Utilization Manager Jobs in Worcester
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Veracity Ventures Inc.Worcester
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...
V-Soft Consulting Group, Inc.Worcester
1 or more years of experience supporting Utilization Management workflows.
• Experience analytical and problem-solving skills with the ability to interpret and apply data insights
Knowledge and Skills:
• Effective written and verbal communication...
Worcestericims.com
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...
Thea Pharma Inc.Worcestertrinethire.com
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...
Rxadvance CorporationSouthborough, 18 mi from Worcester
players to join our team – folks who embrace the grind and hustle of a growing company, are collaborative and innovative, are life-long learners and growers, and have an entrepreneurial and positive mindset.
Job Summary:
The Utilization Management (UM)...
TaraVista Behavioral Health CenterDevens, 22 mi from Worcester
The Utilization Review Clinician will have the following:
• Master's level clinician or RN.
• Previous utilization management experience, preferably in an inpatient psychiatric setting.
• License eligible (LMHC or LICSW preferred) or RN.
• Possess sufficient...
V-Soft Consulting Group, Inc.Springfield (MA), 40 mi from Worcester
1 or more years of experience supporting Utilization Management workflows.
• Experience analytical and problem-solving skills with the ability to interpret and apply data insights
Knowledge and Skills:
• Effective written and verbal communication...
LanceSoftSpringfield (MA), 40 mi from Worcester
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...
V-Soft Consulting Group, Inc.Providence, 38 mi from Worcester
1 or more years of experience supporting Utilization Management workflows.
• Experience analytical and problem-solving skills with the ability to interpret and apply data insights
Knowledge and Skills:
• Effective written and verbal communication...
CoveCare Center - Counseling & Wellness ManagementPutnam (CT), 25 mi from Worcester
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...
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