Utilization Review Jobs in Boston
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Search Results - Utilization Review Jobs in Boston
Beth Israel Deaconess Medical Center-Boston
In conjunction 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...
Medical Solutions-Boston
Job Description
Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Boston, Massachusetts.
Job Description & Requirements
• Specialty: Utilization Review
• Discipline: RN
• Duration: 20...
Boston Medical Center (BMC)-Boston
Position Summary
The RN Appeal Administrator will be responsible for the Pre-denial/ Denial and appeal process in addition to Utilization Review, to validate the patient’s placement to be at the most appropriate level of care based on nationally...
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...
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Northeast Healthcare Recruitment, Inc. (NEHCR)-Boston
medication; assumes leadership role in case conferences and in-service training of staff; actively participates in peer review and Utilization Review (UR).
Responsibilities:
• Prescribes and maintains clients on psychotropic medication.
• Evaluation...
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Harbor Health Services, Inc.-Boston
the length of stay (LOS), the appropriate utilization of care, promotes quality, obtains clinical review, and plans/implements a participant’s discharge.
Our ideal candidate would have strong experience in Utilization Management or Review, hospital discharge...
Lifelancer-Boston
Consultant agrees to cooperate fully with Cohere by obtaining state licenses or registrations when requested by Cohere
Preferred
2+ years of managed care utilization review experience desirable
Membership in national and/or regional specialty societies
We...
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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...
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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...
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...
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Telligen-Boston
Medicine.
3. 3 years of experience working with Medicaid-specific utilization review and quality improvement.
4. The Medical Director may not serve in any role in a hospital setting while employed with Telligen.
5. Because of the nature and immediacy...
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