Utilization Review Jobs in Massachusetts
1 - 15 of 32
Search Results - Utilization Review Jobs in Massachusetts
Lahey Hospital & Medical Center-Maynard (MA)
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...
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 -
Pleasant Lake Medical Center, LLC-Harwich
and multidisciplinary teams to ensure integrated patient care.
Preferred Experience
• Two or more years as a Nurse Practitioner, particularly in clinical or primary care settings.
• Strong skills in ICD-10 coding and utilization review.
• Proficiency...
ICONMA, LLC-Lawrence (MA)
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)
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)
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 -
HealthCare Talent-Brockton (MA)
medication; assumes leadership role in case conferences and in-service training of staff; actively participates in peer review and Utilization Review (UR).
Schedule : Full-time and Part-time available
Benefits include:
• Medical and Dental insurance...
appcast.io -
Life Care Centers of America-Auburn (MA)
Prior case management, utilization review, and discharge planning experience preferred
• Certified Case Manager (CCM) or Board Certification in Nursing Case Management (RN BC) preferred
Specific Job Requirements
• Generate written communication...
Albany Medical Center-West Stockbridge
Social Work or Nursing with experience in Case Management, Utilization Review and Discharge Planning.
• BLS Certification.
• Demonstrated clinical competency in a nursing or allied health specialty. Previous experience in education program development...
CenterWell Home Health-Pittsfield (MA)
and recommends in-service education programs, when needed. Ensures adherence to internal policies and standards.
• Assesses staff education needs based on own the review of clinical documentation in addition to feedback and recommendations by Utilization Review...
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...
Raisso Inc.-Lawrence (MA)
Participates in patient care audits for quality assurance and utilization review to maintain and improve patient care standard of excellence.
" Maintains appropriate medical records on assigned patients.
" Maintains medical professional standards...
resume-library.com -
Cohere Health-Boston
will require weekend coverage on a rotating basis.
Preferred:
• 2+ years of managed care utilization review experience desirable.
• Membership in national and/or regional specialty societies.
• Subspecialty fellowship training in Hematology Oncology...
appcast.io -
Raisso Inc.-Lawrence (MA)
Participates in patient care audits for quality assurance and utilization review to maintain and improve patient care standard of excellence.
" Maintains appropriate medical records on assigned patients.
" Maintains medical professional standards...
resume-library.com -
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