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Utilization Manager Jobs in Springfield (MA)

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Search Results - Utilization Manager Jobs in Springfield (MA)
apartmentLanceSoftplaceSpringfield (MA)event_available
Surg units. This does not include Utilization Management. Years of Exp preferred: 3 or more years of Hospital Case Manager experience Cases seen (If applicable) Certifications required: Case Management Certification preferred but not required Day 1...
apartmentRandstad USAplaceSpringfield (MA)event_available
Are you an experienced healthcare professional with a sharp eye for detail and a strong background in prior authorizations? We are seeking a highly organized, detail-oriented Prior Authorization Specialist to join our national Utilization Management...
apartmentVeracity Ventures Inc.placeWorcester, 40 mi from Springfield (MA)event_available
Management & Patient Flow We are seeking an experienced Director of Case Management to lead hospital-wide Case Management operations, Utilization Management, Care Coordination, and Transition Management. This leadership role is responsible for optimizing...
apartmentATHENA ConsultingplaceSpringfield (MA)event_available
The Behavioral Health Care Manager II (ABA Specialist) is responsible for managing behavioral health utilization management (UM) activities focused on Applied Behavior Analysis (ABA) services for children and adolescents. This role reviews autism spectrum...
apartmentCoveCare Center - Counseling & Wellness ManagementplacePutnam (CT), 40 mi from Springfield (MA)event_available
Utilization Management/Utilization Review (UM/UR) requirements  •  Support staff in meeting documentation and collaborative documentation expectations  •  Provide leadership during clinical crises  •  Provide crisis coverage in a rotating schedule during business...
apartmentThea Pharma Inc.placeWorcester, 40 mi from Springfield (MA)languagetrinethire.comevent_available
and address account-level barriers related to formulary placement, medical policy, utilization management, prior authorization, step therapy and other coverage requirements, partnering internally on compliant and evidence-based solutions.  •  Medical...
apartment1000scholarsplaceWorcester, 40 mi from Springfield (MA)languageappcast.ioevent_available
reviews.  •  Collaborate with DMH service providers and contracted agencies, offering clinical consultation as appropriate.  •  Oversee key operational areas including utilization management, risk management, support of DMH initiatives, and clinical...
placeAthol (MA), 39 mi from Springfield (MA)languageicims.comevent_available
concurrently including post-acute care when needed; addresses LOS issues, addresses potential needs, resources, referrals for other disciplines and services. In a positive professional manner.  •  Utilization Management Works collaboratively with the assigned...
apartmentGosnoldplaceWorcester, 40 mi from Springfield (MA)languageappcast.ioevent_available
an understanding of appropriate patient-staff boundaries.  •  Work under and respond to supervision.  •  Interact with patients in a professional manner.  •  As directed under supervision, interact with the financial and utilization management staff for reimbursement...
placeGardner (MA), 44 mi from Springfield (MA)languageicims.comevent_available
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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