- 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
- Spaulding Rehabilitation (Charlestown, MA)
- Manager of Case Management - (...Established department goals are achieved through active participation in Utilization Review Committee. * Case ... rehabilitation experience and certification in case management preferred. Case management, utilization review , or discharge planning experience in an… more
- Beth Israel Lahey Health (Cambridge, MA)
- …200-bed acute care teaching hospital affiliated with Harvard Medical School. The Inpatient Case Manager (CM) performs utilization reviews and coordinates ... discharge planning for MAH inpatient admissions. Inpatient Case Manager performance is evaluated using the...**Primary Responsibilities** (including but not limited to): 1. Performs utilization review and discharge planning to inpatient… more
- Beth Israel Lahey Health (Boston, MA)
- …and advocating for the health of patients, families, and communities. The Nurse Case Manager provides utilization management, care coordination and discharge ... needed. (essential) 6. Refers cases as appropriate to the Utilization Review Physician for review ...perform analysis and maintain databases. Preferred Qualifications: 1. Certified Case Manager . 2. Previous clinical nursing experience… more
- Commonwealth Care Alliance (Boston, MA)
- …UM team. + Participates in Team meetings for case review , workflow review and other relevant business related to utilization review process. + Works ... Important to Us:** Supervisor & The Team Leader reports to the UM Manager . The Team Leader provides management,oversight and mentorship to team members and ensures… more
- Brockton Hospital (Brockton, MA)
- …criteria and guidelines to conduct review of inpatient admissions. + The Case Manager at Brockton Hospital serves as the primary liaison between ... in an acute care facility required. Prior experience in case management, utilization review or discharge planning required. + Certification/Licensure:… 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
- 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
- Wolters Kluwer (Boston, MA)
- …to set utilization goals and benchmark success, leveraging tools (reports, case studies, client references, etc.) to win and maintain customer support + ... lead role in managing and driving our customer's product utilization across the Clinical Effectiveness (CE) product portfolio. You...their growth and development. You will report to the Manager , Customer Success. The territory will be clients in… more
- CenterWell (Marlborough, MA)
- …action through the utilization of Performance Improvement principles. + Responsible for review of the appropriate number of Case Managers and clinical staff ... review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and… 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
- Amergis (Burlington, MA)
- …Healthcare Recruiter | Boston Nursing ### Direct | ###@amergis.com Email The RN Case Manager is responsible for coordinating continuum of care activities for ... Nurse Manager RN -Travel Contract Location: Burlington, MA Duration:...for psychosocial needs + Participates in Quality Assurance and Utilization Review activities, as directed + Empowers… 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
- Elevance Health (Woburn, MA)
- …License in the state of Massachusetts as an LABA. _The BCBA Autism/BH Care Manager is primarily for conducting the clinical review process for ABA service ... (ABA) services only, and there is licensed staff supervision. Previous experience in case management/ utilization management with a broad range of experience with… more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** The instED Marketing Specialist Manager will be responsible for building and growing our brand with customers and prospects as ... well as maximizing the utilization of instED's in-home urgent care services by our...members, and providers). To achieve this the Marketing Specialist Manager will be responsible for all external communication and… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …appropriate goals to promote optimal member outcomes. + Interpret and apply case management criteria, processes, policies, and regulatory standards to create, follow ... and appropriately document comprehensive care management plans. + Review medication list and educate members with complex pharmacy needs, and counsel on side effects… 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
- Veterans Affairs, Veterans Health Administration (Brockton, MA)
- …determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Learn more Responsibilities This is an open ... to establish a standing register of qualified applicants to refer to the hiring manager . Referral lists will be created on a weekly basis. Please see the "Next… more