Utilization Review Specialist jobs in Billerica, MA

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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...
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Sponsored by Plus One Health Management - 30+ days ago
Case Managment - Utilization Review - Interqual Specialist -...
Supplemental Health Care 131 reviews - Boston, MA
Supplemental Health Care is seeking Acute Care (Hospital) Case Managers. Qualified RN's should have Interqual Experience, All Scripts and Milliman experience
Sponsored by Supplemental HealthCare - 19 days ago
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...
Sponsored by Partners Healthcare at Home - 24 days ago

Social Services Specialist I

Genesis HealthCare 737 reviews - Andover, MA 01810
Reviews facility policies and procedures as part of the facility’s interdisciplinary team to assure compliance with federal and state regulations....

Clinical Trials Specialist

Beth Israel Deaconess Medical Center 213 reviews - Boston, MA
Hiring, termination, corrective action and performance reviews. Acts as committee member to direct and govern utilization of repositories and specimens therein....

Lead Case Manager I (Prior Auth)

Centene Corporation 198 reviews - Waltham, MA
Review admissions through on-site and telephonic review to ensure medical necessity and appropriate level of care....

Social Svs Rover

Genesis HealthCare 737 reviews - Andover, MA 01810
Social Services also participates in Utilization Management & Care Planning meetings to evaluate the patient’s progress toward goals, identify patient and...

Nurse Authorization Specialist

Dana-Farber Cancer Institute 80 reviews - Boston, MA - +1 location
Case Management, Utilization Review or Prior Authorization experience is preferred. Assist in the Revenue Integrity Specialist with prior authorization denials....

Case Mgmt Specialist Sr

Genzyme 124 reviews - Cambridge, MA
Experience should include but not limited to home care management, case management review, utilization review, social service support, insurance reimbursement...

Membrane Team Lead (142480)

Aramco Services Company 181 reviews - Boston, MA
Train new specialists. Review, coordinate, and direct the work performed by others. Write, review, and assess multi-year proposals to expand into new membrane...

Team Leader, Collaborative Care

Partners HealthCare Systems 5 reviews - Needham, MA
Meets regularly with BHSS team members to review cases, discuss workflows, challenges, strengths, etc. Demonstrates initiative and creativity to continuously...

Housing Search Specialist

Ace Employment Unlimited Corp - Boston, MA
The Housing Search Specialist uses a harm-reduction, trauma-informed approach to working with applicants, including the utilization of Stages of Change Theory,...
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Senior Clinical Supv EI

Eliot Community Human Services 37 reviews - Malden, MA
9.Participate in Utilization Review team to monitor client records and maintain compliance with Eliot and DPH regulations....
Clinical Documentation Specialist SEIU- 1199 (40 HRS,DAY)
Boston Medical Center 154 reviews - Boston, MA
Description The Clinical Documentation Specialist (CDS) will provide clinically based concurrent and retrospective review of inpatient medical records to...
Sponsored by TweetMyJobs.com - 19 days ago
Clinical Documentation Specialist
Tufts Medical Center 91 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 - 19 days ago

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