Utilization Review Specialist jobs in Billerica, MA

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Accreditation and Regulatory Affairs Specialist
GLFHC is currently seeking an Accreditation and Regulatory Affairs Specialist. Develop, integrate and monitor utilization of computer-based tools serving as a...
Regional Rehab Reimbursement Specialist
Sheehan Health Group - Boston, MA
Includes review of both therapy and clinical documentation, Medicare certifications and re-certifications, SNF Advanced Beneficiary Notices, MDS Coding, ICD-10...
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Telephonic Care Partner
Commonwealth Care Alliance - 40 reviews - Charlestown, MA 02129
Participates in utilization and case review as necessary. Participates in Team Case Review. Manages panel-wide and member-specific utilization trends....

Clinical Specialist

OmniGuide - Lexington, MA 02421
Purpose of the Clinical Specialist:. How Clinical Specialist assignments are scheduled:. Generally, clinical specialists will not be expected to travel with...
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Clinical Documentation Improvement and Utilization Managemen...

Shriners Hospitals for Children - 70 reviews - Boston, MA
Minimum 5 years recent health information management, case management / utilization / quality review and/or other related clinical experience in an acute care...

Payment Verification Specialist

Tufts Medical Center - 192 reviews - Boston, MA
S of the hospital to resolve accounts, including Medical Records, HIM, internal staff members, Utilization Review and Preadmission office....

Value Stream Specialist

BAE Systems, Inc - 3 reviews - Nashua, NH 03060
Value Stream Specialist within the factory of assigned responsibility. Supports corrective action reviews and participates in identifying root causes and...

Revenue Specialist, Finance

Partners HealthCare(PHS) - 241 reviews - Salem, MA
Strong analytical skills required to understand and interpret financial and utilization data. The Revenue Specialist position encompasses two major areas of...

Facilities Specialist II

Fresenius Medical Care - 2,283 reviews - Waltham, MA 02451
Assist in the review of Security tapes when necessary. Tracks/ manages the movement, utilization and inventory of new/ surplus furniture....

Utilization Review Specialist

Westwood Lodge Hospital Lowell Treatment Center - Westwood, MA
(include, but not limited to) Review and Documentation:. Utilization Management either with a provider, insurance or HMO....

Accreditation and Regulatory Affairs Specialist

Greater Lawrence Family Health Center - 27 reviews - Methuen, MA
GLFHC is currently seeking an Accreditation and Regulatory Affairs Specialist. Develop, integrate and monitor utilization of computer-based tools serving as a...

Clinl Doc Specialist- FT-10:30-7+ includes wknd day~ work re...

Partners HealthCare at Home(PHC and PHH) - 241 reviews - Waltham, MA
PHH Utilization Mgmt. Key metric goals include process measures, case mix, episodes per admission, budgeted utilization, quality outcomes, LUPA’s, and...

Clinic Supervisor - Lowell

South Bay Community Services - 67 reviews - Lowell, MA
Assist with Utilization Review. Participate in surveys, audits, and license reviews. Or a Registered Nurse eligible for Clinical Specialist....
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Telephonic Behavioral Health Care Partner
Participates in utilization and case review as necessary. Manages panel-wide and member-specific utilization trends....
EIM Data Specialist
Ascensus - 38 reviews - Newton, MA
Perform data segmentation, review and reporting of expansive data sources. As a Data Analyst at Ascensus, you will conduct data analysis in support of a variety...

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