Managed Care Jobs in Massachusetts
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Search Results - Managed Care Jobs in Massachusetts
Whittier Health Network-Haverhill (MA)
nursing sections of MDS and/or 90 day (quarterly) MDS for all Medicare/managed care patients
o During the comprehensive assessment following admission, circle/highlight appropriate triggers and pull corresponding RAP’s for completion
o Complete nursing...
Mitchell Martin-Boston
and programming, human resource management, Leading, coaching, mentoring and supporting a creative high performing team, fiscal management, managed care strategizing, quality management, and maintaining and enhancing relationships with patient's, patient's...
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Whittier Health Network-Marion (MA)
Knowledge of managed care, geriatric nursing, reimbursement systems, OBRA, HCFA, JCAHO and Medicare required.
Knowledge in areas of management, labor relations, recruitment, budgeting and finance.
Current Certification in Basic Cardiac Life Support...
Boston Medical Center (BMC)-Boston
in a utilization management/case management position, required.
Knowledge And Skills
• Extensive background and knowledge of current medical/surgical patterns of practice.
• Medical terminology and standard medical abbreviations.
• Managed care concepts...
Point32Health-Canton (MA)
departments within Point32Health including Medical Management, Contracting, Payment & Policy, etc.
• Utilizing in-depth understanding of reimbursement methodologies and trends in managed care finance, lead the development and analysis of new reimbursement...
CBOHN-Boston
such as coverage, reimbursement, managed care delivery systems, or demonstration projects under section 1115 of the Social Security Act. Candidates without such experience are nonetheless encouraged to apply if they have a strong interest in and willingness...
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Element Care-Lynn (MA)
in sales or business development, ideally in healthcare, senior services, or managed care.
• Proven experience in developing partnerships and managing teams.
• Strong track record in creating and executing growth strategies that deliver measurable results...
Harbor Health Services, Inc.-Plymouth (MA)
in managed care plans and assists the Center by reinforcing patient understanding of such plans; makes appropriate, cost efficient referrals and admission decisions and refers only to participating specialists; provides guidance and monitoring of systems...
1 similar job: Buffalo
The National Coalition of Healthcare Recruiters-Needham (MA)
help you navigate the managed care system, learn solid business practices and provide clinical learning and consultation in a supportive and collaborative environment. We believe that the mental health field is enhanced when diverse groups of people...
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Bournewood Health Systems-Brookline (MA)
staff.
• Interacts cooperatively with managed care companies.
• Attends regularly scheduled medical staff meetings and committees.
• Participates in teaching nurse practitioner students, medical students, and residents.
About Us
Bournewood Health...
Bay Cove Human Services-Boston
coordination and clinical care management for MassHealth Members with complex medical and behavioral health needs who are enrolled in an Accountable Care Organization (ACO) or Managed Care Organization (MCO) plan.
The CCM collaborates with the Community Partner...
TalentBurst, Inc.-Boston
effort to accommodate patient and provider needs. Inputs patient insurance and managed care plans, including prior authorizations, referrals, and pre-certifications.
Explains processes as needed to help patients meet their needs and insurance...
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Boston Children's Hospital-Boston
include but are not limited to care coordination/case management, crisis intervention, and referral and safety planning.
• Developing and maintaining a thorough knowledge of the various managed care health insurances and their provider networks...
Albany Medical Center-West Stockbridge
eligibility, managed care, guardianship, immigration and naturalization laws.
• Ensures efficient and effective service provision within regulatory and professional standards.
Minimum Qualifications:
• A Master's Degree in Social Work with State licensure...
1 similar job: Albany
Mass General Brigham - Internal Travel-Salem (MA)
General Brigham supports a complete continuum of care including community and specialty hospitals, a managed care organization, a physician network, community health centers, home care and other health-related entities.
Several of our hospitals...
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