- 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
- Covenant Health (Nashua, NH)
- …are attended /documented. + Annual goals are achieved. + Attends pertinent case management/ utilization review programs to maintain current knowledge ... care and enhancing quality, cost-effective clinical outcomes. The RN Case Manager works closely with, and delegates...Minimum of five years broad clinical experience preferred + Case management and/or Utilization Management experience is… more
- Charter Care Health Partners (North Providence, RI)
- …experience that includes recent experience with case management, patient navigation, case management, utilization review or discharge planning is ... specific patient population. Performs functions related to Patient Advocacy; Utilization Review ; Resource Management; Continuum of Care...Case Management (CCM) (R) board certification or Accredited Case Manager (ACM (TM) ) is highly… more
- Baystate Health (Springfield, MA)
- **Summary** The Hospital Case Manager is a registered nurse responsible for the coordination of clinical care, quality, and financial outcomes of a designated ... population of patients. The Hospital Case Manager is responsible for overseeing an...+ Requires a working knowledge of community resources and Utilization /Quality Review standards and activities conducted by… more
- Commonwealth Care Alliance (Springfield, 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 required. + BH: LCSW/ /LMFT with 3-5… 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 (Worcester, MA)
- …and families, join our mission-driven team and experience a career well lived. Case Manager Supervisor- Foster Care Are you an experienced social ... + May develop and implement crisis intervention emergency procedures, oversee Utilization Review , Quality Assurance, investigations, and internal evaluations. +… 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
- University Medicine (East Providence, RI)
- …home members to assist the patient to the right level of care and decrease unnecessary utilization . The nurse case manager is an active participant in the ... Manager of Case Management, the nurse case manager is responsible for providing comprehensive...identify those patients who may benefit from high risk case management (eg rising risk, frequent ED utilization… more
- Sedgwick (Providence, RI)
- …**PRIMARY PURPOSE** : To ensure efficient, cost effective, and high quality delivery of case management and utilization review services to clients by ... to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Clinical Manager **This manager will have to be...at client locations; to provide expertise in client specific case management and utilization review … more
- Tufts Medicine (Burlington, MA)
- …issues and other assigned subjects. 4.Provides timely and effective consultation to case management/ utilization review team members, including assessment of ... on quality, ethical, regulatory, and/or financial topics related to patient care, utilization management/ review , case management, and revenue cycle… more
- Humana (Providence, RI)
- …and integrated care needs for those with autism + Prior experience with Utilization Review , Utilization Management, Peer Reviews and/or Quality Management ... appropriate treatment, care, or services for ACD participants. + Review ABA TPs for policy compliance + Review...Business to improve policy which may relate to better case management outcomes, improved utilization management, prevention… more
- Sedgwick (Providence, RI)
- …claims requiring extensive skills/experience; and to interact with expense bill reviewers, utilization review nurses, and claims staff to resolve problems and/or ... work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Bill Review Team Lead **PRIMARY PURPOSE** : To supervise expense bill reviewers in… more
- J&J Family of Companies (Boston, MA)
- Regional Sales Manager - Northeast, MONARCH - 2406195279W **Description** MONARCH, within the Johnson & Johnson Family of Companies, is recruiting for a **Regional ... Sales Manager ** for the Northeast territory. This is a field...clinical success. This includes procedure sales support, and driving utilization for all Monarch Surgical Technologies. The RSM will… more
- Beth Israel Lahey Health (Cambridge, MA)
- …a job, you're making a difference in people's lives.** The Supply Chain Manager for Perioperative Services and Procedural Areas reports to the Director of Supply ... contract management, standardization and consolidation processes, inventory flow and management and utilization analysis of the OR, GI and Cath Lab supply inventory.… more
- DuPont (Marlborough, MA)
- …- Provide marketing support to product stewardship team for periodic product risk review . **Interaction:** Product Manager will interact on a frequent basis with ... the DuPont Electronics & Industrial Business has a Product Manager opening in Marlborough, MA. As Product manager...- Establish costing models for new product introductions. - Review / approve sample requests in appropriate database. Follow… 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 ... Conditions** Office **Job Description** **Protective Services Investigator and Risk Management Senior Manager ** **Based in Waltham, MA** When you are part of the… 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
- Baystate Health (Springfield, MA)
- …meetings to address treatment objectives. **6.** May collaborate as assigned with utilization review specialist to obtain necessary insurance authorizations and ... the direction of the Director of Behavioral Health, Program Manager , or ED Coordinator (as noted above), the Crisis...for gathering a psychosocial evaluation through interviews and record review and completing a written assessment with case… more