Utilization Review Jobs in Waltham (MA)
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Search Results - Utilization Review Jobs in Waltham (MA)
Encompass Health-Waltham (MA)
and payor-related information in the patient record.
• Participate in utilization review process: data collection, trend review, and resolution actions.
• Participate in case management on-call schedule as needed.
Qualifications
• License or Certification...
Waltham (MA)
multiple populations
Qualifications::
• At least 5 years of leadership experience in a behavioral health setting is preferred; may substitute leadership experience elsewhere.
• Working knowledge of admissions and intake, Utilization Review, and 3rd party...
montenidoaffiliates.com -
Encompass Health-Waltham (MA)
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...
Westborough Behavioral Healthcare Hospital-Westborough, 20 mi from Waltham (MA)
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...
workable.com -
Encompass Health-Waltham (MA)
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...
Boston Medical Center (BMC)-Boston, 10 mi from Waltham (MA)
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...
USI Insurance Services-Needham Heights, 8 mi from Waltham (MA)
findings, treatment guidelines and determinations.
• Act as a medical resource in regard to utilization review to claims support nurse and claims department.
• Foster a positive and close working relationship with company staff, including claims staff...
Salem Hospital-Hamilton (MA), 26 mi from Waltham (MA)
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 with a Care Team to facilitate through put...
USI Insurance Services-Needham (MA), 9 mi from Waltham (MA)
treatment guidelines and determinations.
• Act as a medical resource in regard to utilization review to claims support nurse and claims department.
• Foster a positive and close working relationship with company staff, including claims staff, medical bill...
Salem Hospital-Salem (MA), 20 mi from Waltham (MA)
Job Description
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 with a Care Team to facilitate...
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