the team at Thermo Fisher… more
- Beth Israel Lahey Health (Burlington, MA)
- …Maintains inventory spreadsheet for ordering purposes of non-Pyxis product 13) Audits daily case equipment and supply utilization sheets to ensure accuracy of ... Supply Chain Coordinator Under general supervision of the Perioperative Logistics Manager , and in conjunction with the appropriate clinical personnel, (ie department… more
- Triangle Inc. (Malden, MA)
- …+ Manages caseload of DDS, MRC, and private pay clients + Consults with Site Manager and staff to ensure consistent case management practices are followed. + ... 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… more
- Tufts Medicine (Boston, MA)
- …etc.) 9. Monitors active hospital holds working collaboratively with respective liaison and case manager to ensure best transition of care. 10. Partners with ... 3. Promotes decreased lengths of hospital stays when appropriate with hospital case management transitions of care planning individualized to the patient. 4. Assures… more
- State of Massachusetts (Boston, MA)
- …staff and families experiencing homelessness. The incumbent supports the Rapid Re-Housing Manager and the Affordable Housing and Subsidy Resource Manager to ... best practices for shelter staff. *_6) Coordinating:_* . Supports the Rapid Re-Housing Manager and Affordable Housing and Subsidy Resource Manager with the… more
- J&J Family of Companies (Boston, MA)
- …account development activities creating competent, confident clinical champions to drive the utilization of Monarch systems and scopes. + In- case procedural ... Core Job Responsibilities: + The Clinical Specialist reports to the Regional Sales Manager (RSM) and is responsible for providing a high level of clinical and… more
- Beth Israel Lahey Health (Charlestown, MA)
- …5 years acute care hospital level nursing experience (eg, medical-surgical, ICU) or equivalent case management, quality, or utilization review in a hospital ... medical record. The CDS works under direction of the Manager of CDI and collaborates with coding, clinicians, medical...of mortality, and severity of illness; and (b) track review details in 3M software. 2. Conducts follow-up reviews… more