- Fallon Health (Worcester, MA)
- …of care opportunities related to Utilization Management. + Works with VP/ Medical Director to set agenda related to UM and represent the plan at clinical ... purpose:** With the general direction from the VP Sr. Medical Director Clinical Management and SVP/Chief ... necessities and criteria for coverage. + Oversight of UM by delegated organizations and ensure regulatory and accreditation… more
- Baystate Health (Springfield, MA)
- …Owner Support: o New user care management platform system overview training. o Medical Director care management platform system training, process support. o ... Development of Inter-Rater Reliability (IRR) reporting with UM /BH managers, at least annually. o Annual Reporting: State,...that are specific to the role) Bachelor's degree in Medical Information Systems or related field and 3 years'… more