Utilization Review Jobs in Boston
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Search Results - Utilization Review Jobs in Boston
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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NCH Healthcare System-Boston
Actively collaborates with utilization review team to facilitate and meet organizational and department goals. · Recognizes situations that require referral to quality or risk management and makes a timely referral. EDUCATION, EXPERIENCE AND QUALIFICATIONS...
Tbwa Chiat/Day Inc-Boston
of dental AI and Clinical Utilization Review to transform the dental payer industry for the better. You will be responsible for owning and driving complex sales cycles and deal strategies that engage C-suite executives across the dental payer space...
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Bournewood Health Systems-Brookline (MA), 4 mi from Boston
All candidates must be able and willing to promote the values of trauma-informed and patient-centered care.
Utilization Review Clinician
The Utilization Review Clinician conducts ongoing clinical reviews with various insurers to obtain clinical...
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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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Westborough Behavioral Healthcare Hospital-Westborough, 29 mi from Boston
Westborough Behavioral Healthcare Hospital is looking for a UR Specialist to provide Per Diem coverage.
Benefits Include
401K
Paid Sick Time
Employee Discount Program
Employee Assistance Program
Job Description:
The Utilization Review...
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Encompass Health-Boston
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, and resolution actions.
• Participate in case...
Mass General Brigham-Marblehead (MA), 15 mi from Boston
Management, Home Care Discharge Planning experience
Great opportunity to join an experienced Case Management team. Role focuses on transition planning and Utilization Review. RN Case Managers are assigned geographically to inpatient units and paired...
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...
Wasson Enterprise-Boston
The Practicing Medical Director is responsible for medical oversight of the Medical Management Program Description of P3 Health Partners regarding medical necessity decisions, utilization review, inclusive of prior authorization, concurrent...
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