- 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)
- …40 hours/week Shifts: Day shift, Monday-Friday, 40 Hours Per Week Requirements: + 2+ years Case Manager RN experience + Recent discharge planning / VNA / Home ... weekly stipends ) Paul Antkowiak Amergis Healthcare Staffing ###@AMERGIS.COM ### The RN Case Manager is responsible for coordinating continuum of care activities… 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
- Beth Israel Lahey Health (Beverly, MA)
- …team, you're not just taking a job, you're making a difference in people's lives.** Case Manager RN **Job Description:** ** Case Manager RN** **Position ... care givers, and families. Their functions include concurrent and retrospective review to assure appropriate utilization , assessment, prevention of denials… 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
- Sedgwick (Boston, MA)
- …**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
- 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
- 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
- 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
- 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
- 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
- CenterWell (Boston, MA)
- …+ Monitor the following key functions: + Program evaluation + Risk Management + Utilization Review + Patient Care Evaluation + Policies and procedures + Human ... and keep records of criteria for admission to service, case assignments, and case management. + Represent...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
- Beth Israel Lahey Health (Cambridge, MA)
- …policies and procedures of scheduling; eg, blocked time and length of procedures, including case setup and turnaround time. 4. Consults with the nurse manager ... surgery departments under the guidance of the director, nurse manager , and Information Systems. Maintains accuracy of data elements...with surgeons' office staff to assist with maximum software utilization . 17. Backs up data from computer to disc… more