Utilization Review Jobs in Boston
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Search Results - Utilization Review Jobs in Boston
Boston Children's Hospital-Boston
The Utilization Review Nurse will be responsible for:
• Completing Utilization Management Clinical Reviews including: reviewing hospital admissions and continued inpatient stays to assess appropriateness of level of care and duration of treatment...
5 Star Recruitment-Boston
Position Responsibilities:
Implementation and ongoing management for all components of the site including daily clinical and administrative operations.
Human resource management
Fiscal oversight
Oversight of utilization review function, quality...
resume-library.com -
Fusion Medical Staffing-Boston
Sensory - Visual acuity, ability to effectively communicate
Other Requirements:
Utilization review and discharge planning experience is necessary. Must have a valid RN license in the state where they will be practicing, BLS certification, and Case...
The Home For Little Wanderers-Boston
treatment planning, and safety planning to appropriate parties in a timely, well written manner. Submit reports, documentation and billing in a timely manner. Ensure that documentation meets utilization review and quality assurance standards.
Continuously...
jobvertise.com -
Leading Age-Boston
/fellowship in Internal Medicine or Cardiology
• 1+ years of managed care utilization review experience desirable
• Membership in national and/or regional specialty societies
• Licensure in AZ, GA, MS, NC, ND, OK, OR, or TX is highly desirable - you should...
appcast.io -
Lahey Hospital & Medical Center-Maynard (MA), 20 mi from Boston
with the admitting/attending physician, the Utilization Review RN assists in determining the appropriate admission status based on the regulatory and reimbursement requirements of various commercial and government payers. Partners with the health care team to ensure...
Encompass Health-Boston
appropriate/timely referrals, including documentation to post discharge providers/physicians.
• Ensure accuracy of discharge and payor-related information in the patient record.
• Participate in utilization review process: data collection, trend review...
ICONMA, LLC-Lawrence (MA), 25 mi from Boston
and utilization review to maintain and improve patient care standard of excellence.
Maintains appropriate medical records on assigned patients.
Maintains medical professional standards and knowledge by regularly attending medical conferences, seminars...
resume-library.com -
MetroWest Medical Center-Maynard (MA), 20 mi from Boston
and staffing
• Assists the physician as follows, but not limited to Utilization Review, Quality Assurance, Program Evaluation, Infection Control, Safety Committee activities
• Adhere to the established policies and procedures of Tenet Physician Resources Orders...
Raisso Inc.-Lawrence (MA), 25 mi from Boston
as appropriate.
Participates in patient care audits for quality assurance and utilization review to maintain and improve patient care standard of excellence.
Maintains medical professional standards and knowledge by regularly attending medical conferences...
resume-library.com -
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