- Beth Israel Lahey Health (Burlington, MA)
- …a job, you're making a difference in people's lives.** Joint role of Case Manager and Utilization Review Nurse Onsite at Lahey Hospital and Medical ... 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
- Children's Hospital Boston (Boston, MA)
- 79378BRJob Posting Title:Per Diem RN Case Manager , Utilization Management/ReviewDepartment:Patient Services-Patient Care ... two years of employment. + Experience as a Case Manager (Discharge Planning and or Utilization Management) preferred. Office/Site Location:BostonRegular,… 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
- Beth Israel Lahey Health (Boston, MA)
- …review of the clinical course to all patients who are referred to the case manager . Identifies case management needs in collaboration with the ... Patient Care Management: + Screens all patients referred to Case Manager for appropriate management and plan...trends and analyze reports. + Provides data for the Utilization Review Committee. 7. Fiscal: Under the… 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
- Cardinal Health (Boston, MA)
- …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through patient ... develop and execute effective solutions. + Provide guidance and training to junior case managers on best practices in case management, patient interaction, and… 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 (Marlborough, 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- Bilingual in Mandarin preferred.** Do you enjoy working in a… 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
- State of Massachusetts (Quincy, MA)
- …quality assurance initiatives.*__* * Refer suspected abuse and fraudulent members to the program manager or designee for case review .*__* * In the absence ... is seeking qualified applicants for the position of*Clinical Pharmacy Manager *. The Clinical Pharmacy Manager functions as...as a liaison to EOHHS sister agencies, the Drug Utilization Review Program, pharmacy providers, and the… more
- Cisco (Boston, MA)
- …and deliver exceptional value to our customers. Your Impact As a Customer Success Manager , you play a crucial role in helping our customers successfully adopt and ... You are proactive and strategic, with a passion for driving software utilization to accelerate business outcomes. You excel at crafting and implementing Technical… more
- GAF (Cambridge, MA)
- …this roof, we protect what matters most. **Team Summary** The Maintenance Excellence Manager is a key member of the Corporate Reliability & Maintenance team and ... with the site Planners/Schedulers/Supervisors and can tailor site-specific needs on a case -by- case basis. + Works with supporting organizations on a unified… more
- Riverside Community Care (Lynnfield, MA)
- …and administrative oversight for assigned clinicians, including case consultation/ review , ongoing clinical supervision, utilization review /clinical ... Riverside Community Care Love what you do! Clinical Team Manager - Lynnfield Outpatient Riverside seeks a Clinical Team Manager for the Lynnfield Outpatient… more
- Nestle (Sudbury, MA)
- …+ Risk Assessment and Elimination - Leads the effective implementation and utilization of risk assessment and risk prediction processes across sites to ensure ... recurrence are effectively implemented while also ensuring an effective injury case management process is fully implemented, well understood, and functioning as… more
- Highmark Health (Boston, MA)
- …Inc. **Job Description :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. ... industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create care plans… more
- State of Massachusetts (Lowell, MA)
- …whose belief system may be predicated on values incongruent with those of the Case Manager Supervisor. . Ability to supervise and evaluate performance of staff. ... services are provided to clients. . Participates in the Case Management Record Review Committee and follows-up...monthly basis. . Meets monthly with assigned programs to review clients' utilization of identified services and… 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 ... and in conjunction with the appropriate clinical personnel, (ie department nurse manager or clinical manager ), coordinates and manages the procurement of… more
- State of Massachusetts (Boston, MA)
- …methods, emergency preparednessandresponse,workorderprioritization,capitalitems, feasibilityassessmentsofinternalforceaccount work, review of operating budgets for ... and management staff to ensure the highest possible performance. Duties also include a review of LHA Annual Plans and assistance to LHAs in utilizing the Capital… more
- Boston Health Care for the Homeless Program (Boston, MA)
- …health care, from preventative dental care to cancer treatment. Our clinicians, case managers, and behavioral health professionals work in more than 30 locations ... across all sites + Utilize the required systems to review insurance status and eligibility of all Family Team...follow-up assistance when necessary + Work closely with the Manager of Patient Intake & Benefits Enrollment to implement… more
- WTW (Boston, MA)
- …of response and report any issues or impact to timeline proactively to Project Manager + Complete initial review of carrier responses for parity projects + ... Health analytics experience preferred + Understanding of health plan utilization / case management processes, network management, credentialing, quality… more