• Utilization Nurse

    Beth Israel Lahey Health (Plymouth, MA)
    …the LEAN methodology in order to provide the full continuum of health care services and the best quality patient centered care . **Duties/Responsibilities:** + ... Reviews admission data to establish the appropriate level of care using Interqual criteria. + Integrates clinical knowledge with billing knowledge to review,… more
    Beth Israel Lahey Health (08/15/25)
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  • Registered Nurse - Utilization Review

    Beth Israel Lahey Health (Plymouth, MA)
    …+ Reviews admission data to establish the appropriate level of care using Interqual criteria. + Integrates clinical knowledge with billing knowledge ... to review, evaluate, and appeal clinical denials related to the care provided to the hospitalized patient. + Conducts concurrent reviews to determine the continued… more
    Beth Israel Lahey Health (08/16/25)
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  • Senior Patient Care Manager , RN…

    Gentiva (Auburndale, MA)
    …excellence with strategic oversight? If so, you could be the next Hospice Patient Care Manager Senior on our team. At Gentiva Hospice, we're dedicated to ... live with dignity and comfort. As a Senior Patient Care Manager , you'll help guide branch-level clinical...procedures, and regulatory standards * Act as a key liaison between clinical teams, leadership, physicians, and other providers… more
    Gentiva (08/27/25)
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  • ED RN Case Manager - UR & Discharge…

    Beth Israel Lahey Health (Plymouth, MA)
    …improved patient outcomes. The focus is to identify the most appropriate level of care while facilitating throughput. The ED Case Manager will assist in ... delays and ensure compliance and revenue integrity with health care regulations Functions as a liaison between...acceptable standards of practice and refers cases to the Manager , Care Transitions or directly to the… more
    Beth Israel Lahey Health (08/10/25)
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  • Social Work Manager

    East Boston Neighborhood Health Center (Revere, MA)
    …our patients and communities. Whether you're a nurse or physician providing direct care , a manager leading dedicated teams, or part of the essential support ... Work Manager is responsible for providing clinical services and care coordination for Neighborhood PACE Participants across all teams. The Neighborhood PACE… more
    East Boston Neighborhood Health Center (08/26/25)
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  • Senior Manager of Access and Navigation

    North Shore Community Health (Salem, MA)
    Care management. + Pharmacy services. + Substance abuse disorder treatment. + Nurse care management. + Insurance enrollment assistance. NSCH operates service ... Senior Manager of Access and Navigation Salem, MA (http://maps.google.com/maps?q=47+Congress+Street+Salem+MA+USA+01970)...Navigationplays a pivotal role in ensuring seamless access to care for patients across North Shore Community Health's three… more
    North Shore Community Health (08/28/25)
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  • Manager , Transfer Center

    Baystate Health (Springfield, MA)
    **Transfer Center Manager ** Baystate Health, Western Massachusetts's premier healthcare provider, and home to Baystate Medical Center (BMC), a Magnet Hospital for ... Nursing Excellence seeks a **Full Time Transfer Center Manager ** The **Transfer Center Manager ** at Baystate Health collaborates closely with medical staff,… more
    Baystate Health (08/22/25)
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  • Field Case Manager -Sign-On Bonus Eligible

    Sedgwick (Boston, MA)
    …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign-On Bonus Eligible **This Field Case Manager will cover our Boston, ... progressive medical treatment, and timely return-to-work; while acting as a liaison and providing communication between all involved parties. While frequent travel… more
    Sedgwick (07/24/25)
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  • Field Case Manager

    Sedgwick (Boston, MA)
    …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager **In order to be considered for this Field Case Manager position, ... progressive medical treatment, and timely return-to-work; while acting as a liaison and providing communication between all involved parties. While frequent travel… more
    Sedgwick (06/25/25)
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  • Case Manager

    Brockton Hospital (Brockton, MA)
    …Case Manager at Brockton Hospital serves as the primary liaison between PCP/attending physician, patient/family, payer based case managers, and appropriate ... services to Brockton Hospital patients. Responsible for assuring continuity of care for patients under specific physician groups. Assesses plans, coordinates, and… more
    Brockton Hospital (08/01/25)
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