Utilization Manager Jobs in Massachusetts
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Search Results - Utilization Manager Jobs in Massachusetts
Wheeler Staffing Partners-Worcester
an experienced Director of Case Management for a leadership opportunity within an acute care hospital environment in Worcester, MA. This role is responsible for overseeing utilization management, care coordination, transition planning, patient throughput...
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Tenet Massachusetts-Cherry Valley (MA)
management, transition management, and operational management of the Case Management Department in order to promote effective utilization of hospital resources, timely and accurate revenue cycle processes, denial prevention, safe and timely patient throughput...
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1 similar job: Worcester
Tenet Massachusetts-Worcester
Shift: 12 hours, days
• Employment Type: Staff
**This position is eligible for a $20,000 Sign-On Bonus**
The individual in this position has overall responsibility for hospital utilization management, transition management, and operational management...
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1 similar job: Cherry Valley
VitalCore Health Strategies-Lancaster (MA)
Participates in Pharmacy, Therapeutic, and Strategic Initiatives, Patient Safety/Sentinel Event Committee, Performance Improvement, Electronic Medical Records (EMR), Utilization Management and other process improvement committees/initiatives as directed...
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South Shore Health-Weymouth (MA)
for admission and continued stay. Provides clinically-based case management, discharge planning and care coordination to facilitate the delivery of cost-effective quality healthcare and assists in the identification of appropriate utilization of resources across...
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Haverhill (MA)
population. Previous experience in utilization management is preferred
LICENSES/DESIGNATIONS/CERTIFICATIONS:
• Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides services; or current clinical professional...
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icims.com -
Boston
Management, Occupational Health, Patient Care, Utilization Management, Acute Care, Orthopedics, Rehabilitation, Rehab, CCM, Certified Case Manager, CDMS, Certified Disability Management Specialist, CRC, Certified Rehab Certificate, CRRN, Certified Rehab...
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enlyte.com -
Boston
for MassHealth members. Working closely with clinical and operational leaders within the Office of Clinical Affairs, this leader will oversee program initiatives related to utilization management (including prior authorizations), medical coverage policy, and care...
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icims.com -
Gardner (MA)
skills, qualifications, and internal equity. We regularly review our compensation structures to ensure fairness and consistency across our organization.
Responsibilities:
Essential Functions:
• Utilization Management- Utilization Review and Care...
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icims.com -
Boston
for MassHealth members. Working closely with clinical and operational leaders within the Office of Clinical Affairs, this leader will oversee program initiatives related to utilization management (including prior authorizations), medical coverage policy, and care...
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icims.com -
Worcester
providers and contracted agencies, offering clinical consultation as appropriate.
• Oversee key operational areas including utilization management, risk management, support of DMH initiatives, and clinical and psychopharmacology services.
• Participate...
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icims.com -
Gardner (MA)
including relevant experience, skills, qualifications, and internal equity. We regularly review our compensation structures to ensure fairness and consistency across our organization.
Responsibilities:
Essential Functions:
• Utilization Management...
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icims.com -
Lowell
Familiarity with referral management, intake coordination, and client engagement practices
• Knowledge of confidentiality requirements, HIPAA regulations, and documentation standards
• Understanding of care coordination workflows and multidisciplinary team...
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icims.com -
RN Care Coordinator, Case Management, 8-Hours, Mornings, Weekends, 4 hour shifts on Saturdays and...
Gardner (MA)
Utilization Management- Utilization Review and Care Transitions & Coordination
Providing clinical information to payers, monitoring length of stay, seeking necessary care authorizations and utilizing the InterQual Program; appealing denials as indicated...
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icims.com -
Gardner (MA)
our organization.
Job Summary:
As a member of the Heywood Healthcare Family, The Manager of Case Management is responsible for the provision of service for Case Management, Social Service, and Utilization Management for Heywood Healthcare (Heywood...
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icims.com -
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