Utilization Review Specialist jobs in Boston, MA

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Software Project and Engagement Manager
Pilgrim Quality Solutions, Inc. - Boston, MA
Maintain progress reviews of project tasks and team member assignments. Mentor and coach Global Services personnel in the service delivery methodology and...
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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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FVC Vascular Access RN-Per Diem-Beverly, MA
As a skilled specialist, completes (insert) tasks in resourceful and effective ways which include, but are not limited to:....
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Employee Assistance Program Specialist

Partners HealthCare - 93 reviews - Boston, MA
Reviews all high-risk cases with EAP Supervisor, EAP Manager, Corporate EAP Director, and/or Medical Director....

Spec, SCAMP Clinical Data

Boston Children's Hospital - 147 reviews - Boston, MA
The Clinical Data Specialist will be responsible for:. Critically reviews and evaluates SCAMPs data for relevance and timely use by clinicians....

Employee Assistance Program Specialist

Partners HealthCare(PHS) - Boston, MA
Reviews all high-risk cases with EAP Supervisor, EAP Manager, Corporate EAP Director, and/or Medical Director....

Quality Specialist

Beacon Health Options - 177 reviews - Woburn, MA
Ability to conduct clinical literature reviews. Demographic Analysis of Service Utilization Patterns, Trend Reports as assigned.)....

Procurement Coordinator

Center For Health Information And Analysis - Boston, MA 02116 (South End area)
$60,000 - $70,000 a year
Experienced procurement specialist with 3 to 5 years’ experience in a Massachusetts state agency. Work collaboratively with legal and finance units to review...

WinACO Quality Care Specialist

Winchester Hospital (1021 Main Street, Winchester) - Winchester, MA
Reviews, understands, and educates appropriate practice staff and providers about Clinical Guideline measurements as necessary....

WinACO Quality Care Specialist

LAHEY CLINIC - 116 reviews - Winchester, MA
WinACO Quality Care Specialist Department:. Measures including Care Management utilization, and ACO/PHO program goals....

Clinical Documentation Specialist

Steward Health Care - 32 reviews - Brighton, MA
Performs monthly closed chart reviews and serves on the Utilization Review Committee. Provide clinically based concurrent review of inpatient medical records to...

Marketing Specialist/Coordinator- Medical, Legal, Regulatory...

Alkermes, Inc. - Waltham, MA 02451
Compliant utilization of promotional materials for multiple brands. At least 2 years experience supporting medical-legal review process and marketing strongly...

RESOURCE SPECIALIST / 40 HOURS / ROTATION - BWH CARE COORDIN...

Brigham & Women's Hospital(BWH) - 301 reviews - Boston, MA
In Utilization Review preferred. The Resource Specialist (Financial RS) for outpatient,. RS coordinates Utilization Management information for the Medical....
Human Resources Manager
KONE - 120 reviews - Boston, MA
Promotes L&D offerings and utilization of tools; Demonstrated experience in multi-functional capacities as generalist or specialist....
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Clinical Documentation Improvement Supervisor - Relocation t...
Reviews CDI query data & reviews audit accuracy & completeness of in-house clinical documentation in order to:....
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