Utilization Review Jobs in Worcester
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Search Results - Utilization Review Jobs in Worcester
Worcester
Implement and monitor medical Utilization Review functions and requirements for the entire medical department in compliance with established company policies and procedures.
• Ensure that the appropriate number of client cases is presented at each Multi...
icims.com -
CorVel Corporation-Acton (MA), 28 mi from Worcester
such as utilization review or managed care is helpful.Strong interpersonal, time management and organizational skills.Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets.Ability to work both independently...
Worcester
practices, and through required forms/documents. Respond to Quality Management and Utilization Review protocols and alerts.
• Ensure that any issues or concerns related to risk (client risk, staff risk, facility risk, and/or programmatic risk) or ethical...
icims.com -
Tenet Healthcare Corporation-Framingham, 21 mi from Worcester
The PA is responsible to the hospital CFO for the coordination and management of medical staff affairs, liaison with medical staff, assistance in quality/process improvement and utilization review programs. The PA will also develop and coordinate...
Worcester
associated with clinical position. Maintain other documentation particular to specific positions as needed (e.g. data associated with grants). Respond to Quality Management and Utilization Review protocols and clinical alerts, and participate in regular...
icims.com -
Lowell Community Health Center-Lowell, 39 mi from Worcester
multidisciplinary treatment team meetings.
4. To provide direct psychotherapy, when indicated.
5. To participate in utilization review and quality management programs.
6. To coordinate the program's relationship with hospitals and to provide general consultation...
ICONMA, LLC-Gardner (MA), 22 mi from Worcester
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 -
Lowell Community Health Center-Lowell, 39 mi from Worcester
To participate in utilization review, peer review and quality management programs.
• To coordinate and foster collaborations with community agencies and hospitals in the care, treatment and services of patients.
• To provide supervision and consultation to other...
Ambe Healthcare Staffing-Gardner (MA), 22 mi from Worcester
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 -
LOWELL COMMUNITY HEALTH CENTER-Lowell, 39 mi from Worcester
multidisciplinary treatment team meetings.
To provide direct psychotherapy, when indicated.
To participate in utilization review and quality management programs.
To coordinate the program's relationship with hospitals and to provide general consultation to all staff...
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