- Commonwealth Care Alliance (Boston, MA)
- …Review Nurse and Specialist staff responsible for conducting centralized clinical review and authorization creation for centrally authorized services. This ... reports to the Director of Utilization Management - Oversees clinical decision review for services requiring prior authorization... clinical decision review for services requiring prior authorization in a variety of clinical areas,… more
- Commonwealth Care Alliance (Boston, MA)
- …on CCA's policies related to: Claims and service recovery; Program benefits; Clinical initiatives; Referral and authorization ; Regulatory compliance; Billing and ... provider community. In this highly visible field position, the provider relations specialist acts as the primary liaison between CCA and its providers including… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …NH, VT, MA, RI, CT) Working in a fast-paced, high volume, dynamic environment, the Clinical Authorization Specialist will bring clinical expertise to the ... health plans. Reporting to the Prior Authorization Supervisor , the Clinical Authorization Specialist is responsible for managing all work related to… more
- Cambridge Health Alliance (Cambridge, MA)
- …is required authorizing practice in an expanded role as a Psychiatric Nurse Clinical Specialist and authorization including prescriptive authority. _In ... Nurse Practitioner - Clinical Specialist II (APRN), Adult Outpatient Psychiatry **Requisition Number:** CHAP-2150 Cambridge Health Alliance (CHA), a… more
- Dana-Farber Cancer Institute (Boston, MA)
- …2 weeks remote and 1 week onsite at Longwood Medical Center.** The Inpatient Authorization Specialist reports to and receives direction from the Access & ... authorizations for inpatient admissions, and denial management. In addition, the Inpatient Authorization Specialist is responsible for the timely and accurate… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …Under the general supervision of the Director of Patient Financial Services, the Clinical Appeals Specialist performs advanced level work related to clinical ... responsible for managing medical denials by conducting a comprehensive review of relevant clinical documentation. The Clinical Appeals Specialist will write… more
- Medtronic (Boston, MA)
- …reviewed and will be considered as part of your application** To find all Aortic Clinical Specialist positions please use #aorticcs in the key word search at ... support for endovascular products and procedures to a wide range of clinical base including physicians, nurses, radiology technicians and operating room personnel.… more
- Cognizant (Boston, MA)
- …Nurse you will make an impact by performing advanced level work related to clinical denial management and managing clinical denials from Providers to the Health ... working knowledge of applicable health insurers' internal claims, appeals, and retro- authorization as well as timely filing deadlines and processes. . Review… more
- Medtronic (Boston, MA)
- …(https://medtronic.wd1.myworkdayjobs.com/MedtronicCareers) **Primary Responsibilities** + Provide technical, educational, clinical and sales support to assist the ... symposiums + Assists RM and field training department in educating/training new Clinical Specialists and Account Managers + Provides training and resources for… more
- Philips (Boston, MA)
- …and company product enhancements + Provides ongoing support for company-sponsored clinical /marketing trials and registries **You're the right fit if:** + You've ... about our benefits can be found here. **Additional Information** US work authorization is a precondition of employment. The company will not consider candidates… more
- Cambridge Health Alliance (Cambridge, MA)
- …licensure authorizing practice in an expanded role as a Psychiatric Nurse Clinical Specialist and authorization including prescriptive authority. + ... **Requisition Number:** CHAP-2288 **CHA Psychiatric Mental Health Nurse Practitioner - PACE ( Clinical Specialist II)** **Cambridge Health Alliance (CHA)** , a… more
- Cambridge Health Alliance (Somerville, MA)
- …is required authorizing practice in an expanded role as a Psychiatric Nurse Clinical Specialist and authorization including prescriptive authority. _In ... other weekend 8a-8p, MNA Somerville Union + Perform admissions. + Perform clinical assessments and evaluations. + Plan, implement and revise treatment in… more
- Beth Israel Lahey Health (Burlington, MA)
- …people's lives.** We are seeking a proactive and patient-centered In-Clinic Medication Access Specialist to join our Neurology care team at the Lahey Neuro Clinic, ... may benefit from pharmacy support. You will work closely with our Medication Authorization and Access team to triage patient cases efficiently and support the… more
- Westborough Behavioral Healthcare Hospital (Westborough, MA)
- …shifts available. Westborough Behavioral Healthcare Hospital is looking for a UR Specialist to provide Per Diem coverage. Job Description: The Utilization Review ... Specialist is responsible for monitoring adherence to the hospital's...non-medical analysis; and outcomes reporting. Essential Duties: + Initiates authorization requests are complete or requests additional data as… more
- Philips (Boston, MA)
- **Imaging Modality Specialist - CT (Northeast)** In this role, the Imaging Modality Specialist CT is the knowledge expert on product sales and positioning, who ... overall modality strategy, business and product deal support by providing additional clinical and technical product CT expertise on the product / modality across… more
- Medtronic (Boston, MA)
- … Specialist at Medtronic, with a training pathway into our EP Mapping Specialist role. You'll provide technical, clinical and sales support, in collaboration ... enabling clinicians to perform procedures with superior outcomes. Provide technical, educational, clinical and sales support to assist the Region in meeting Cardiac… more
- Medtronic (Boston, MA)
- …connected, compassionate world. **A Day in the Life** Join our team as a Mapping Specialist on a special 6, 9 or 12-month fixed-term assignment in the Boston MA area ... Responsibilities may include the following and other duties may be assigned. + Provide clinical and technical support and training to physicians and staff on the EP… more
- Beth Israel Lahey Health (Cambridge, MA)
- …a difference in people's lives.** Reporting to the Director of Nursing Clinical & Professional Development, the Wound Care Specialist -RN works collaboratively ... care for patients from referral/consultation to discharge /follow up. Assists with pre- authorization process. + Serves as contact and facilitator to receive consults… more
- Beth Israel Lahey Health (Burlington, MA)
- …data, collect missing information, and resolve information discrepancies, + Understands clinical guidelines for payors requiring authorization to better build ... cases for authorization requests and provide feedback to clinical departments on required notes. + Communicates with patients and discusses their financial… more
- Beth Israel Lahey Health (Boston, MA)
- …a job, you're making a difference in people's lives.** The Transplant Practice Specialist provides support to the multi-disciplinary clinical team by managing ... at Beth Israel Deaconess Medical Center, the Heart Transplant Practice Specialist will collaborate with the nurses, physicians, pharmacists, and nurse practitioners… more
