- Commonwealth Care Alliance (Boston, MA)
- …Analyst will be responsible for developing prospective claims auditing and clinical coding and reimbursement edits and necessary coding configuration requirements ... Responsibilities:** + Develop enhanced, customized prospective claims auditing and clinical coding and reimbursement policies and necessary coding configuration… more
- Baystate Health (Springfield, MA)
- …for the patient's and family's concrete needs and services. Serves as a liaison with community resources on behalf of the patient. **3)** Conducts interviews with ... continuity of care on a daily basis. **5)** Provides clinical consultation as an active member of the interdisciplinary...and other electronic systems in order to maintain accurate clinical records for patients and ensure an integrated approach… 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 ... for admission or continued stay. + Acts as a liaison between physicians and payers, coordinating peer-to-peer phone calls....degree in healthcare preferred. + Three years recent, broad clinical experience in the hospital setting + Experience with… more
- Monte Nido (Dedham, MA)
- …deserve. Learn more at www.waldenbehavioralcare.com. The Nursing Supervisor provides clinical leadership, management oversight, and guidance during the absence of ... the patient care administration. This role uses both clinical and administrative expertise to lead, support, and mentor...to Walden policy. **Collaborative Practice** + Acts as a liaison between units, programs, and other departments. + Intervenes… 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 ... for admission or continued stay. + Acts as a liaison between physicians and payers, coordinating peer-to-peer phone calls....degree in healthcare preferred. + Three years recent, broad clinical experience in the hospital setting + Experience with… more
- Beth Israel Lahey Health (Burlington, MA)
- …Leadership. * Analyze reimbursement to insure accurate payments * Work with clinical leadership as needed to coordinate client accounts and services. * Responds ... Establishes and maintains effective working relationships with Lahey revenue cycle, clinical departments and administrative leadership in regards to the Executive… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …to staff, and provide an expert knowledge base + Act as a liaison between assigned departments, Registration, and Patient Accounts; ensure the smooth and efficient ... work flow to balance the needs of both the clinical department and Registration and report any relevant issues...of all new information and changes within the assigned clinical departments + Address issues and problems as they… more
- Actalent (Boston, MA)
- …applications, and other complex reports and documents for administrative, financial, clinical , and/or research purposes. Collects and compiles data from diverse ... Evaluates and recommends purchase of equipment and non-routine supplies. Serves as liaison to support service departments to request and coordinate provision of… more
- Cambridge Health Alliance (Cambridge, MA)
- …the placement of all admissions and transfers in accordance with the clinical standards and guidelines. The OSM supervises and coordinates the activities of ... care activities throughout the campus. They work in close liaison with other Nurse Managers at the other two...Nursing required. Masters preferred 3 - 5 years of clinical experience in specific area of nursing practice plus… more
- Elevance Health (Woburn, MA)
- …Finder and follows up with provider on referrals given. + Refers cases requiring clinical review to a nurse reviewer; and handles referrals for specialty care. + ... authorization. + Verifies benefits and/or eligibility information. + May act as liaison between Medical Management and internal departments. + Responds to telephone… more