- Tufts Medicine (Boston, MA)
- …or a role that focuses on support of daily business activities (eg, technical, clinical , non- clinical ) operating in a "hands on" environment. The majority of ... to monitor and track department surgical functions and acts as a liaison between the department and, other departments and external organizations. **Job… more
- Beth Israel Lahey Health (Plymouth, MA)
- …reviews for level of care and continued stay * Lead appeals of clinical denials and collaborate with physician advisors * Coordinate peer-to-peer reviews ... **RN - Utilization Review** This role is ideal for nurses with strong documentation review skills and a deep understanding of reimbursement systems. You will manage… more
- East Boston Neighborhood Health Center (MA)
- …are accurately added to patient records. + Assist with the completion of clinical forms, letters, prior authorizations and other documentation as directed by ... health and well-being of our patients and communities. Whether you're a nurse or physician providing direct care, a manager leading dedicated teams, or part of the… more
- Tufts Medicine (Melrose, MA)
- …and procedures recognized by the hospital. This position, under the direction of clinical leadership, performs a variety of clerical duties, is a liaison ... Responsible for review of bed assignments and relaying this information to clinical staff. 3. Receives, greets and directs patients, visitors, physicians, and… more
- Dana-Farber Cancer Institute (Milford, MA)
- The Oncology Nurse Navigator (ONN) uses their oncology-specific clinical knowledge to offer individualized assistance to patients, families and caregivers to help ... is responsible for routine nursing aspects of the Program, which include clinical care, telephone triage, symptom management, management of patients on oral… more
- Bear Mountain Health Care (Worcester, MA)
- …SUMMARY Directs all activities of the Respiratory Department including clinical assessments, record keeping, monthly/quarterly reporting, compliance with treatment ... plans, compliance with state licensure requirements and all Clinical policies and Procedures. Provides quality resident care to enable the residents to achieve and… more
- Wolters Kluwer (Waltham, MA)
- …healthcare information technology (HIT) provider working on the front lines of clinical care. Our talented team of physician and pharmacist editors, ... technologists, and product visionaries collaborate to provide advanced clinical decision support solutions that measurably improve clinical effectiveness by… more
- Beth Israel Lahey Health (Plymouth, MA)
- …establish the appropriate level of care using Interqual criteria. + Integrates clinical knowledge with billing knowledge to review, evaluate, and appeal clinical ... with the multidisciplinary team to assess and improve the denial management, documentation , and appeals process. + Collaborates with UR Manager and/or physician… more
- Beth Israel Lahey Health (Plymouth, MA)
- …establish the appropriate level of care using Interqual criteria. + Integrates clinical knowledge with billing knowledge to review, evaluate, and appeal clinical ... with the multidisciplinary team to assess and improve the denial management, documentation , and appeals process. + Collaborates with UR Manager and/or physician… more
- Tufts Medicine (Lowell, MA)
- …Healthcare, an expansive home care network and a large clinically integrated physician network, Tufts Medicine has more than 15,000 dedicated employees and ... department, organization and JCAHO requirements. The staff member will act as a liaison with other disciplines for problem-solving issues that arise related to … more
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