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Utilization Manager Jobs in Massachusetts

1 - 15 of 18
1 - 15 of 18
Search Results - Utilization Manager Jobs in Massachusetts
apartmentMass General Brigham Health PartnersplaceSomerville (MA)event_available
license required.  •  At least 3-5 years of experience in clinical care coordination or case management required.  •  At least 2-3 years of experience in a supervisory or leadership role required.  •  At least 2-3 years of Medicare and DSNP Utilization...
apartmentTenet MassachusettsplaceWorcesterevent_available
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...
1 similar job: Cherry Valley
apartmentAccess HealthcareplaceSomerville (MA)event_available
Job Description Access Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Somerville, Massachusetts. Job Description & Requirements  •  Specialty: Utilization Review  •  Discipline: RN  •  Duration: 13...
apartmentConfidentialplaceCummingtonevent_available
initiatives.  •  Monitor census, admissions, discharges, utilization management, and length-of-stay metrics.  •  Collaborate with business development, admissions, utilization review, and clinical teams to optimize patient access and continuity of care.  •  Oversee...
apartmentTenet MassachusettsplaceCherry Valley (MA)event_available
36 hours per week  •  Shift: 12 hours, days  •  Employment Type: Staff **This position is eligible for a $20,000 Sign-On Bonus** /n The individual in this position has overall responsibility for hospital utilization management, transition management...
1 similar job: Worcester
apartmentGather HealthplaceBostonevent_available
and foster strong interdisciplinary collaboration across care teams  •  Advance utilization management strategies to reduce avoidable ER visits and hospital admissions  •  Partner with leadership to execute growth strategy, including new clinic openings...
placeBostonlanguageicims.comevent_available
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...
apartmentAmerican TravelerplaceBostonevent_available
for a Care Management position in a hospital setting in Boston, MA, requiring a minimum of 3 years of case management experience and an active MA RN license. Details  •  Hospital-based Care Management/Utilization Review setting  •  Day shift, 8-hour shifts...
apartmentAmerican TravelerplaceBostonevent_available
Management position in a hospital setting in Boston, MA, requiring a minimum of 3 years of case management experience and an active MA RN license. Details  •  Hospital-based Care Management/Utilization Review setting  •  Day shift, 8-hour shifts with a 9am...
placeBostonlanguageenlyte.comevent_available
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...
apartmentQuincy Housing AuthorityplaceQuincy (MA)event_available
written procedures, training materials, and operational standards.   4.  Strong leadership, supervisory, and organizational management skills.   5.  Ability to analyze financial, utilization, and performance data and develop strategic recommendations.   6.  Ability...
placeHaverhill (MA)languageicims.comevent_available
Overview: Implement clerical and administrative systems to support staff and persons served in maintaining their productivity and efficiency. Maintain service, billing, utilization management, and program administrative protocols. Welcome persons...
placeGardner (MA)languageicims.comevent_available
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...
placeWorcesterlanguageicims.comevent_available
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...
placeLowelllanguageicims.comevent_available
centralized intake or utilization management functions.  •  Bilingual/bicultural candidates encouraged to apply.  •  Familiarity with electronic health record systems and data tracking platforms. Preferred /Required Education: Master’s degree in social work...
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