Utilization Review Specialist jobs in Billerica, MA

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Clinical Documentation Specialist
Tufts Medical Center 100 reviews - Boston, MA
Five years recent clinical experience in a hospital setting with at least 2 years in management position Utilization Review or coding experience preferred....
Sponsored by Tufts Medical Center
Member Specialist II
VHA Inc. 37 reviews - Boston, MA
Support member value analysis and/or product review committees. Experience in budgeting, standardization, utilization, product adoption/implementation, contract...
Sponsored by VHA Inc.
Social Services Specialist I
Genesis HealthCare 800 reviews - Danvers, MA
SOCIAL SERVICES SPECIALIST. Reviews facility policies and procedures as part of the facility’s interdisciplinary team to assure compliance with federal and...
Sponsored by Genesis HealthCare
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Clinical Training Specialist

Network Health 24 reviews - Medford, MA
Reviews monthly record reviews looking for trends. Knowledge of managed care and solid understanding of medical case management, utilization management,...

Lowell Per Diem Utilization Review Specialist

Universal Health Services - Lowell, MA
Review and documentation:. Experience in Utilization Management either with a provider, or an insurance or HMO organization....

Regulatory Affairs Specialist

NeuroLogica - Danvers, MA 01923
Regulatory Affairs Specialist. Review impact to product of changes in standards and review labeling and promotional materials to ensure consistency with...

Lowell--Per Diem Utilization Review Specialist

Westwood Lodge Hospital & Lowell Treatment Center - Lowell, MA 01854
Review and documentation:. Through review of the. Experience in Utilization Management either. By review of patient admission and continued stay appropriateness...

Workplace Services Specialist

Liberty Mutual 870 reviews - Boston, MA
Establishes ownership of the issue through lease reviews. Oversees the flow of work orders with the My Workplace Request system (or other work order system) and...

Case Manager I (Prior Authorization)

Centene Corporation 216 reviews - Waltham, MA
Utilization review, prior authorization, or managed care experience preferred. Utilization Management (CPUR) certification, Certified Case Manager (CCM), or...

Clinical Training Specialist

Tufts Health Plan 65 reviews - Watertown, MA
Must be able to facilitate curriculum development planning and review sessions. Knowledge of utilization management practices and familiarity with clinical...


Partners Healthcare at Home - Waltham, MA
Collaboration occurs with Utilization Management Specialist or Clinical Manager when code assignments are not straightforward or documentation in the record is...

RN Clinical Documentation Improvement Specialist

RAM Healthcare Consulting Group - Boston, MA
Five years recent clinical experience in a hospital setting with at least 2 years in management position Utilization Review or coding experience preferred....
Easily apply

Clinical Social Worker

Cambridge Health Alliance 59 reviews - Somerville, MA
By considering clinical resource allocation through utilization management and peer review; Such collaboration may require participation in case review...
Nurse, RN, CICU, 7am-7pm / 7pm-7am, Relocation to Orlando, F...
Nemours 53 reviews - Boston, MA
Facebook (Fan Page) | YouTube | Twitter | Flickr Career, Employment, Jobs, Opening, Occupation, Compensation, Salary, Hospital, Health Care, Healthcare, Medical...
Sponsored by Nemours
Wellness Specialist
Plus One Health Management - Chelmsford, MA
Responsible for Wellness program reports ie, utilization, statistics, and satisfaction. The Wellness Specialist will support all wellness initiatives including...
Easily apply
Sponsored by Plus One Health Management

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