• ED RN Case Manager - UR…

    Beth Israel Lahey Health (Plymouth, MA)
    …weekend. One summer and one winter holiday. **Job Description:** The Emergency Department Case Manager is responsible and accountable for patient trajectory by ... most appropriate level of care while facilitating throughput. The ED Case Manager will assist in identifying patients appropriate for Admission, Observation, or… more
    Beth Israel Lahey Health (10/30/25)
    - Related Jobs

  • RN, Case Manager /Continuing Care…

    Beth Israel Lahey Health (Plymouth, MA)
    …of treatments/procedures to optimize reimbursement. + Collaborates with the UR team regarding level of care determination/LOS. + Coordinates continuing ... in healthcare preferred. + CCM certification preferred. + A minimum of 1 year case management experience working independently in an acute or post-acute setting or a… more
    Beth Israel Lahey Health (10/30/25)
    - Related Jobs

  • Care Transitions Jobs

    Beth Israel Lahey Health (Plymouth, MA)
    …prevention strategies * Integrate clinical and reimbursement knowledge for optimal outcomes **RN Case Manager - Emergency Department UR & Discharge ... the last 3 years + Proficiency in InterQual required + CCM, ACM, or other case management certification preferred or in progress ** Manager - Utilization Review &… more
    Beth Israel Lahey Health (10/30/25)
    - Related Jobs

  • Manager - Utilization Review & Denials…

    Beth Israel Lahey Health (Plymouth, MA)
    …Denials Management Manager , you will:** + Directs staff performance regarding UR and the analysis, resolution, monitoring & reporting of clinical denials. + ... people's lives.** Full Time **Job Description:** **Utilization Review & Denials management manager - Full Time** **Who We Are:** At **Beth Israel Deaconess… more
    Beth Israel Lahey Health (10/30/25)
    - Related Jobs

  • RN-Clinical Manager Hospice House

    Tufts Medicine (Haverhill, MA)
    …outcomes. + Develops effective relationships with referral sources. + Works with UR to ensure availability of documentation and information needed for payment. ... with patients, families and referral sources. + Participates in case conferences and participates in/facilitates Interdisciplinary Team Meetings and facilitates… more
    Tufts Medicine (11/20/25)
    - Related Jobs

  • Weekend Intake RN

    Tufts Medicine (Lowell, MA)
    …+ Documents important information on the agency's "Request for Service" form creates a case in Forcura and the current EMR. + Attempts to assess if the potential ... to verify atypical insurances as requested by referral sources and to support UR and Clinical Staff. + Identifies pre-admit evaluated patients and works to determine… more
    Tufts Medicine (11/14/25)
    - Related Jobs