Utilization Manager Jobs in Boston
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Search Results - Utilization Manager Jobs in Boston
University of Massachusetts Medical School-Boston
to MassHealth utilization management (UM) strategy/policy development and functions.
• Support and participate in all OCA medical management functions performed on behalf of MassHealth, including but not limited to coverage, medical necessity guidelines...
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CVSHealth-Boston
Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing...
cvshealth.com -
B.E. Smith-Boston
care while overseeing routine health maintenance, management of chronic conditions, and acute illnesses.
• The Senior Medical Director will focus on current PACE initiatives including clinical care, patient access, utilization management, patient...
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Boston
with overall MassHealth strategy.
• Provide clinical leadership and mentoring for the OCA and MassHealth staff and work collaboratively with both clinical and non-clinical team members.
Medical Management
Contribute to MassHealth utilization management (UM)...
icims.com -
Monogram Health, Inc.-Boston
care and chronic condition treatment are delivered. Monogram’s innovative, in-home approach utilizes a national nephrology practice powered by a suite of technology-enabled clinical services, including case and disease management, utilization management...
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Integrated Resources, Inc-Salem (MA), 15 mi from Boston
and coordinating appropriate follow-up services to promote wellness.
Ensuring that patients have transport to and from their homes and all pertinent healthcare facilities.
Requirements:
10+ years of experience
Case Management, Utilization Management...
resume-library.com -
Compass Health Network-Clinton (MA), 32 mi from Boston
disciplinary team
• Maintain client records, following agency and state regulations including
• knowledge of utilization management criteria
• Maintain agreed upon level of customer care requirements
• Will provide culturally competent services to meet...
mindmatch.ai -
Mass General Brigham Community Physicians-Waltham (MA), 10 mi from Boston
and specialists, process improvement focused on clinical care, patient access, staffing, utilization management and patient scheduling, assisting in the development, implementation and monitoring of quality improvement and compliance efforts, budgeting...
Lawrence General Hospital-Lawrence (MA), 25 mi from Boston
management and revenue integrity cycle processes. Interacts directly and indirectly with internal and external providers to review and monitor members' utilization of health care services with the goal of maintaining high-quality cost-effective care.
The URS...
healthecareers.com -
Optum-Worcester, 41 mi from Boston
with the PCP
• Help develop and complete relapse prevention and/or self-management plans with patients as needed
• Actively participate in PCP and staff education presentations, care coordination meetings, case reviews, utilization management rounds and other...
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