- Beth Israel Lahey Health (Beverly, MA)
- …trends the data as it relates to denials and reports that data to the Manager of Case Management for review. The Clinical Denials Specialist utilizes nursing ... retroactive and concurrent denials. This position reports directly to the Manager of Case Management. **Responsibilities** Concurrently reviews all medical… more
- Tufts Medicine (Boston, MA)
- Case Manager , RN - Full-Time Tufts...Support (BLS) Certification. 3. Registered Nurse ( RN ) License. 4. Three (3) years of Case ... population by unit, across the continuum of care. The Case Manager works to achieve daily clinical,...the admission and continued stay, in order to reduce denial rate. 14. Documents care management activities in the… more
- Molina Healthcare (Boston, MA)
- …and supports (LTSS), or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... We are looking for a candidate with a MA RN licensure and case management experience. Candidates...individuals with substance use disorders. **Preferred Qualifications** * Certified Case Manager (CCM). * Experience working with… more