Utilization Review Jobs in Massachusetts
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Search Results - Utilization Review Jobs in Massachusetts
Bournewood Health Systems-Brookline (MA)
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...
mindmatch.ai -
Westborough Behavioral Healthcare Hospital-Westborough
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...
resume-library.com -
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...
appcast.io -
Arrow Consulting-Newton (MA)
with contracted billing company and any internal utilization review staff.
• Participates in monthly medical records meetings and quality assurance performance improvement meetings. Develops and spears any clinical performance improvement strategies, if applicable...
The Judge Group-Brookline (MA)
Improvement Committee meetings, Utilization Review meetings, Infection Control Meetings, Risk Management Meetings, etc.
• Make routine inspections of the facility to assure that established policies and procedures are being implemented and followed...
mindmatch.ai -
Albany Medical Center-West Stockbridge
of Science in Nursing, or a Master’s degree in an allied health field from an accredited institution required.
• Experience in the field of Clinical Social Work or Nursing with experience in Case Management, Utilization Review and Discharge Planning.
• BLS...
NCH Healthcare System-Needham (MA)
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...
Integrated Resources, Inc-Cambridge
experience in a health care or insurance setting.
" Minimum 4-6 years of experience in a patient facing or case management role. Experience should include but is not limited to home care management, case management review, utilization review, social service...
resume-library.com -
NCH Healthcare System-Wellesley
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...
Westborough Behavioral Healthcare Hospital-Westborough
Employee Assistance Program
Employee Discount Program
Pet Insurance
Tuition Reimbursement
Health Savings Account
Summary:
To provide quality case management, utilization review and psychotherapeutic services to all psychiatric and dual diagnosis...
resume-library.com -
Walden-Waltham (MA)
social work and case management in a manner consistent with the philosophy and objectives of Walden Behavioral Care and the NASW.
• Conduct psychosocial assessments, participate in treatment planning, utilization review, and discharge planning for an average...
HireTalent-Cambridge
to home care management, case management review, utilization review, social service support, insurance reimbursement and patient advocacy.
" Industry experience preferred.
" In-depth understanding of health insurance benefits, relevant state and federal laws...
resume-library.com -
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...
appcast.io -
Cambridge Health Alliance-Cambridge
Centers, TJC and MassHealth Health Equity standards, NCQA Certification, Utilization Review Accreditation Commission (URAC), among others.
• Provides education and consultation to administrative, operational, and clinical leadership, staff and faculty...
mindmatch.ai -
Worcester
and Utilization Review protocols and clinical alerts, and participate in regular review of clinical charts.
• Ensure that any issues or concerns related to risk (client risk, staff risk, facility risk, and/or programmatic risk) or ethical misconduct...
icims.com -
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