- Commonwealth Care Alliance (Boston, MA)
- …services, procedures, and facilities under the provisions of CCA's benefits plan. The Manager , Utilization Management is responsible for overseeing and ... of service decisions and organizational determinations. Essential Duties & Responsibilities: The Manager , Utilization Management reports to the Director of… more
- Children's Hospital Boston (Boston, MA)
- 80451BRJob Posting Title:Per Diem RN Case Manager , Utilization Management /ReviewDepartment:Patient Services-Patient Care ... Experience as a Case Manager (Discharge Planning and or Utilization Management ) preferred. Office/Site Location:BostonRegular, Temporary, Per Diem:Per Diem… more
- Beth Israel Lahey Health (Burlington, MA)
- …taking a job, you're making a difference in people's lives.** Manages the Utilization Management (UM) team, maintaining effective and efficient processes for ... compliance reviews as needed. + Continuously monitors regulatory requirements for Utilization Management . + Attends Mandatory Education programs required by… more
- Commonwealth Care Alliance (Boston, MA)
- 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management , the Nurse Utilization Management (UM) ... authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role...accurate documentation of clinical decisions and works with UM Manager to ensure consistency in applying policy + Works… more
- Children's Hospital Boston (Boston, MA)
- …+ Experience as a Case Manager (Discharge Planning and or Utilization Management ) preferred. Licensure/ Certifications: + Current Massachusetts license as a ... the concurrent review process for acute psychiatric care + Possessing experience in Utilization Management / Utilization Review + Demonstrating the ability to… more
- Tufts Medicine (Burlington, MA)
- …with the coordination of the Utilization Management Committee. The Utilization Management Operations Manager follows the system's Utilization ... to Utilization Review departments and UM vendor management . The UM Operations Manager is responsible...the Utilization Management Plan and assisting… more
- Beth Israel Lahey Health (Burlington, MA)
- …of three years of medical/surgical nursing care experience. -Two years of Case Management or Utilization Management experience desirable. - Demonstrated ... a difference in people's lives.** Joint role of Case Manager and Utilization Review Nurse **Job Description:**...to ensure a timely process. Registered Nurses (RNs) with utilization review experience, case management experience, and… more
- Hilton (Boston, MA)
- …of sustainability, supplier diversity, and responsible sourcing goals\. As a Senior Manager , Category Management , you will support HSM's customers and the ... same level and/or position within the Company\. \#LI\-REMOTE **Job:** _Supply Management , Procurement, Purchasing, and Receiving_ **Title:** _Senior Manager ,… more
- TD Bank (Boston, MA)
- …of Business:** Human Resources **Job Description:** **Department Overview:** The Senior Manager , Financial Crime Risk Management Training leads/manages a team ... risk awareness across the organization. **Depth & Scope:** + Provides people management leadership by hiring the best talent, setting goals, developing staff,… more
- Stryker (Boston, MA)
- …for upcoming application launches and upgrades into the MPS field organization **Project Management :** + Works with Senior Manager of Clinical Processes to ... MPS Managers for technical competency and business growth through increased robotic utilization . + Act as player-coach, actively engaging with MPS teams to ensure… more
- Cambridge Health Alliance (Everett, MA)
- RN Case Manager - Inpatient Case Management Everett **Requisition Number:** 8001 **Location:** CHA Everett Hospital **Work Days:** 8-4:30pm including weekend ... Under the general supervision of the Director of Care Management , the RN Case Manager provides clinically-based...members of the health care team to identify appropriate utilization of resources and to ensure reimbursement. Utilize criteria… more
- Staples (Framingham, MA)
- …exceed P&L/budgets requirements + Optimize transportation spend through the strategic selection/ utilization of "best in class" carriers + Develop with support of ... of DOT mandated rules and regulations + Partner with Legal and Risk Management to address and mitigate business risk/ issues + Define project objectives, scope… more
- Molina Healthcare (Lowell, MA)
- …performing one or more of the following activities: care review/ utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.), ... of illness and the site of service. **KNOWLEDGE/SKILLS/ABILITIES** The Manager , Healthcare Services provides operational management and...years in one or more of the following areas: utilization management , case management , care… more
- Covenant Health (Nashua, NH)
- …Experience + Minimum of five years broad clinical experience preferred + Case management and/or Utilization Management experience is preferred + ... + Annual goals are achieved. + Attends pertinent case management / utilization review programs to maintain current knowledge...MA / CMO and/or Director of Care Coordination or Manager Care Coordination/Case Management + Other duties… more
- Beth Israel Lahey Health (Wakefield, MA)
- …just taking a job, you're making a difference in people's lives.** The Care Manager , RN provides care management services to the BILHPN primary care physicians ... healthy behavior. Working with the healthcare team, the Care Manager , RN monitors appropriate utilization of healthcare..., RN upholds the current standards of professional case management practice, and reports to the Manager … more
- Beth Israel Lahey Health (Wakefield, MA)
- …management services are provided to the BILHPN provider's risk populations. The Care Manager , RN provides care management services to the BILHPN primary care ... healthy behavior. Working with the healthcare team, the Care Manager , RN monitors appropriate utilization of healthcare..., RN upholds the current standards of professional case management practice, and reports to the Manager … more
- Greater Lawrence Community Action Council (Lawrence, MA)
- …conform to WIOA and other grant-funded participant reporting requirements to support management monitoring of program performance. + Remain current in the ... utilization of technology in the field by attending relevant...with five (5) years of IT support and data management experience. Knowledge of the MOSES Statewide database system.… more
- Grifols Shared Services North America, Inc (Boston, MA)
- …specified "Account List" of Health Systems designed to increase the adoption and utilization of the Grifols Bleeding Management product portfolio. The KAM's ... role in the successful launch of a new Bleeding Management product within the Grifols Biopharma portfolio. The KAM...provide any necessary support to the responsible National Account Manager (NAM) in the execution of the contracting process… more
- Takeda Pharmaceuticals (Cambridge, MA)
- …and category management best practices within the business (ie increased utilization of preferred suppliers, SoW optimization and the use of BuyEasy@Takeda etc.) ... is true to the best of my knowledge. **Job Description** The Regional Category Manager is responsible for the execution of the sub-categories Agency of Record (AOR)… more
- ZOLL Medical Corporation (Boston, MA)
- …and sales support responsibilities. The ATM will work collaboratively with Territory Manager (s) to support sales activities and territory management tasks that ... and conferences, enabling prescribing entities to become self-sufficient through enrollment and utilization of ZOLL Patient Management (ZPM), with an added focus… more