Utilization Manager Jobs in Massachusetts
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Search Results - Utilization Manager Jobs in Massachusetts
US Tech Solutions-Canton (MA)
Duration: 6 months contract (with possible extension)
Employment Type: W-2
Note:
A manager is looking for RN’s with at least 5 years of relevant experience. Outpatient Utilization Management experience is a plus. We find that people with Case...
mindmatch.ai -
eTeam Inc.-Pittsfield (MA)
stay for the appropriate level of care and utilization of resources. The case manager will perform transition care planning activities to secure appropriate post hospital care arrangements and will monitor the patient during the course...
resume-library.com -
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...
appcast.io -
Metrowest Medical Center-Framingham
avoidable readmissions. The RN Case Manager integrates national standards for case management scope of services including: Utilization Management supporting medical necessity and denial prevention Transition Management promoting appropriate length of stay...
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...
appcast.io -
Saint Vincent Hospital-Worcester
of services including: Utilization Management supporting medical necessity and denial prevention; Transition Management promoting appropriate length of stay, readmission prevention, and patient satisfaction; Care Coordination by demonstrating throughput...
mindmatch.ai -
Metrowest Medical Center-Framingham
standards for case management scope of services including: Utilization Management supporting medical necessity and denial prevention; Transition Management promoting appropriate length of stay, readmission prevention, and patient satisfaction; Care...
Lawrence General Hospital-Lawrence (MA)
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 -
Becker Health-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...
resume-library.com -
South Shore Health-Weymouth (MA)
utilization of resources across the continuum of care. Works collaboratively with interdisciplinary staff internal and external to the organization.
The Case Manager is on-site, required to work a weekend rotation and also an occasional holiday.
Job...
mindmatch.ai -
ICONMA, LLC-Gardner (MA)
orientation, interpersonal effectiveness, teamwork and information seeking.
Essential Functions:
Utilization Management- Utilization Review and Care Transitions & Coordination
Providing clinical information to payers, monitoring length of stay, seeking...
resume-library.com -
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 -
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 -
Gardner (MA)
Responsibilities:
Essential Functions:
• 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...
icims.com -
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...
icims.com -
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