Utilization Manager Jobs in Massachusetts
1 - 15 of 30
Search Results - Utilization Manager Jobs in Massachusetts
Harbor Health Services, Inc.-Boston
participants. We are currently seeking a talented Utilization Management Nurse to join our care teams at the Elder Service Plan.
Harbor Health offers a comprehensive Benefits package including Health, Dental and Vision Insurance, generous Paid Time Off (PTO)...
Lifelancer-Boston
Job Title: Associate Medical Director, Utilization Management
Job Location: United States
Job Location Type: Remote
Job Contract Type: Full-time
Job Seniority Level: Mid-Senior level
Company Overview
Cohere Health is a fast-growing clinical...
resume-library.com -
Beth Israel Deaconess Medical Center-Boston
and Responsibilities:
1, Performs a variety of concurrent and retrospective utilization management-related reviews and functions to ensure that appropriate data are tracked, evaluated, and reported.
• Collaborates with the health care team to determine the appropriate...
Leading Age-Boston
to fostering an environment of mutual respect where equal employment opportunities are available to all. To us, it’s personal.
The salary range for this position is $200,000 to $270,000 annually, based on years of utilization management experience; as part...
appcast.io -
Beth Israel Deaconess Hospital-Plymouth-Plymouth (MA)
facilitating throughput. The ED Case Manager will assist in identifying patients appropriate for Admission, Observation, or other patient care status.
This role is structured around four major functions
• Utilization Management
• Care Coordination
• Discharge...
SSTAR-Fall River (MA)
Oversees the systems which interface clinical services with billing, including utilization management.
Represents Outpatient Services (ABH) at relevant statewide and community meetings when appropriate or assigns other staff to attend.
Serves as liaison...
Boston Medical Center (BMC)-Boston
of previous experience involving judgment and decision making, preferably in a utilization management/case management position
Knowledge And Skills
• Extensive background and knowledge of current medical/surgical patterns of practice.
• Medical terminology...
Leading Age-Boston
maintain necessary credentials to retain the position
• 5+ years of clinical practice beyond residency/fellowship
• Utilization Management experience
Preferred:
• Fellowship program in Spine Surgery
• 1+ years of managed care utilization review experience...
appcast.io -
SSTAR-Fall River (MA)
oversees and directs all medical teams in utilization management, population health and wellness, clinician engagement, safety and quality, and patient engagement. As the advocate of the medical teams, the CMO through clinical leadership and direct patient...
University of Massachusetts Medical School-Boston
to MassHealth utilization management (UM) strategy/policy development and functions.
• Support and participate in all OCA medical management functions performed on behalf of MassHealth, including but not limited to coverage, medical necessity guidelines...
appcast.io -
Casa Esperanza-Boston
job duties as assigned.
Administrative
Ensures adherence to program treatment philosophies and policies.
Maintains client and program records in accordance with agency requirements and timelines.
Assist with utilization management, which includes...
Albany Medical Center-West Stockbridge
of the barriers to discharge in collaboration with social work, utilization management, home health care, care team and family to facilitate timely discharge.
• Responsible for follow up post discharge telephone calls to patients/families and post discharge...
Boston Medical Center (BMC)-Boston
planning, utilization management, case management, performance improvement, and managed care reimbursement.
• Understanding of pre-acute and post-acute venues of care and post-acute community resources.
• Strong organizational and time management skills...
VitalCore Health Strategies-Gardner (MA)
Electronic Medical Records (EMR), Utilization Management and other process improvement committees/initiatives as directed or assigned
• Supports Company Initiatives and the application of best practices in clinical settings. Assists in the completion...
National Coalition Of Healthcare Recruiters-Watertown (MA)
with referring sources, primary care physicians, and other community providers, Attends program and hospital administrative meetings. Complies with all hospital clinical and administrative policies. Participates in utilization management, risk management...
nchcr.com -
12
Companies now hiring in Massachusetts:
Utilization Manager jobs in Massachusetts – Similar offers:
Utilization Manager jobs – More cities:
Broaden your job search:
Don’t miss out on new job openings!
Create a job alert for: Utilization Manager, Massachusetts
It's free, and you can cancel email updates at any time
12