- 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
- Beth Israel Lahey Health (Burlington, MA)
- …bonus eligible jobs and amounts at any time. The inpatient Case Manager assigned by nursing unit coordinates utilization review , discharge planning ... **Essential Duties & Responsibilities including but not limited to:** 1) Performs utilization review and discharge planning to inpatient admissions. 2) Applies… more
- Elevance Health (Woburn, MA)
- …as part of consideration for employment. **Medical Oncology Medical Director - Utilization Review ** + Job Family: MED > Licensed Physician/Doctor/Dentist + ... to members and providers. **Job Summary:** + Perform physician-level case review , following initial nurse review...maintain knowledge of relevant policies and regulations pertaining to utilization review of oncology care. + Participate… 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 (Plymouth, MA)
- …HPW, 10-hr day shifts **Job Description:** **Position Summary:** The Emergency Department Case Manager is responsible and accountable for patient trajectory by ... identify the most appropriate level of care while facilitating throughput. The ED Case Manager will assist in identifying patients appropriate for Admission,… more
- Spaulding Rehabilitation (East Sandwich, MA)
- …upheld. **Qualifications** **Experience** Required + 5 years of related experience. + Case management, utilization review , or discharge planning experience ... Care Coordinator/ Case Manager (RN) - East Sandwich...setting is required. Preferred + Health plan experience in utilization review and case management… more
- Baystate Health (Springfield, MA)
- …recognized leader in healthcare quality and safety, is searching for a **Full Time, RN Case Manager ** to join their **Inpatient Case Management Team.** The ... 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
- 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
- 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
- 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
- Beth Israel Lahey Health (Newburyport, MA)
- …Per Diem **Scheduled Hours:** 0 **Work Shift:** Day (United States of America) **Job Description:** ** CASE MANAGER - Per diem** The Case Manager is ... an individual's health care needs. The goal of the case manager at Anna Jaques Hospital is...it services. Core components of this role involve concurrent utilization review and coordination and implementation of… 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
- 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
- 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